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Barrie dentist – alternatives to your dentures, or teeth that won’t fall out

Hate your dentures? Dentures not staying in? Looking for some options in Barrie? Read on, and find out what our dental office can provide for you. Implants and dentures can be a beautiful match.

First off, age is not a factor! We have heard some people say that they cannot get implants because they are “too old for them”. There is no magical age where implants cannot be done. What is more relevant is general health status (and by the way, osteoporosis by itself is not a limiting factor either).  Below are some options to replace missing teeth, and some dentures that really don’t fall out.

Plain old regular dentures

Dentures are a time tested but old method of replacing missing teeth. They have been called “not a replacement for teeth, but a solution for no teeth”. This means that they can help a toothless person chew , but not chew as well as real teeth. (Dentures can be thought of as the K-car of replacement teeth – remember those pieces of trash?)

Traditional upper and lower complete dentures. While still a legitimate choice in the replacement of an entire arch of missing teeth, they are certainly not a first choice any more.

 

If your dentures are loose, it may be that there is a fit issue (particularly if they are old), but it is often a problem of the biting surface of the denture.  The bite needs to be looked at just as carefully the bite on natural teeth.  Often a simple adjustment can markedly improve the stability of dentures.

But, regardless of how good a denture is, it can be made better with the use of implants.  Dental implants are titanium posts anchored to the bone, so instead of dentures rocking around on gum tissue, they can be much better secured to implants.  Let us guide you through the options for dentures that involve implants.

1) Implant assisted dentures.
These are the bare minimum solution for implants and dentures.  Four implants for the upper arch, or just two implants in the lower arch, and corresponding attachments on the inside of the dentures will make them far more secure.  In fact, the upper denture can actually be made so that it does not cover the palate!

Upper and lower removable complete dentures that attach to implants. The models show four implants for the upper arch and two for the lower arch.
Upper and lower removable complete dentures that attach to implants. The models show four implants for the upper arch and two for the lower arch.

 

The underside of implant-assisted removable upper and lower complete dentures. The blue housings attach overtop the implants in the mouth, providing a secure snap fit.
The underside of implant-assisted removable upper and lower complete dentures. The blue housings attach overtop the implants in the mouth, providing a secure snap fit.

 

2) Implant assisted denture with a supporting bar
This is a much sturdier option than the basic implant denture mentioned above.  Instead of a basic acrylic denture that mounts onto the implants, this denture is embedded with a metal housing on the underside.  This housing clips onto a bar that is rigidly connected to four implants, and even has small pins that lie perpendicular to the arch.  These pins lock the framework into the bar, so there is no accidental dislodgement.  (See photos) The advantage of this system is that it allows a simpler surgery for the person placing the implants (the implants do not need to be as parallel as the above option, and may thereby reduce surgical costs), the denture is more easily repairable, and the biggest advantage may be the flexibility in tooth placement.  When a connecting bar is used on implants, the dentist has much more freedom in designing your bite. This becomes important when there has been significant shrinkage of gums and bone over time.

A bar-supported implant removable complete denture. This type of denture does not cover the palate, and looks like a regular complete denture except for horizontal pins that lock in the denture. These pins are unnoticeable from the outside, and lie flush with the acrylic of the denture (the model shown has the pins sticking out slightly for illustration)
A bar-supported implant removable complete denture. This type of denture does not cover the palate, and looks like a regular complete denture except for horizontal pins that lock in the denture. These pins are unnoticeable from the outside, and lie flush with the acrylic of the denture (the model shown has the pins sticking out slightly for illustration)
A bar-supported removable implant denture with a locking pin sliding out. These pins cannot be completely removed; they slide out only enough to unlock the denture from the underlying bar (see next photo).
A bar-supported removable implant denture with a locking pin sliding out. These pins cannot be completely removed; they slide out only enough to unlock the denture from the underlying bar (see next photo).

 

The underside of a bar-supported removable denture shows the vastly improved robustness over a conventional denture or even an implant-assisted denture. A metal housing inside the denture corresponds exactly to the metal bar that is fixed in the mouth, and is locked in by the horizontal pins seen here. One pin is opened for illustrative purposes. The pins are secured to the denture to prevent accidental swallowing.
The underside of a bar-supported removable denture shows the vastly improved robustness over a conventional denture or even an implant-assisted denture. A metal housing inside the denture corresponds exactly to the metal bar that is fixed in the mouth, and is locked in by the horizontal pins seen here. One pin is opened for illustrative purposes. The pins are secured to the denture to prevent accidental swallowing.

 

3) Implant supported bridges
With a minimum of four implants (but better with six) supporting a computer-milled titanium bar, an entire arch of teeth can be secured in the mouth and stay in – no removable parts!  This is as lifelike as we can get it, and will give you the closest thing that dentistry has to recreating a lost set of natural teeth. There are variations on this theme, with options of a flange for lip support, acrylic or porcelain teeth (acrylic teeth wear down more quickly but are easier and less costly to repair) for example, but the idea is the same: a non-removable alternative to dentures.

A non-removable implant-supported arch of teeth supported by six implants. A titanium bar forms the substructure of the bridge, which is then screwed down onto the implants.
A non-removable implant-supported arch of teeth supported by six implants. A titanium bar forms the substructure of the bridge, which is then screwed down onto the implants.

 

This image shows the biting surface of a non-removable arch of teeth supported by six implants. The screw access holes are visible for illustrative purposes, but are filled in after the bridge is screwed down onto the implants. The prosthesis is removable only by your dentist.
This image shows the biting surface of a non-removable arch of teeth supported by six implants. The screw access holes are visible for illustrative purposes, but are filled in after the bridge is screwed down onto the implants. The prosthesis is removable only by your dentist.

Dental implants are now the standard of care in many situations now, and the results are beautiful, stable, and long-lasting.  In fact, once an implant has successfully integrated with the bone, we do not expect it to ever need replacement.  Also, the confidence that the teeth will not accidentally come loose is indescribable.  Chewing without embarrassment or discomfort, and knowing that the results will be durable, make implants one of the most life-changingly positive solutions available in dentistry.

We know there are many people out there who are unhappy with loose dentures, want dentures that do not cover the roof of the mouth, or just want teeth that do not come out.
If you are one of these people, contact us!  We’d love to give you new teeth that look great and don’t fall out.

Dr. Elston Wong Portrait

About Dr. Elston Wong

Dr. Elston Wong completed his dental degree at The University of Toronto in 1999 before arriving in Barrie in 2002. After graduating, he continued to learn everything he could about dentistry. Now he has taken the time to share important information for anyone to read.

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