Dental implants are one of the most commonly considered treatment options in the replacement of missing teeth or edentulous areas. Retention of denture in the edentulous space is a common issue faced by many patients today, where implants come to their rescue.
Synthetic biomaterials with osseointegration property have been widely developed over the years, which assume the bilayered structure – the aesthetic covering the osseointegrated substructure of the implant. The advent of dental implants has turned out to be an evidence-based oral rehabilitation procedure, which has become extremely successful by restituting both the esthetics and function of the stomatognathic system, which includes the oral and maxillofacial region.
The first and foremost criterion for evaluating any implant is the implant insertion torque, implant stability quotient, and testing the performance of the implant in the primary and secondary stability.
Frontier artificial tooth replacements are Cadillac vehicles to dentures, which are only bicycles. Appearance and normal neuromuscular function of the jaws and mouth area can be re-established using complete dentures. The denture has an appealing mint provides a prefabricated method to camouflage the defects.
The differences in manipulation technique do exist in the fabrication of the denture region, more precisely in the area of surgery unusual, such as denture bearing surface requirements, are evaluated in the present clinical case report. Treatment is best with dental implants, as more normal anatomical structures can be restored.
Biomechanics and Functionality of Dental Implants and Dentures
Treatment Options for Edentulism
- Two-part mandible treatment:
- Dental implants in the front, fixed denture in the back.
- Two mandibular halves connected for a two-arch fixed implant-supported system.
- Can use one or two implants depending on bone quality and quantity.
- One-part mandible treatment:
- More conservative approach.
- Extended distal base connected with one or two implants.
Biomechanical Comparisons
- Stress transmission:
- Both implants and root-retained dentures transmit stress through alveolar and basal bone during mastication.
- Cortical bone bears most of the load during swallowing.
- Bone resorption and retention:
- Both options reduce bone resorption and increase prosthesis stability compared to root-retained dentures.
- Implant limitations:
- Implantium limits the extension of the mandibular implant-supported system compared to longer root-retained dentures.
- Longer cantilevers increase risk of technical complications and damage to prosthetics.
- Load distribution:
- Implant load is directly concentrated on bone.
- Palate bones experience compressive and tensile strains.
Bone Base Dentures
- Two-part structure:
- Anterior part is a bridgework supported by implantium.
- Posterior part is seated on the palate without direct fastening.
Clinical Considerations and Patient Selection
Treatment Options and Considerations
Replacing missing anterior upper lateral incisor or molar:
- Dental implant is generally predictable for most patients.
Patients with poor oral hygiene or oral care:
- Dentures historically a cost-effective option.
- Fixed dental split may be better aesthetically and functionally, with less damage risk.
Partially dentate medical patients:
- Single dental implant often more suitable than teeth or dentures for aesthetics, function, and hygiene.
Bone quality assessment:
- BIT value is a useful tool for partially dentate patients.
Aesthetic Considerations
- Denture aesthetics:
- Ridge lap flange design can enhance pink flange appearance.
- Implant prosthesis aesthetics:
- Barium fluoroscopic x-ray can improve accuracy.
Interdisciplinary Collaboration
- Restorative dental consultant and maxillofacial prosthetic expert:
- Regular collaboration for optimal patient care.
- Pre-operative and routine reassessment of patient readiness for implants.
Key Points
- Patient evaluation is crucial for determining the best treatment option.
- Dental implants offer advantages in aesthetics, function, and oral hygiene compared to dentures in many cases.
- Bone quality, oral health, and patient motivation are important factors to consider.
- Interdisciplinary approach enhances treatment outcomes.
Clinical Considerations and Patient Selection
Long-term Success and Complications Dental implants. The long-term success and complications associated with dental implants have been extensively researched.
In particular, the fact that dental implants may last for many years may be viewed as the most prominent advantage of this form of therapy. However, the retrieved survival rates have to be viewed with some caution because they have been calculated in different ways by the various authors. For instance, it is misleading to ignore the patients who dropped out before the final visits or who died during the observational period. In addition, from a patient’s perspective, the observations are of limited interest because the loss of an implant or prosthesis mainly reflects the result of poor osseointegration, late infections or peri-implantitis, which should be classified as serious complications.
Therefore, studies into the long-term success of implant therapy should focus on the longevity of both dental implants and teeth potentially affected by periodontal diseases.
Although still a lot of questions are unanswered (e.g., the reasons for the loss of implants and the consequences for implant therapy after a long-term follow-up), it can be concluded that, for periodontitis patients, implant and tooth technology show similar success rates.
Dentures. Given the diverse patterns and origins of the risk factors that must be identified, many uncertainty factors can be reported. However, generally speaking, the inherent longevities of teeth, dental implants, or prostheses remain unknown, although they may be potentially discovered in the midst of one’s lifetime.
The following primary causes of losses in long-term prospective roll-call studies can be reported in crown and bridgework: bad infrastructure/artificial teeth, bad infrastructure/strong teeth, bad combination of both dental implants and teeth, severe inflammation/periodontal diseases first and dental implants and teeth second but of equal frequency and severity, breakdown/strong teeth, as a rule.
Dental implants and dentures. To provide a clear overview, the ‘conserved’ entities that increase the survival rate are the gabarit of the lowered occlusion of tooth arch to the raised occlusion of implant arch, sagittal growth of dental arch, one-piece or tuberopturated dental implants as miniature lateral restraining arches, the rectangle as the most compact dental implant.
Cost-effectiveness and Patient Satisfaction
| Aspect | Dental Implants | Dentures |
|---|
| Cost Comparison | 3 to 38 times higher than dentures | Lower cost compared to implants |
| Cost-Effectiveness | 3-14 times more cost-effective than dentures | Less cost-effective over time |
| Oral Health-Related Quality of Life (OHRQoL) | Generally better; improves emotional, functional, and social aspects | Lower compared to implants; may affect comfort and function |
| Surgical Success | Higher rate of success and satisfaction | Lower success rate and potential for more adjustments |
| Postoperative Perceptions | Improved aesthetics, swallowing, and speech; more positive overall | Initial improvement but may involve discomfort and functional limitations |
| Willingness for Repeat Treatment | Lower willingness for repeat surgery despite higher OHRQoL | Different motivating factors; often less likely to seek replacement |
Which is better, dentures or dental implants?
Dental implants are permanent teeth replacements, and they've become a popular alternative to dentures over the past few years. While they cost more than dentures, they last longer and save you money over time. Dental implants lead to fewer visits to the dentist because they're easier to maintain compared to dentures.
What are dentures with implants called?
The first thing to know is that a fixed implant denture is called an “implant-supported” denture while a removable one is called an “implant-retained” denture.
Is it easier to eat with implants than dentures?
Dental implants generally provide the best experience when it comes to eating. They function and feel similar to natural teeth. They also offer significant biting force and stability. On the other hand, Dentures may sometimes move or slip in the mouth.
Why do people get dentures instead of implants?
Dentures are less expensive than implants. Dentures can be placed in by patients who have experienced bone and gum loss (unlike implants, which must be anchored to bone). The procedure for fitting dentures is non-invasive. Also, drilling into the bone–a part of the implant process–is not required for dentures.
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