Dentures vs. Implants: Which is Right for You? - Dentistry

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I had two teeth extracted due to cavities three years ago, and I still haven't gotten dentures.
Will this affect my ability to get dentures in the future? What is dental implant? How is it different from dentures? Is it better to get dentures or implants? Is there a significant price difference between the two?

Vicky, 10~19 year old female. Ask Date: 2000/10/07

Dr. Wu Jinjun reply Dentistry


After a tooth is extracted, the adjacent teeth may gradually shift due to changes in spatial relationships, leading to noticeable tilting and elongation of the neighboring teeth over time.
In your case, since you mentioned that you had two teeth extracted three years ago and have not yet had dental prosthetics placed, it is likely that the positions of the teeth surrounding the extraction site have already changed.
This can often result in difficulties with alignment when fitting dental prosthetics.

However, there is no need to worry, as advancements in dental care have significantly improved the options available.
There are various methods to correct the axial inclination of the teeth, making it feasible to place prosthetics.
Dental implants involve placing a titanium artificial root in the location of the missing tooth to replace the natural tooth root that was extracted, allowing for the fabrication of prosthetics without harming the adjacent teeth.
This is a product of technological advancement, and while the cost is generally higher, both dental implants and traditional dentures have their own advantages and disadvantages, each suited to specific situations, with no absolute right or wrong choice.

Reply Date: 2000/10/07

More Info


When considering the options for replacing missing teeth, it's essential to understand the differences between dentures and dental implants, as well as the implications of delaying treatment after tooth extraction.

Understanding Dentures and Implants
1. Dentures: These are removable appliances that can replace missing teeth. They can be complete (replacing all teeth) or partial (replacing some teeth). Dentures are typically made from acrylic resin and can be supported by the gums or, in some cases, by remaining teeth. While dentures can restore function and aesthetics, they may not provide the same stability as natural teeth or implants. They can sometimes shift during eating or speaking, which may require adjustments over time.

2. Dental Implants: Implants are a more permanent solution. They consist of a titanium post that is surgically placed into the jawbone, acting as a root for a replacement tooth (crown). Implants fuse with the bone through a process called osseointegration, providing a stable and durable foundation for the artificial tooth. Unlike dentures, implants do not require removal for cleaning and can function similarly to natural teeth.

Impact of Delaying Treatment
Delaying the placement of dentures or implants after tooth extraction can have several consequences:
- Bone Loss: After a tooth is extracted, the jawbone can begin to resorb or shrink over time. This loss of bone density can complicate future implant placement, as a sufficient amount of bone is necessary to support the implant. In some cases, bone grafting may be required to rebuild the bone before an implant can be placed.

- Shifting Teeth: Adjacent teeth may shift into the space left by the missing teeth, leading to misalignment and bite issues. This can create further complications in dental health and aesthetics.

- Changes in Facial Structure: Missing teeth can affect the shape of your face, leading to a sunken appearance over time. This can impact your overall facial aesthetics and self-esteem.

Cost Considerations
The cost of dentures versus implants can vary significantly:
- Dentures: Generally, dentures are less expensive upfront compared to implants. However, they may require replacements or adjustments over time, which can add to the overall cost.

- Dental Implants: While the initial cost of implants is higher, they are often considered a long-term investment. Implants can last many years, often a lifetime with proper care, and they do not require the same level of maintenance as dentures.

Which Option is Right for You?
Choosing between dentures and implants depends on various factors, including:
- Oral Health: Your overall dental health and the condition of your jawbone will influence your options. A dental professional can assess your situation and recommend the best course of action.

- Budget: Consider your financial situation and whether you can afford the upfront costs of implants or prefer the lower initial cost of dentures.

- Lifestyle: If you lead an active lifestyle and desire a solution that mimics the feel and function of natural teeth, implants may be the better choice.

- Personal Preference: Some individuals may prefer the ease of use of dentures, while others may prioritize the permanence and stability of implants.

In conclusion, both dentures and implants have their advantages and disadvantages. It's crucial to consult with a dental professional who can evaluate your specific needs and guide you toward the best decision for your oral health. Taking action sooner rather than later can help prevent complications and ensure a more successful outcome, whether you choose dentures or implants.

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