Permanent dentures are a common solution for people who have lost all of their natural teeth. They consist of a gum-colored base that holds one or more artificial teeth and are designed to stay in place permanently.
The primary purpose of permanent dentures is to restore the ability to eat and speak properly, as well as to improve the appearance of the smile. They can also help support the facial structure and maintain the shape of the mouth.
Benefits of permanent dentures include improved oral health, increased self-confidence, improved speech and the ability to eat a wider variety of foods.
However, permanent dentures have drawbacks. They require surgery and are more expensive than traditional removable dentures. Additionally, they may need to be periodically removed by a professional for cleaning and maintenance.
Overall, while permanent dentures may be a solution for those who have lost most or all of their natural teeth, it is important to weigh the benefits and potential drawbacks and consider all factors before making a decision about tooth replacement therapy. It is also essential to work closely with a qualified dental professional to ensure the best possible outcome.
What are permanent dentures?
Permanent dentures are known by many names, including TeethXpress, All-on-4™,[1] full mouth dental implants and implant-supported dentures. Permanent dentures are surgically fixed false teeth in the jawbone. Unlike conventional/removable dentures, permanent dentures are not removable by the patient. When necessary, permanent dentures may be removed by dental professionals for maintenance, repair or, if necessary, replacement.
What are removable dentures?
Removable dentures are prosthetic devices that replace missing teeth and surrounding tissues. They are designed to be easily taken out and put back into the mouth by the wearer. Removable dentures typically consist of artificial teeth attached to a gum-colored acrylic base, which rests on the remaining gums and underlying bone.
Removable dentures offer a nonsurgical option for individuals with missing teeth. They can restore the ability to chew and speak properly, as well as improve a person’s smile and facial appearance. However, they may require adjustments or replacements over time due to changes in the mouth’s shape and bone structure.
People may experience several setbacks to wearing removable dentures long-term. You can learn more about many of these issues on the Truth about Dentures page.
Pros and cons of permanent dentures
Below are the primary advantages and disadvantages of opting for permanent dentures as a method for tooth replacement, focusing on factors such as cost, dental maintenance and fit.
| Pros of permanent dentures | Cons of permanent dentures |
| Ideal for restoration of smile and easy eating & talking | More expensive than some alternatives like dentures and bridges |
| Provide natural-looking appearance with restored biting force for better chewing capabilities | Surgery is required for the installation of dental implants |
| Can prevent bone deterioration in the jaw area, providing improved stability for extended periods | Cleaning and maintaining may be difficult, and require specialized brushes and daily care |
| Improved confidence in appearance and safe from slippage | |
| Require minimal dental service after placement compared to removable dentures | |
| Contoured and comfortable design compared to removable dentures |
Read on for more detail about the pros and cons of permanent dentures.
Pros of permanent dentures
Permanent dentures, also known as implant-supported dentures, offer several advantages over traditional dentures:
Natural look and feel
The advantages of permanent dentures include a natural look and feel.
Permanent dentures offer a natural feel and improved chewing and speaking capabilities. They are designed to fit and look like natural teeth, restoring confidence in one’s smile. Permanent dentures are ideal for individuals who want to restore their natural smiles and make eating and talking easier.
With careful craftsmanship from a professional dental lab, permanent dentures are made to fit comfortably. This allows for natural biting force, which enables better speaking, eating and chewing capabilities compared to traditional removable dentures.
Prevent bone deterioration
One important benefit of permanent dentures is that they prevent bone deterioration.
Permanent dentures support the jawbone, which prevents bone deterioration.
After losing natural teeth, stimulation to the jawbone subsides and bone loss occurs. This is due to the absence of a natural tooth root. The only way to reestablish stimulation to the jawbone is through an artificial tooth root also known as a dental implant.
Permanent dentures are supported by dental implants. Dental implants help prompt the jaw to regenerate and preserve its robust structure through stimulation.
It is particularly important to stimulate the jawbone. Without it, the bone loss process accelerates in areas of the gum line where teeth are lost. Jawbone loss may cause an individual to appear aged. By preventing bone deterioration, permanent dentures can help maintain a healthy and youthful facial structure.
Permanent dentures do not move
Permanent dentures do not move since they are firmly anchored to the jawbone.
Unlike removable dentures, permanent dentures are attached to implants, which are surgically placed into the jawbone. This ensures that the dentures remain in place, even when eating, speaking or smiling.
The stability of permanent dentures provide several benefits, including enhanced comfort, improved speech and increased confidence. With permanent dentures, individuals can eat and speak with confidence without worrying about their dentures slipping or falling out.
As explained by TeethXpress implant patient Millie, her permanent denture improved her ability to chew foods like steak, chicken, salad and fruit with ease. “I can now eat apples and peanuts, which I love dearly,” she said. Read Millie’s full story.
Permanent dentures are long-lasting
The primary advantage of permanent dentures is their longevity. Permanent dentures have much greater longevity and can last decades with proper oral hygiene.
Permanent dentures are anchored by dental implants. This is a long-lasting solution for individuals who have lost all or most of their teeth. Unlike traditional removable dentures, which can slip or move, permanent dentures are securely attached to dental implants to provide stability and comfort. With proper care and maintenance, permanent dentures can last for many years, allowing individuals to eat, speak and smile with confidence.
