Ira Goldberg, DDS, FAGD, DICOI
Very often, people need to replace missing teeth or teeth that will be extracted shortly. Bridges, dentures, and implants are the most common ways to accomplish this, but what are the differences?
The most common area of confusion lies between dentures and bridges. Dentures are removable: you take them in-and-out of your mouth. Bridges are permanent: you do NOT take them in-and-out.
Dentures come in two versions: “Full” (also known as “Complete”), and “Partial.” A “Full” denture replaces all of the teeth in your jaw (no teeth remain), and a “Partial” denture is made with one or more of your teeth remaining.
These dentures can be made from a number of different materials: acrylic (plastic), metal, a combination of acrylic and metal, or a newer type of plastic called “thermoplastic.” The advantages of the acrylic include cost and simplicity. They are the least expensive, and the easiest to fabricate and repair. The disadvantages include thickness and stability: they require increased material thickness in order to provide strength, and they will be the loosest, meaning they will have the greatest tendency to move around in your mouth. The thickness can interfere with speech.
Metal dentures are thin, rigid, and fit tightly. The downsides include increased difficulty to repair (although not terribly difficult) and cost (they are the most expensive).
Thermoplastic materials have the advantage of being flexible, which many patients find to be more comfortable. However, repairs can be difficult to impossible, based upon the type of material utilized.
Clasps are “arms” that extend off of a denture that help to keep the denture in place. The clasps can be metal, white to match teeth, or pink to match gums. No clasp is perfect, but they are a necessary component for denture stability, but the downside is potential esthetic complications if they show in your smile. If a clasp breaks off the denture, a repair is not always possible, and can render the denture fit unsatisfactory.
Unlike dentures that are removable, bridges are permanent. They are not removable. This is one reason why bridges are more popular than dentures. Other advantages include increased biting / chewing power, increased esthetics, and less fuss with them since they don’t have to be taken in and out. Downsides include the “shaving down” of teeth on either side of spaces to keep them in place (called “abutment” teeth), and potential cavity development or need for root canals on these abutments over time.
Dental implants provide a host of options. Most people think of an implant as a post that is placed into the jawbone to hold a single tooth (crown). This is one use of an implant, but there are other functions. The implant is actually the post: you can use it to secure a denture or a bridge, also! With respect to dentures, the implant can help to eliminate or decrease the number of clasps, providing a more esthetic outcome and more stable set of teeth. Bridges benefit from implants because now you cannot develop cavities around the abutments and there is no need for root canals. Implant bridges also eliminate the need for drilling on other teeth.
A very common substitute or replacement for large partial dentures and full dentures is “All-On-Four®.” This revolutionary technology provides the patient with permanent, non-removable teeth in just a few appointments. Gone is the stigma and disappointment of removable teeth and poor chewing ability. Patients instantly benefit from a strong bite, excellent smile, and freedom of re-gaining the roof of their mouths if they had a denture that covered it previously. Many patients who have dentures or require removal of most teeth present to Dr. Goldberg for this procedure specifically: he is a leading authority on this type of procedure in the community.
The information provided above can be hard to understand without pictures. Please visit the Patient Education Library on Dr. Goldberg’s website at MorrisCountyDentist.com. From the homepage, click on “Patient Info,” followed by “Patient Education.” You can view his information sheets and videos.
The office of Dr. Goldberg offers free consultations. If you’d like to speak with Dr. Goldberg personally and determine the best course of action for your specific situation, please give the office a call.
Dr. Goldberg is a general dentist located in the Roxbury Mall in Succasunna, NJ. He provides general dentistry for the entire family, including: cleanings, check-ups, whitening, veneers, crowns, root canals, dentures, periodontal (gum) services, dental implants, and much more. He is a Diplomate of the American Board of Implantology/Implant Dentistry, holds multiple degrees and is recognized as an expert in dental implants. You can find additional information on his website:www.morriscountydentist.com. The office can be reached at: (973) 328-1225 or via email: firstname.lastname@example.org