Missing, decayed, damaged, or excessively worn teeth can all contribute to the need for a full-arch replacement. For many years, the optimal solution for replacing a full dental arch was a traditional, removable denture appliance. However, advances in modern dental technology have opened up more options for those experiencing tooth loss. In addition to traditional removable dentures, patients now also have the option of receiving an All-on-4® implant-supported denture. Both options can provide functional, natural-looking results for those missing entire rows of teeth. However, there are a number of key differences between the two treatment options.
Traditional Dentures
Traditional dentures have been the go-to full-arch replacement option for many years, and they can certainly help restore the function and aesthetics of your smile. These custom-fabricated appliances are designed to rest comfortably along the gumline, and they are held in place using a strong adhesive. They are designed to be removed and cleaned each night, and they can be adjusted periodically to account for changes in the gum contour—a process known as relining. However, since dentures are designed to rest on top of the gums, they can sometimes cause irritation and discomfort due to chafing or slipping. This propensity towards movement within the mouth can lead some patients to feel insecure while eating and speaking for fear that their dentures will come loose. Furthermore, patients often lose jawbone density over time as a consequence of tooth loss, which can compromise the fit of the dentures and lead to the need for a replacement appliance.
All-on-4®
All-on-4® also employs a custom denture appliance that is designed to closely resemble your natural teeth and gums. However, rather than resting on top of the gumline, this restoration is anchored permanently in the mouth using strategically placed dental implants. The All-on-4® system typically employs between 4 and 6 dental implants per arch to secure the prosthesis. Implant-supported dentures can mitigate many of the common complaints about traditional dentures, including gum irritation and the need for messy adhesive pastes. The titanium implant posts are designed to replicate tooth roots, and they fuse with the jaw and gums, creating a solid foundation for the denture prosthesis. This added security enables many All-on-4® patients to eat, drink, and speak with greater confidence, in addition to allowing them to eat a broader range of foods. Furthermore, the implant posts can help stimulate the jawbone, preventing tissue resorption and providing better support for the facial features.
Ultimately, both traditional dentures and All-on-4® can help replace full arches of missing teeth for improved function and confidence. That said, All-on-4®’s enhanced stability can make for a more comfortable, convenient, and aesthetically pleasing restoration. If you have any questions about dentures or All-on-4®, or if you would like to schedule an appointment to further discuss your full-arch replacement options, please contact Sutra Dental Spa today!
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