Choosing Between Dental Implants and Dentures: What You Need to Know - Dentistry

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Choosing between dental implants and removable dentures?


Hello, my molars on both sides have been extracted for many years.
After the original dental bridge was removed, I want to get dental implants, but after evaluating the X-rays, the doctor said the success rate for the implants is only 50% because my alveolar bone has absorbed a lot and the conditions are not ideal.
I would like to ask: 1.
In this situation, should I still choose to get implants? The cost is quite high, with the doctor stating that one implant would be around 80,000 NTD.
If it fails, the loss would be significant, so I would like to get opinions from other doctors.
2.
If I opt for removable dentures, will they be very uncomfortable? Thank you!

Youyi, 30~39 year old female. Ask Date: 2005/06/08

Dr. Wu Jinjun reply Dentistry


Hello: 1.
If the conditions are not suitable, the failure rate of dental implants will indeed increase, so it is best not to proceed forcefully; dental implants should only be attempted if the alveolar bone loss can be regenerated.
2.
Removable dentures are "removable," so they generally cannot bite hard objects, and the satisfaction level among most people is not very high.
Dr.
Wu Jin-jun, Director of Dentistry at Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/06/08

More Info


Choosing between dental implants and dentures is a significant decision that can impact your oral health, comfort, and financial situation. Given your circumstances, let's explore the options available to you, considering the factors you've mentioned.


1. Dental Implants: Are They Worth It?
Dental implants are often considered the gold standard for tooth replacement due to their durability and functionality. However, as you noted, the success rate of implants can be influenced by several factors, including the condition of your jawbone. If your dentist has indicated that the success rate is only 50% due to significant bone loss, this is a crucial consideration.
In cases of bone loss, there are options to improve the chances of successful implantation. Bone grafting is a procedure that can augment the jawbone, providing a more stable foundation for the implant. However, this adds to the overall cost and treatment time. If you are concerned about the financial implications of a failed implant, it may be wise to weigh the potential benefits against the risks and costs.
If you decide to pursue implants, ensure that you consult with an experienced oral surgeon or periodontist who specializes in implantology. They can provide a more thorough evaluation and discuss the possibility of bone grafting or other preparatory procedures that could enhance the success rate.


2. Dentures: Comfort and Practicality
On the other hand, if you opt for dentures, particularly removable partial dentures, they can be a more cost-effective solution. While they may not offer the same level of stability and function as implants, modern dentures are designed to be more comfortable and aesthetically pleasing than in the past.
However, comfort can vary significantly from person to person. Some individuals adapt well to dentures, while others may experience discomfort, difficulty chewing, or issues with speech. It's essential to have a thorough discussion with your dentist about the type of dentures that would best suit your needs. For instance, implant-supported dentures can offer more stability than traditional removable dentures, though they still require some level of bone density.


3. Making the Decision
Ultimately, the decision between implants and dentures should consider your personal preferences, lifestyle, and financial situation. Here are some factors to consider:
- Cost: Implants are generally more expensive upfront, but they can last a lifetime with proper care. Dentures are less expensive initially but may require replacements or adjustments over time.

- Maintenance: Implants require regular dental check-ups and good oral hygiene, while dentures need to be removed and cleaned daily.

- Comfort: Some people find dentures uncomfortable, especially initially, while others adjust quickly. Implants typically feel more like natural teeth.

- Functionality: Implants generally provide better chewing ability and stability compared to dentures.


Conclusion
In conclusion, if you are hesitant about the success of dental implants due to bone loss and the associated costs, it may be worthwhile to explore the option of dentures. However, if you are committed to pursuing implants, consider consulting with specialists who can provide additional options like bone grafting to improve your chances of success.
Regardless of the choice you make, maintaining good oral hygiene and regular dental visits will be crucial in ensuring the longevity of your dental solution. Always discuss your concerns and preferences with your dentist to arrive at the best decision tailored to your needs.

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