Comparing Removable and Traditional Dentures: Pros and Cons Explained - Dentistry

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Regarding dentures..?


Hello Doctor: At the end of last year, I had a tooth extracted due to periodontal disease.
Recently, I am considering getting a dental implant, but the first hospital I visited said my condition is good for an implant (since I have diabetes).
The second hospital, however, took my situation into account and mentioned that my bone density is insufficient for an implant, suggesting that I should first undergo a sinus lift procedure and recommending removable dentures instead.
Could you please explain which is better between removable dentures and traditional fixed dentures? What are the advantages and disadvantages of each?

Julia, 30~39 year old female. Ask Date: 2006/04/01

Dr. Lin Qingye reply Dentistry


Hello, Miss Tulia: Traditional dentures include both fixed and removable types, each with its own usage methods suitable for different oral conditions.
Dental implants are a type of surgical procedure that requires careful evaluation of various factors, including the assessment of surgical risks.
Not everyone is a suitable candidate for dental implants.
Additionally, there are many implant systems available, and the process typically takes more time compared to traditional dentures.
While there are several viable options, it is essential to choose the one that is most appropriate for you.
However, since we cannot assess your oral condition in person, could you please visit our clinic? We will be more than happy to assist you.
Dr.
Lin 20050404

Reply Date: 2006/04/01

More Info


When considering the choice between removable dentures and traditional (fixed) dentures, it is essential to weigh the pros and cons of each option, especially in the context of your dental health and personal circumstances, such as your history of periodontal disease and diabetes.

Removable Dentures (Partial or Complete)
Pros:
1. Flexibility: Removable dentures can be taken out for cleaning and maintenance, which can be beneficial for oral hygiene. This is particularly important for individuals with diabetes, as maintaining good oral health can help prevent complications.

2. Cost-Effective: Generally, removable dentures are less expensive than fixed options. This can be a significant factor if you are considering multiple dental procedures.

3. Non-Invasive: The process of getting removable dentures is less invasive compared to implants or fixed dentures, which may require surgery.

4. Easier Adjustments: If your jawbone changes shape over time, removable dentures can be adjusted or replaced more easily than fixed options.

Cons:
1. Stability: Removable dentures may not fit as securely as fixed options, which can lead to discomfort or difficulty while eating and speaking.

2. Bone Loss: Over time, wearing removable dentures can contribute to bone loss in the jaw, as they do not stimulate the bone like natural teeth or implants do.

3. Maintenance: While they are easy to clean, removable dentures require daily care and can be prone to staining or wear over time.

Traditional (Fixed) Dentures (Implants)
Pros:
1. Stability and Comfort: Fixed dentures, such as those supported by dental implants, offer greater stability and comfort. They are anchored in place, which can improve function when eating and speaking.

2. Bone Preservation: Implants help stimulate the jawbone, which can prevent bone loss and maintain facial structure over time.

3. Aesthetic Appeal: Fixed dentures often provide a more natural appearance, as they are designed to blend seamlessly with existing teeth.

Cons:
1. Cost: Fixed dentures, especially those involving implants, tend to be more expensive than removable options. This may be a consideration depending on your budget and insurance coverage.

2. Surgical Procedure: The process of placing implants requires surgery, which may not be suitable for everyone, particularly those with certain health conditions or insufficient bone density.

3. Longer Treatment Time: The process of getting fixed dentures can take longer, as it may involve multiple appointments and a healing period after implant placement.

In your specific case, considering your diabetes and the recommendation for a sinus lift due to insufficient bone density, it may be wise to start with removable dentures. This option allows you to manage your dental health without the immediate need for invasive procedures. However, if you are looking for a more permanent solution and are willing to undergo the necessary preparatory treatments, fixed dentures could ultimately provide better long-term outcomes.

Ultimately, the best choice depends on your individual circumstances, including your overall health, budget, and personal preferences. It is advisable to consult with a dental professional who can evaluate your specific situation and help you make an informed decision. They can provide insights tailored to your dental health, ensuring that you choose the option that best meets your needs.

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