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IMPLANT SUPPORTED DENTURES

Implant Supported Dentures ( Overdenture )

An implant-supported denture is a type of overdenture that is supported by and attached to the implants. A regular denture rests on the gums, and is not supported by implants.

An implant-supported denture is used when a person doesn’t have any teeth in the jaw, but has enough bone in the jaw to support implants. An implant-supported denture has special attachments that snap onto attachments on the implants.

Implant-supported dentures usually are made for the lower jaw because regular dentures tend to be less stable there. Usually, a regular denture made to fit an upper jaw is quite stable on its own and doesn’t need the extra support offered by implants. However, you can receive an implant-supported denture in either the upper or lower jaw.

You should remove an implant-supported denture daily to clean the denture and gum area. Just as with regular dentures, you should not sleep with the implant-supported dentures at night. Some people prefer to have fixed (permanent) crown and bridgework in their mouths that can’t be removed. Your dentist will consider your particular needs and preferences when suggesting fixed or removable options.

How Does It Work?

There are two types of implant-supported dentures: bar-retained and ball-retained. In both cases, the denture will be made of an acrylic base that will look like gums. Porcelain or acrylic teeth that look like natural teeth are attached to the base. Both types of dentures need at least two implants for support.

  • 1.Bar-retained dentures — A thin metal bar that follows the curve of your jaw is attached to two to five implants that have been placed in your jawbone. Clips or other types of attachments are fitted to the bar, the denture or both. The denture fits over the bar and is securely clipped into place by the attachments.

  • 2.Ball-retained dentures (stud-attachment dentures) — Each implant in the jawbone holds a metal attachment that fits into another attachment on the denture. In most cases, the attachments on the implants are ball-shaped (“male” attachments), and they fit into sockets (“female” attachments) on the denture. In some cases, the denture holds the male attachments and the implants hold the female ones.

Implant – supported denture Treatment duration

One trip by required at least 12 days in Bangkok ( 4-5 visits)*

*Please make an appointment in advance

Overdenture Treatment process

  1. Oral examination , Consultation , CT scan ( 3D images X-RAY ) , Treatment planning

During the exam, the dentist will review your medical and dental histories, take a computed tomography (CT) scan of your mouth. This shows where your sinuses (located above your upper teeth) and nerves are. It allows the dentist to make sure they will not be affected by the implant placement. A CT scan also may be done to see how much bone is available and to determine the best locations for the implants.

      2.    Dental implant placement – The implants are usually placed in the jawbone at the front of your mouth because there tends to be more bone in the front of the jaw than in the back. This usually is true even if teeth have been missing for some time. Once you lose teeth, you begin to lose bone in the area. Also, the front jaw doesn’t have many nerves or other structures that could interfere with the placement of implants. The number of implants placed is dependent on bone condition and the implantologist judgement. Mostly 2 – 4 dental implants post are used for one arch.

       3.   Deliver full mouth denture placing on dental implants post

Caring for Implant-Supported Denture

You will need to remove the denture at night and for cleaning. You also should carefully clean around the attachments.

Your dentist will test all the parts of your new denture to see if they are secure. Even though your denture is stable, it still can move slightly when you chew. This slight movement can cause the denture to rub against your gums, which can cause sore spots. Your dentist will check your gums and also will check the way your top and bottom teeth come together (your bite) after insertion of the denture.

The clip or other attachments on the bar-retained denture usually will need to be replaced every 6 to 12 months. They are made of a plastic material (nylon) and will wear after continued use.

What Can You Expect From Your Implant-Supported Denture?

  1. Your implant-supported denture will be more stable than a regular denture. You will find it easier to speak and you won’t have to worry about the denture becoming loose or falling out of your mouth. You generally will be able to eat foods you could not eat before. However, you will not be able to chew hard or sticky foods because they can damage the denture.
  2.  If you have an implant-supported denture in your upper jaw, it can be made to cover less of your palate (roof of your mouth) than a regular denture. That’s because the implants are holding it in place instead of the suction created between the full denture and your palate.

FAQ

    A :Anyone who is missing one or more (even all) of their teeth may be a candidate for implants.

    If one or a few of the teeth are missing, implants in conjunction with a crown or bridge can replace those teeth and function as normal teeth without losing more bone and being subject to decay.

    If all or most of your teeth are missing, then implants may be placed to anchor a loose denture. Sometimes, if there is already some bone loss, bone can be added and regenerated or a technique called bone expansion can be used to create a more ideal site for the implant(s). Ultimately, a consultation with a dentist who is specialised on these procedures can help determine your individual needs.

    A: If you are missing all of your teeth, an implant-supported full bridge or full denture can replace them. Dental implants will replace both your lost natural teeth and some of the roots.

    All-on-4 dental implants are an easy way to replace missing teeth or dentures using modern technology and materials. They are perfect if you have dentures or are missing many of your natural teeth.

    All-on-4 dental implants can support a whole arch of teeth using only four implants. This can be used on either the upper or lower jaw and immediately replaces missing teeth which not only look and feel similar to your natural teeth, but function normally also.

    All-in-4 treatment is typically recommended for patients who need to replace the majority of their natural teeth. They are also usually good for patients with low bone volume who cannot have a bone graft due to health conditions such as diabetes or osteoporosis.

    Your dentist will first give you an appointment to evaluate your current dental health. He or she will also give you some advice about the treatment options that will best fulfil your needs.

    A:All-on-4 consists of four titanium implants inserted into each jaw. These implants act as a foundation for a bridge. A fixed set of teeth, which will look like your natural teeth, can then be added to the implants replacing your teeth.

    If you have some bone loss, All-on-4 can still be used as a good solution. When the posterior implants are tilted 45 degrees, it reduces the need for a bone grafting and can provide you with a set of teeth virtually indistinguishable from your set of natural teeth. All-on-4 procedures take advantage of the denser bone that often remains in various parts of the jaw. This positioning is angled so it avoids the nerve canal in the lower jaw and sinus cavities in the upper jaw.

    A:Just as with any surgery, there can be some slightly discomfort. However, anesthetic and pain-controlled medications are used to eliminate any discomfort at the time of the procedure. The doctor will prescribe medications to ease any discomfort that may occur. Special care will be taken to stay in contact with you after the surgery to be sure that you remain comfortable.
    A:To complete treatment takes an average of 6 to 8 weeks or shorter. Nowadays, in some cases, a temporary crown can placed on immediately so called ” Immediated loaded implants ” or ” One day implants “. We do, however, provide patients with temporary teeth if it is the anterior tooth in all cases. AT NO TIME are you without teeth unless you elect to do so.
    A:Generally, we recommend the day of and the following day after surgery, that no strenuous exercise be done. Generally, taking time off work is not necessary for a single tooth replacement case because the procedure is not more complex than a tooth extraction. However, the amount of time off required is an individual decision.
    A:Success rates vary, depending on where in the jaw the implants are placed but, in general, dental implants have a success rate of up to 97%. With proper care (see below), implants can last a lifetime.
    A:Over these ten years, studies show that All-on-4 dental implants are comparable to or better than other dental implant systems. At five years, the implant success rate was 98%, with 95% of patients experiencing not a single dental implant failure.
    After your surgery you may need to come in for check-ups to ensure everything is in order. However, your new implants will function naturally from the day you leave the dentist’s office. Your dentist will advise you about how to care for your implants, but this is very easy and it is not hard to keep them clean.

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