Full Denture With Or Without Implants?

Full Denture With Or Without Implants

A full denture is dentures for the completely edentulous jaw. Thus, all teeth are replaced (in the upper jaw, in the lower jaw or in both). Since implantology and dental technology have made enormous progress over the last few years, there are now alternatives to the classic removable full denture based on dental implants.

Implants are artificial tooth roots that are inserted into the jawbone and grow there permanently. This usually takes a few months, after which the implants are fully loadable and can permanently stabilize a complete denture.

Many patients, especially the younger ones who need a full denture, want an individual implant restoration. Implant-supported dentures offer many advantages over conventional removable full and partial dentures: it is very aesthetic, feels natural, and the implants guarantee a perfect denture, even when talking or chewing. In addition, in the case of an implant-borne partial or full prosthesis for the upper jaw, it is possible to dispense with a palate plate, which is often perceived as uncomfortable by patients.


Implant-Supported Dentures – The Advantages

Dentistry, maxillofacial surgery, implantology, and dentistry have evolved considerably in recent years. In the meantime, the edentulous jaw can now be anchored directly on implants in the jawbone. Implant-supported dentures can either be permanently fixed or removable, for example for easier and more thorough cleaning.

Naturally, the prosthesis content on fixed implants is far more reliable than the hold by pure suction pressure. Because the connection between denture and implant (s) cannot solve even under heavy load, by tongue and jaw movement or lateral forces.

For an implant-supported full denture, the dentist or implantologist usually set between four and eight implants per jaw. The individual prosthesis is then made in the dental laboratory and used in the doctor’s office as soon as the implants are firmly embedded in the bone. Of course, the dentist advises the patient around the simplified cleaning and care of the dentures. Because conscientious oral hygiene prevents pressure points, inflammations of the gums and bone and is, therefore, an important prerequisite for the prosthesis and the hold of the implants.

If the jawbone has already receded, a bone build-up is performed by the dentist before the implants are inserted. This happens with its own bone substance (which accumulates, for example, when preparing the jawbone or can be removed elsewhere) or other materials that are introduced into the bone and heal there.


Maxillary Prosthesis Without Palatal Plate

Maxillary Prosthesis Without Palatal Plate

A palate plate is made of plastic or metal and integrated into the laboratory in the upper jaw prosthesis. It covers the hard palate, stabilizes the denture in the jaw and ensures a reliable hold. However, a palate plate can complicate the articulation and changed in many patients the taste sensation. Furthermore, even a perfectly fitted conventional prosthesis over time can cause pressure sores and pain to the gums and palate as the jawbone recedes (bone loss) and the prosthesis thus finds less support.

Without reaching into the jawbone roots, the bone is no longer regularly mechanically stressed; the result is progressive bone loss. Artificial tooth roots, which are used in the jaw and heal there, protect the bone and prevent its further removal. Therefore, dentists recommend the use of implants even with a few missing teeth, as these ensure that the jawbone remains healthy. With removable dentures for the maxilla, implants also have the advantage that it is possible to dispense with a stabilizing palatal plate in the implant and the prosthesis nevertheless sits securely.


Prosthesis For The Upper Or Lower Jaw: These Are The Differences

Because it is not possible to integrate a plate with a mandibular prosthesis because of the tongue, the denture content of removable full dentures is generally slightly worse there than with a maxillary denture with the palatal plate. Only implants offer a firm and stable hold in the long term. In the lower jaw, 4 to 6 implants are often enough to ensure a secure prosthesis. They stabilize the prosthesis and can also prevent a previously stable-fitting prosthesis from becoming increasingly problematic due to bone loss and other changes in the jaw.

In the upper jaw, the denture content can be improved by a palate plate. However, many patients with such care are not permanently happy. To avoid the problems described above, there is only the alternative to improve the prosthesis content instead of a palatal plate by implants.

However, bone augmentation is often necessary for the upper jaw, even if there is no bone loss. The upper jaw teeth are separated from the maxillary sinus only by the very thin floor of the maxillary sinus. This thin bone crest is usually not sufficient to provide sufficient support for an implant. For this reason, a so-called sinus lift must first be made, where the bony floor of the maxillary sinus is thickened.

In addition, implants in the upper jaw require a significantly longer healing period than in the lower jaw, so that patients have to muster more patience until the new prosthesis can also be incorporated into the upper jaw. This can take up to six months, depending on the patient. Half of the time in the lower jaw is often enough for the implants to be fully loadable.


How Much Does An Implant-Supported Denture Cost?

Unfortunately, implants are not yet listed in the catalog of benefits of the statutory health insurance, so patients have to finance the cost of an implant treatment itself. Patients with one or two edentulous pines receive from the health insurance only the fixed subsidy for a conventional removable full denture, the so-called standard care. As a rule, this takes over half of the dentist and laboratory costs, while the other half has to be raised by the patient himself. Anyone who regularly goes to the check-up for a dentist and documents this in the bonus booklet will be reimbursed instead of 50 up to 65 percent of the costs for the standard care.

The cost of an implant-borne prosthesis consists of the rental fee for the treatment as well as the cost of materials and laboratory work. The dentist’s fee for standard care is set nationally in the standard of assessment for dental services BEMA but can be adjusted by rates of increase (for example, in particularly complicated and time-consuming treatments) by the dentist. Private services, such as the placement of implants, are billed directly to the patient on the basis of the fee schedule for dental scores (GOZ). A third cost factor is the services of the dental laboratory, which consist of the work of the dental technician and the material costs.


Save Costs With Dentures From Abroad

Who wants to reduce the cost of his dentures, can start with the laboratory costs. By manufacturing dental prostheses abroad, lab costs can be significantly reduced, as for example with the market leader for dental prostheses, MDH AG.

International dental replacement from the MDH AG is certified by the TÜV and comes with an extended manufacturer’s warranty of four years. More and more dentists in Germany are offering their patients the option of purchasing cheap quality dental restorations from the market leader MDH AG, thereby significantly reducing the overall cost of treatment.