Missing Multiple Teeth

Missing Multiple Teeth

Although many patients have no problem wearing an upper denture, some people find it difficult to wear and eat with lower dentures. Several implant-supported replacement options are available if you are missing all of your lower teeth.

Atlantis Conus Concept

Another option involves placing four implants.  After healing is complete, the implants are connected with custom-made implant abutments using VAR (Virtual Abutment Design).  This ensures that all abutments are parallel to each other and that their restorative margins are as close to the soft tissue as possible.   Your denture will be made with special Syncone friction retaining caps  that attach onto the custom abutments for a friction-retained non-resilient prosthesis. The advantage of this option is that it is much more stable, yet is a removable solution that offers the comfort and stabilization of a fixed restoration.  This option gives you the best chewing function and esthetic result while allowing you to clean and manage your dental health.

Abutment overdenture illustrationAbutment

Screw Retained Denture

A third option involves placing five or more implants in your jaw and attaching a permanent denture. Your denture is held in place by screws or clasps that secure it to the support posts or bar. It doesn’t touch the gum tissue, which allows you to clean under the denture without removing it. This denture will replace all your missing lower teeth and will not be removed except at maintenance visits. Although cleaning under your denture without removing it is more time consuming and requires more dexterity, many patients who want a permanent denture prefer this option.

A mouth that has all lower jaw teeth missing
1. Before
A mouth that has six implants and no teeth on its lower jaw
2. Implants Placed
A mouth with a Screw Attachment Denture affixed onto the lower jaw by six implants
3. Denture Attached

Individual Implants

The final option is to have all your teeth individually replaced so that they will appear to be growing out of your gum tissue and will most closely resemble the appearance of your natural teeth. This option usually requires eight or more implants. Separate abutments or support posts for each one of these implants will be made and crowns for each missing tooth will be placed.  Overall, this is the most costly option, because it requires the most implants and individual replacement tooth fabrication. Your replacement options may also be limited by the current size and shape of your jaw bone.

An Implant Retained Upper Denture with its implants attached

Implant Retained Upper Denture

Depending upon the number of implants to be placed, it may be possible to eliminate the need for covering the roof of your mouth with a complete denture. This option allows you to fully taste your food and gives you a better sense of its temperature. Your denture will feel more natural. You will still have a removable denture, which makes cleaning the support bar and denture much easier.

Individual Upper Dental Implants

Individual Upper Implants

If you want a restoration that is similar to your natural teeth and therefore not removable, you probably will need eight to ten individual implants placed. This is followed after healing by the placement of the abutments and new replacement crowns.