Introduction:
Dentures are the most efficient, cost-effective treatment option for replacing missing teeth and surrounding tissues. There are many types of dentures available, namely complete dentures and partial dentures. Complete dentures are the replacements for the teeth and tissues in the entire dental arch. The complete dentures are of two types – permanent and removable dentures. Partial dentures are those dentures that replace one or more teeth in the upper or lower arch. They are also available in permanent and removable forms.
Dentures have a great role in improving the quality of life and confidence level in individuals with missing teeth. But most of the patients face some difficulty while wearing dentures, especially in the case of removable dentures. These dentures are not fixed to the jaw, so they may feel uncomfortable while eating, speaking, and a lack of self-confidence persists while in social gatherings.
Permanent dentures, also known as fixed or non-removable dentures, are the false teeth attached to the jaw with the help of implants. Implants are artificial roots made of metals that replace the missing roots. With the help of implants, permanent dentures can be held in position and are more stable than removable dentures. They resemble natural teeth. With permanent dentures, chewing, biting, talking, and smiling are much better for the denture wearers.
What Are the Advantages of Permanent Dentures?
The removable dentures often lack stability, and they can be easily misplaced, shift the position, and can easily fall out. With permanent dentures, all these shortcomings of removable dentures can be solved. The main advantages of permanent dentures are as follows;
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Stability – As these dentures are fixed to gums, they offer exceptional stability. The chewing and biting forces do not cause any displacement of the denture.
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Bone Loss Is Comparatively Less – In the case of traditional dentures, there is gradual bone loss, and gum changes are observed. Whereas in the case of permanent dentures, bone loss is negligible as the implants that support dentures offer protection against bone loss.
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It looks more natural than traditional dentures.
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Longevity is more when compared to removable dentures.
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In the case of ill-fitting removable dentures, one common problem patients encounter is pain. With the help of permanent dentures, pain is eliminated.
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Removable partial dentures mostly require some adhesives for their stability. They usually contain harmful chemicals. But in the case of permanent dentures, there is no need for any adhesives.
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It gives better support to lips and cheeks.
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Improves Quality of Life – With the help of permanent dentures, the patient’s smile, chewing, and speaking can be restored as before. This enhances the patient’s confidence and self-esteem.
What Are the Disadvantages of Permanent Dentures?
The main disadvantages of permanent dentures are as follows;
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It can be costly.
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The placement of permanent dentures is influenced by several factors. It cannot be placed in all individuals.
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The placement of implants may cause swelling, pain, or discomfort in some individuals.
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Requires multiple visits to the dental clinic.
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The maintenance and repair of permanent dentures are more difficult.
What Are the Indications for Permanent Dentures?
The main indications for permanent dentures include;
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Systemic Diseases – If a patient is suffering from systemic diseases like epilepsy, then in those cases, permanent dentures are indicated. Removable dentures can cause more harm in such individuals if there is an episode of epilepsy.
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Psychological – Removable dentures are less appealing in terms of esthetics when compared to fixed dentures, and some find it difficult to get adapted to removable dentures.
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To treat spacing in the dental arch caused due to orthodontic treatment.
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If there is an unsuitable tooth angle that restricts the insertion and removal of partial dentures, then in such cases, permanent dentures are required.
In Which Situations Permanent Dentures Are Contraindicated?
The permanent dentures are mainly contraindicated in the following situations;
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Very young and very old patients.
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Patients with medical conditions like spastic or cerebral thrombosis.
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In patients who cannot tolerate local anesthesia (LA) because the procedure involves the application of LA.
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In individuals with a high caries incidence, partial fixed dentures are generally contraindicated.
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Patients with periodontal issues (unhealthy gums).
How to Prepare for the Procedure?
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The doctor takes a thorough medical and dental history. One has to inform the doctor about any medical conditions if present.
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An X-ray of the mouth will be taken.
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Molds of the teeth are prepared.
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The doctor will let you know about the estimated duration of the treatment once the assessment is done.
What Are the Steps Involved in Permanent Denture Placement?
The steps involved are;
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The dentist will remove all damaged teeth.
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The jawbone is prepared for implant placement. This may involve placing a bone graft. The jaws have to be healed completely before proceeding with the next step.
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Once the jaws are healed, minor surgery is done for the placement of implants.
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Above the implants, the custom-made dentures are attached with the help of a connector. This can be done approximately after three months of implant placement. The connector allows the patient to remove and reinsert the denture according to their comfort.
What to Expect After the Procedure?
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After the implant placement procedure, one may expect minor bleeding, swelling, or slight pain. With the help of medications and a cold compress, the condition can be quickly resolved.
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After the denture placement, chances of complications are very rare. If any issue persists, it should be reported immediately to the doctor.
How to Clean Permanent Dentures?
Permanent dentures can be cleaned just like natural teeth by normal brushing. One may not feel comfortable initially but gradually will get adapted. If there is a loss of color, then you can take professional help to clean the dentures.
How Much Do Permanent Dentures Cost?
Permanent dentures are quite expensive. Depending upon the type of material used for the denture base, artificial teeth, and the nature of implants, the cost will vary. Even though permanent dentures may appear expensive initially, the longevity and comfort outweigh the expenses compared to removable dentures.
Conclusion:
Under the efficient guidance of your dentist, it is possible to recreate your natural smile with the help of permanent dentures. After the placement of dentures also, one must pay attention to routine check-ups and dental hygiene maintenance to avoid any complications.
