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Archive for the ‘Replacing missing teeth’ Category

Should You Consider All On 4 Dental Implants?

Sunday, January 9th, 2022

Should You Consider All On 4 Dental Implants?

Tooth loss brings with it a lot of complications. Not only one’s smile and facial aesthetics are affected, but also the ability to eat and speak properly. That is why dentists recommend that missing teeth be replaced as soon as possible. If you have lost all your teeth and you’re looking for the most durable, reliable, and natural-looking tooth replacement option, you should consider getting all-on-4 implant-supported prostheses. If you want to know more about all-on-4 implants, this article is for you. So, read on to find everything you need to know about the all-on-4 implant procedure. 

What Are All-On-4 Teeth Implants In Dentistry?

All-on-4 refers to a tooth replacement approach used to replace all missing teeth in a jaw using dental implants. According to the American Academy of Implantology, all-on-4 refers to an option in which upper and lower teeth are replaced with a complete fixed bridge supported by only four implants placed at strategic locations in the lower or upper arch. Unlike the removable full denture, the all-on-4 complete bridge remains fixed to the traditional implants and restores your ability to eat and speak normally. 

Are All-On-4 Dental Implants The Best Option?

If you look at the options available for replacing all missing teeth, there are only two options: removable complete dentures and all-on-4 implant-supported prostheses. Unfortunately, many people are satisfied with their dentures as they get stained frequently, require frequent repair or replacement and, more importantly, fail to provide sufficient chewing force. On the other hand, implant-supported full sets of teeth are the next best natural teeth. So, if you’re looking for the best option for replacing teeth in a full arch, all-on-4 is the best option.  

How Painful Is The Dental Implant Procedure?

Like other dental procedures, inserting the implants in the jaws is a surgical procedure. However, this does not mean that you will experience pain during the process. This is because your dentist will provide you with sufficient anaesthesia to make you pain-free and comfortable. Generally, implant insertion is performed under the effect of local anaesthesia. However, dentists sometimes  perform the procedure under conscious sedation or general anaesthesia for extremely frightened or uncooperative patients. 

Is It Possible To Do Dental Implants On Every Tooth?

It would seem that one implant is required for replacing every missing tooth. However, that is not the case; you don’t need an implant for each missing tooth. If you have lost all your teeth in a jaw, your dentist will replace all the teeth with a complete fixed bridge using up to four or six implants. Typically, two implants are placed in the front while two are placed in the middle of the jaw – one on either side. This is another benefit of the all-on-4 prostheses. You don’t have to pay enormous amounts for getting one implant for each missing tooth. Instead, you need only 4 or 6 implants in each jaw to get all your teeth replaced. 

Are Dental Implants A Permanent Solution For Tooth Loss?

One of the most significant advantages of dental implants is that they are strong and durable. According to the American Dental Association, dental implants can last for a lifetime if they are looked after properly. So, yes, implant-supported prostheses are a lifetime solution. You may need to get your prosthesis replaced after 10-15 years, but implants will remain there for life. On the other hand, removable dentures have a limited lifespan and hardly last ten years. 

How Do The Teeth Looks After Dental Implant Procedure?

Your new, implant-supported teeth will look, function, and feel just like your natural teeth. This is because dental implants are anchored into the jawbone, just like natural teeth. As a result, they offer the same natural aesthetics and dental function as natural teeth. 

Will I Be In Pain During Or After Getting A Dental Implant?

While getting your implants, your dentist will administer anaesthesia to make you free of pain. Therefore, you won’t feel any pain or discomfort during the procedure. However, it is not uncommon to experience some swelling, pain, and discomfort around the surgical site for the next few days or weeks after the surgery. This pain does not indicate something serious; instead, it shows that healing occurs around the surgical site.  Typically, dentists give pain medication to relieve this pain. You may also apply ice packs to subside the swelling and inflammation. 

Are You Put To Sleep For Dental Implants?

Usually, implant patients are not put to sleep during implant surgeries. However, conscious sedation or general anaesthesia is sometimes considered for extremely frightened or uncooperative patients. 

How Long Does It Take For Dental Implants?

Tooth replacement with dental implants is generally carried out in multiple steps. During the first step, your dentist will prepare a treatment plan and insert the implants and then wait for 4-6 months for the surgical site to heal. Afterwards, once the implants have become fully anchored within the jawbone, they will attach a suitable prosthesis over them to replace the missing teeth. The entire process can take anywhere between 6-8 months. However, it may also be possible to get your implant-supported teeth in a day in some cases. 

Successful tooth replacement with all-on-4 implants requires careful planning, attention to detail, and excellent dental surgical skills. Unfortunately, not all dentists are trained and experienced in performing this procedure. But, if you are living in Didcot or in surrounding areas, The Smile Practice can help you get a beautiful, lasting, and healthy smile with all-on-4 implants. We take pride in having a team of highly experienced and qualified dentists and state-of-the-art equipment to perform this procedure. So, what are you waiting for? Book an appointment with us today and begin your journey towards your dream smile.   

Dentures – Are they really as bad as people think?

Monday, February 5th, 2018

If you have missing teeth dentures are one of a variety of ways to help you smile, eat, laugh and chew again with confidence. As well as dental bridges and dental implants dentures may be the perfect option for you. Dentures tend to be cheaper than bridges and dental implants, because they also replace soft tissue (gum) they can also be a more cosmetic way to replace missing teeth in some situations with patients that have lost a lot of bone. Patients are often asking what are the best dentures on the market?