Offers more bite force
Permanent dentures restore the natural bite forces. This enhances an individual’s eating and speaking capabilities compared to removable dentures. They offer a comfortable fit that is tailored to your mouth, ensuring clear speech and ease of use for the denture-wearer.
Permanent dentures are comfortable
Permanent dentures offer exceptional comfort, enhancing speech and chewing abilities. They provide a natural look and feel to promote quality of life, confidence and reduced bone loss in the jaw.
Crafted from durable materials, permanent dentures prevent slippage and gum irritation, ensuring a stable fit for daily activities.
Cons of permanent dentures
Requires surgery
The process of getting permanent dentures involves surgery since implants are required to secure the dentures.
Implant-supported denture surgery can result in some post-treatment discomfort. Medications are usually prescribed to manage any discomfort during the immediate healing period.
As with any surgery, there is also a risk of infection or inflammation, so patients must take care when cleaning the implant site and inform their dentist immediately if they experience any problems following the treatment.
To learn more about permanent dentures and their benefits and drawbacks, consult with a Certified TeethXpress Provider to discuss your options and determine if this option is the right choice for you.
Require attention to cleaning
Unlike removable dentures, permanent dentures cannot be easily removed for cleaning. Specialized dental instruments are necessary to professionally clean permanent dentures. Inadequately cleaning permanent dentures can lead to buildup of bacteria and plaque. Your dentist can recommend the right homecare tools to make cleaning your new smile easier and long-lasting in between professional cleanings.
Tooth decay and peri-implantitis
Tooth decay and gum disease, such as peri-implantitis, are potential risks associated with permanent dentures if not properly maintained. Bacteria can accumulate on the denture and lead to problems.
To avoid these risks, it is essential to visit your dentist regularly, brush your dentures daily, floss at least once a day and use dental cleaners while wearing false teeth. Addressing underlying oral health issues, like gum disease or decay, is crucial before getting permanent dentures.
Permanent dentures are costly
Yes, permanent dentures are generally more costly compared to traditional or removable dentures. The cost of permanent dentures can vary significantly based on factors like the number of implants required, the location of the dentist and materials used. They may range anywhere from $15,000 to more than $25,000 for an upper or lower permanent denture.
The higher costs are mainly due to the implant surgical procedure, materials used in the dentures and the expertise involved in fitting them securely for long-term use.
Let’s break down the reasons that contribute to the high cost of permanent dentures:
- Surgical procedure: The process involves implanting small titanium rods into the jawbone, which serves as the foundation for permanent dentures. Oral surgery can increase overall costs due to the time and resources invested in the procedure.
- High-quality materials: Permanent dentures are made with more sophisticated materials such as zirconia, nano ceramic or porcelain. These durable materials provide a more natural feel and appearance, which can drive the final cost.
- Number of implants: The number of implants placed in the jawbone can directly impact the cost. In some cases, more implants may be necessary if the jawbone lacks sufficient volume. A greater number of implants means an increased overall cost.
To offset the cost, it is beneficial to explore payment options, discounts or dental insurance if available. It’s also crucial to visit a reputable dentist or prosthodontist who has considerable experience in performing permanent denture procedures. Practitioners experienced in this procedure can be efficient in the treatment process and avoid costly and time-consuming setbacks.
What is the success rate of permanent dentures?
The success rate of permanent dentures is high. Studies have shown success rates ranging from 90 to 95% for dental implants used in permanent dentures. This is due to the durable and long-lasting nature of dental implants, which provide a stable foundation for the dentures to be attached to. Additionally, proper oral hygiene and regular dental check-ups can contribute to the long-term success of permanent dentures.
According to Islam Abd Alraheam, the study “Alraheam, I. A., et al’s (2019) ‘Assessment and comparison of the 5-year success rate of resin-bonded fixed partial dentures (RBFPDs) fabricated from different materials.’ found an estimated five-year success rate of 88.18% for metal framework RBFPDs and 84.41% for nonmetal framework RBFPDs. The estimated 5-year success rate for each nonmetal material category was 92.07% for zirconia, 94.26% for In-Ceram alumina, and 84.83% for fiber-reinforced composite. The failure rate was not statistically significant among the single, double, and multiple retainers RBFPDs (P > .05)
What is the success rate of traditional removable dentures?
Temporary dentures have a success rate of around 50 to 70%. This means that about half to two-thirds of patients experience satisfaction and functionality with their removable dentures.
However, the success rate may vary depending on factors such as proper fitting, maintenance, the availability of abutment teeth and personal comfort.
For example, According to Yoshino K, Ito K, Kuroda M, and Sugihara N’s 2021 study ‘Survival of removable partial dentures with a mandibular bilateral free end saddle (BFES) and abutment teeth in a clinical setting’, the survival rate of removable partial dentures with a mandibular BFES was 93.2% at 10 years and 68.6% at 20 years. The main reason for denture replacement was loss of abutment teeth. The study was published by Bulletin of Tokyo Dental College.
And BioHorizons dental implants, which are used by Certified TeethXpress Providers, have been shown to have a 99.1% survival rate.
It is important for patients to consult with a dental professional to determine the best treatment option for their individual needs.
If you need any help with consultation, TeethXpress is just a call away: 205-839-3780
[1] All-on-4 is a registered trademark of Nobel Biocare.
