WHAT TO CHOOSE FOR WHEN YOU HAVE NO TEETH?

  1. Psychological trauma associated with teeth loss  (elaborate)
  2. Replacement of missing teeth  (elaborate)
  3. Options (merits & demerits)

Options

  • Complete Denture
  • Removable complete denture
  • Implant retained over- denture
  • Fixed complete denture ( hybrid denture, screwed retained denture )

Complete Denture

Advantages

  • Can be fabricated in short time & with relative ease
  • Cheapest/ most economical of all options

           Disadvantages

  • Cumbersome to wear & chew with as it is less stable & retentive
  • Chewing force is far, far less (20%) as compared to natural teeth or fix denture
  • Speech & pronunciation is a problem due to constant shifting of the denture
  • Taste & temperature of the food eaten cannot be enjoyed with the dentures. So the contentment of eating is lost.
  • Bad for the jaw bone on which they lie, affecting the appearance of the patient.
  • Have to be removed every day for cleaning.

        Implant retained over-denture

        Advantages

  • Less expensive than fix dentures
  • Better retention than conventional dentures

   Disadvantages

  • Not as stable as fix dentures as they do permit some movements
  • Have to be removed every day for cleaning

Fixed complete denture (screw retained hybrid denture)

      Advantages

  • Fixed and stable, so patient can chew with greater force & even bite with front teeth
  • You don’t have to remove them every night for cleaning
  • No fear of your dentures popping out while talking to someone
  • No roof of denture covering your palate, so taste & temperature of the food can be enjoyed

  Disadvantages

  • Higher cost
  • Cleaning the gums beneath the denture requires some expertise

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