This blog post will answer that very question.

Types of dentures

Dentures come in 2 primary varieties:

  1. Full dentures
  2. Partial dentures
Full denture

A full denture

Full dentures replace all of the teeth in a single arch, either the upper or lower arch. Partial dentures are used for patients wishing to replace missing teeth but who still have some of their own natural teeth. Very often these existing natural teeth can be used to anchor the partial denture.

A partial denture

A partial denture

The different types of dentures can also be made from different materials:

  1. Plastic/Acrylic dentures. Specifically Poly Methylmethacrylate.
  2. Cobalt chrome
  3. Gold (not used much nowadays due to the cost)
  4. Thermoplastic nylon materials (flexible dentures)

Plastic dentures

Classic plastic dentures have been around for many years, however they have improved in quality significantly, especially in the last 5 to 10 years where technicians have been able to contour and colour the pink plastic gum to exactly match the natural shapes and colours of the human gum tissue. This makes modern cosmetic plastic dentures highly aesthetic and almost undetectable from natural teeth.

Plastic dentures are most commonly used for full dentures, replacing all of the teeth in a single arch. Fully plastic dentures are less common when being used for partial dentures due to strength issues.

Cobalt chrome Metal dentures

Chrome is extremely strong and very light at the same time. It is also relatively easy to process and manufacture plus is highly biocompatible making it an ideal material to be used in partial dentures. When chrome is used to make a denture it is almost invariably used on the inside of your teeth closest to your tongue, keeping it hidden in this way means we can get all of the strength from the metal yet hide the unsightliness of it, covering the outside surface with tooth and gum coloured plastic.

Gold dentures

Gold is used in the same way as cobalt chrome, it is slightly more aesthetic but is much softer and of course, comes with a much higher pricetag. For this reason it has fallen out of favour for use in partial dentures.

Flexible dentures

Plastic and metal dentures have been around for many years now with little change. Flexible dentures on the other hand utilise modern advances in material technology which has enabled dental technicians to manufacture dentures from thermoplastic, nylon materials. These modern materials are virtually unbreakable, highly aesthetic, biocompatible and much softer than plastic or metal dentures. This makes them far more comfortable to wear with the wearer often finding they get fewer ulcers as a result.

Permanent dentures

Permanent dentures are also often known as fixed dentures. In essence, they can be made of the same plastic materials as regular dentures but they often have an internal high-strength core made of metal, most typically chrome cobalt or titanium. Utilising the most modern production methods dental laboratories can now make this high-strength framework using CADCAM technology, this ensures some of the best accuracy and consistency in manufacture around.

Permanently fixed denture on dental implants

Implant retained dentures

Permanently fixed dentures are most commonly fixed to dental implants, these dentures are known as implant retained dentures. They can be used to replace multiple missing teeth or to replace all missing teeth. If you need a full denture typically for to 6 dental implants can be placed, the implants have an attachment on top into which the permanently fixed denture is screwed. These fixed dentures can be removed by your dentist but cannot be removed by yourself at home.

This means you need to be particularly careful and vigilant of cleaning to ensure you clean adequately under and around the fixed denture in order to keep it clean and your breath fresh.

Living with dentures

If you have dentures it doesn’t mean that you can ignore your dental health. You will still need to look after your delicate gums and clean around existing teeth if you have a partial denture. Your denture itself also needs to be looked after.

How to clean dentures

Typical advice for cleaning dentures involves not using regular toothpaste as this can be rather abrasive, especially on plastic dentures. It is possible to purchase ultrasonic cleaning baths to clean dentures, as well as using special cleansing tablets.

We also recommend cleaning dentures over a sink filled with water. One of the most classic ways that dentures get broken is if they are dropped into the sink whilst cleaning. Filling a sink means that if you drop your denture it will at least fall into water rather than break against the sink bowl.

Loose dentures?

Loose dentures can be caused by a variety of reasons, if you have partial dentures then the clasps (clips) which grip hold of the natural teeth holding your denture in place can move or bend. If these move then the grip on the natural teeth can reduce and the denture can become loose.

Clearly, if you have a full denture there won’t be any clasps, so why does a full denture become loose?

The reason is that our bodies are living and breathing organisms, constantly changing. As we get older the bone in our jaw has a tendency to resorb. As it resorbs it takes the covering gum with it meaning your jaw is continually changing shape. This even happens if you have all of your teeth, the bone resorbs pulling the gum with it and the teeth become more exposed and look longer… Hence the expression ‘longer in the tooth’.

If you have a denture, this movement of the bone and gum can mean that the denture can become loose, if this has happened then you will need to visit a dentist and your dentist can reline the denture. This effectively keeps the teeth and gum on the outside of the denture in exactly the same place and relines the inside of the denture with new acrylic to fit over the new shape of your gum. Whilst not looking any different this can have a dramatic impact on how well your denture fits.

Fixing a lose denture

Fixing a loose denture with a reline by replacing material where your bone has resorbed.

How much do dentures cost privately?

Dentures will vary in price depending upon the material used, the complexity of the tooth replacement and the dentist you visit. A typical denture will start at around £700. This can be much cheaper than a dental implant which can cost from £2500.




I am dropping a note to say thanks for all the work you have done for me, I am aware that I am not the easiest of patients. Your patience and explanations whilst work is underway was very much appreciated. The bridge work is really outstanding, here’s hoping I need nothing more than routine checks for some time.
- Mr R G
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