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FAQ:  Dentures or Implants?



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Dentures or Implants? Ask The Dentist James Sanderson Question:
I have worn a complete upper denture for at least 10 years now. I only have 6 natural lower teeth (3 each side) and wear a partial there. The 6 teeth are in bad shape and I know it will not be long before they have to go also. I have had trouble with both the upper denture and the lower partial since I have had them.

I have been told that I just have to get use to them. I was also told that if I didn't like the upper denture that surely wouldn't like a lower one.

My question is, with denture implants, does the upper implant cover the entire roof of the mouth and does the lower implant cover the entire portion under the tounge? Or, are they just the rim with the teeth similar to a partial? I was told at my dentist office that it is the exact same as a full denture except it attaches to the anchors that were implanted... Visitor from TN

Answer:
There are a number of different ways to develop the prosthesis.

It depends on the amount of bone and money that one has. It seems many times that there is an inverse proportion to the amount of money and bone that people have. If they have bone there is no money if there is money there is no bone. (Sorry for the side comment)

In my practice my first thought would be to try to keep the teeth you have and maybe do a precision partial on the lower. With a new denture on top. Much of the time if we can develop a proper plane of occlusion (chewing surface plane) and stability on the lower then things improve tremendously. And the financial and time cost is usually less.

At times we do 6 implants on the top and make you a prosthesis that looks like and functions like your natural teeth. They are attached to the implants and do not come in and out of your mouth.

But if you do not have enough bone then we may not be able to do that... It just depends on a number of factors.

James Sanderson, DMD
Alabama Teeth In An Hour
Alabama Sedation Dentist
1633 Montgomery Highway
Birmingham, AL 35216
(205) 979-6005

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