Important Info
Contact Info



Subhash Bose Rd., Kadavanthra,
Kochi, Kerala, India
Web: www.TheSmileCentre.in


E: Dr@TheSmileCentre.in
Ph: 0091-484-4011133, 2206667
Mob: 0091-9446610205
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Director
Dr. Prasanth Pillai MDS, FICD




Our Websites
DentalImplantsKerala.com
Site on our Dental Implant Services

OralHealth.in
Site on Oral Health, Disease & various Treatment Options

BadBreathCure.in
Site with details of Bad Breath and its management

MaxillofacialKerala.com
Site on our Oral & Maxillofacial Surgery Services

TheSmileCentre.in
Our Practice Site






Implant supported Dentures

What are implant supported dentures?

An implant-supported denture is a type of over-denture that is supported by and attached to 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.


How do they 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 minimum of two implants for support.


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.























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.





The Implant Process

The implants usually are 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 time frame to complete the implant depends on many factors. The modern single piece, immediate loading implants offer the unique advantage to load them immediately with dentures. However, only bar - retained dentures work well in this category. The bar which splints the implants together is placed on the second day of implantation. The denture work can be completed within a matter of three days of insertion of the implants.

With the conventional, two piece implants, the shortest time frame is about five months in the lower jaw and seven months in the upper jaw. This includes surgeries and the placement of the denture. However, the process can last a year or more, especially if you need bone grafting or other preliminary procedures. Two surgeries usually are needed. The first one places the implants in the jawbone under your gums. The second surgery exposes the tops of the implants. The second procedure comes three to six months after the first.



Initial consultation

During the initial consultation exam, the implantologist will review your medical and dental histories, take X-rays and create impressions of your teeth and gums so that models can be made. In some cases, the dentist may order 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.

If you are not already wearing a complete denture to replace your missing teeth, your dentist will make you one. You will use this temporary denture until the implant-supported denture is placed. It will take about five visits, spanning about two weeks, to complete this denture. By making this temporary denture, your dentist is able to determine the best position for the teeth in the final denture. The temporary denture also can be used as a backup if something happens to the final implant-supported denture. The temporary denture can also be used as the final denture to reduce overall costs. Attachments will need to be added so it can fit securely to the implants.

Once the temporary denture is finished, the surgeon will use a copy of it as a guide to help place the implants in the proper positions. Holes will be drilled in the copy of the denture so that the surgeon can see where the implants should be placed.

Caring for Your Implant-Supported Denture

You will need to remove the denture at 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.


Possible Complications

In addition to the risks of surgery and of the implants failing, a bar-retained denture carries certain risks of its own.

A bar-retained denture needs space on the denture framework for the special attachments that are fitted to the bar. This means that there is less space available on the denture framework for the teeth to be fitted. Because of this, the teeth sometimes can come loose from the base. This problem is easily fixed.

Also, when the bar is attached to the implants it is important that the bar is evenly balanced on each implant. Dentists call this a "passive fit." If the fit is not passive, the extra strain on the bar can cause the screws to loosen. If you grind or clench your teeth, it's more likely that parts of the denture will break or that your implants will come loose.

What Can You Expect From Your Implant-Supported Denture?

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.

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.
However, the fact remains that if there are provisions for the patient to get a fully fixed, implant supported prosthesis done to replace the missing teeth, the comfort the patient will experience will be quite similar to that of having fixed and healthy natural teeth in the mouth.








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