Complete Your Smile: Dentures vs. Implants for Chewing Function - Dentistry

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Removable dentures, dental implants


I have three missing teeth at the back of my upper right jaw, and only one remaining tooth at the back of my upper left jaw, with the three molars in front of it also missing.
If I only get a removable denture, will my chewing function be fully restored? Additionally, would placing an implant in the area of the missing tooth on the upper right help improve the chewing function of the removable denture? What considerations should I keep in mind when deciding on an implant?

tom, 60~69 year old female. Ask Date: 2010/04/14

Dr. Huang Zhicheng reply Dentistry


Removable dentures rely on the soft tissues of the gums for chewing and may exhibit slight movement, providing only about half the functionality of natural teeth.
Your best option would be to opt for a traditional dental bridge.
If you choose dental implants, they can almost fully restore function, but it is important to consider the quality of the bone and the height of the maxillary sinus.
Additionally, conditions such as diabetes and other systemic issues should be taken into account, as they can impede wound healing.
Sincerely, Dr.
Huang Chih-Cheng, Attending Physician, Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2010/04/14

More Info


When considering the options for restoring chewing function after losing multiple teeth, particularly in the upper jaw, both dentures and implants have their advantages and disadvantages. In your case, where you have missing teeth in the upper right and left posterior regions, it’s essential to evaluate how each option can affect your chewing ability and overall oral health.

Dentures: Full or partial dentures are removable appliances designed to replace missing teeth. They can restore the appearance of your smile and improve your ability to chew food. However, the effectiveness of dentures in restoring chewing function can vary significantly from person to person. Factors such as the fit of the dentures, the condition of the remaining teeth, and the health of the gums play crucial roles. While dentures can help you chew, they may not provide the same level of stability and force transmission as natural teeth or implants. Many patients report that chewing with dentures can feel different, and some foods may be more challenging to eat.

Dental Implants: Implants are titanium posts surgically placed into the jawbone, serving as artificial tooth roots. They offer a more permanent solution compared to dentures and can significantly enhance chewing function. By integrating with the jawbone, implants provide stability and allow for better force distribution when biting and chewing. If you choose to have an implant placed in the area of your upper right missing teeth, it can serve as a solid anchor for a fixed bridge or even support a partial denture, improving the overall function and comfort of your dental restoration.

Combining Both Options: In many cases, a combination of implants and dentures can provide the best outcome. For instance, placing an implant in the upper right area where you have missing teeth can enhance the stability of a partial denture. This hybrid approach can help restore your chewing function more effectively than dentures alone.

Considerations for Dental Implants:
1. Bone Health: Adequate bone density is crucial for successful implant placement. If you have experienced bone loss in the area of the missing teeth, you may require a bone graft before the implant can be placed.

2. Oral Hygiene: Maintaining excellent oral hygiene is vital for the longevity of dental implants. Regular dental check-ups and cleanings are essential to monitor the health of the implant and surrounding tissues.

3. Cost: Implants tend to be more expensive than dentures, and insurance coverage may vary. It’s important to discuss the financial aspects with your dental provider.

4. Time: The process of getting an implant can take several months, including healing time after placement. This is something to consider if you are looking for a quicker solution.

In conclusion, while dentures can restore some chewing function, dental implants provide a more stable and effective solution, especially when combined with dentures. If you are considering implants, consult with your dentist or oral surgeon to assess your specific situation, including bone health and overall oral condition. They can help you make an informed decision that best suits your needs and lifestyle.

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