Removable versus permanent implant dentures

Patients seeking a long-term solution for missing teeth have options when it comes to choosing a treatment plan.
In this post, we’ll explain one such option, permanent versus removable implant dentures.
Implants and prostheses
An implant is a titanium rod that screws into the jawbone. Implants provide the necessary strength and support for replacement teeth, just as roots do for natural teeth. A prosthesis is the artificial tooth that attaches to the implant. Prostheses come in the form of a single crown, a row of crowns or a full set of dentures.
When you’re only missing one or a few teeth
Patients missing just a few teeth rarely choose a removable prosthesis. Single gaps are best treated with a permanent tooth or with a non-implant procedure, such as a dental bridge.
Missing more than a few teeth
Patients in need of full upper or lower arch of teeth may choose a removable prothesis supported by implants. Advantages to opting for a removable prosthesis include:
- Less invasive surgery: A removable prothesis can be mounted on mini dental implants. Minis are less expensive and may be installed without cutting away gum tissue.
- Permanent implants typically need more bone structure to be present. A patient lacking bone structure may opt for a removable prothesis rather than undergoing bone grafting.
- Cleaning preference: Some patients find removable teeth easier to care for
Advantages of fixed permanent teeth
Patients tend to feel more security with permanent teeth, especially those who never used traditional dentures before. In terms of biting and chewing, both options are similar. Some patients feel permanent teeth appear more natural, particularly where the bottom of the prosthesis hits the gums.
Fit and comfort
Your oral surgeon may recommend one option over the other depending on the structure and condition of your mouth. Every patient is unique so it’s important to consult with an experience oral surgeon before making a decision.