I would like some clarification regarding dental implants? (Photo)
Doctor Answers 5
Prosthetic options for implants
It is important that prosthetic options for edentulous patients that want implant retained dentures are:OverdenturesAll on Four, all on six and all on eight.Full Fixed arch bridgeHybrid dentures
All-on-4 vs All-on-6
While food entrapment can occur with any of these two options, I follow a protocol for All-on-4 or All-on-6 where temporary teeth are connected to the implants the same day of surgery and then allow 6 months of healing to take place. At 6 months a final impression for a second set of teeth is taken capturing a more matured healed anatomy. This allows for less likelihood for food entrapment due to a more stable adaptation of prosthetic teeth to natural gum. The chances of peri-implantitis is greater with cement retained teeth vs screw retained. Also, the way your teeth fit together is critical in preventing excess forces that can traumatize or overload the bone.
"All on 4"
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Food trapping under prosthetics
The more implants the better for support and restorative options. Properly fabricated restorations will minimize collection of food, however maintaining good oral hygiene will always be essential.
Clarification regarding dental implants
The problem with all on 4 is that if one implant ever fails and needs to be removed, you will have a major problem and major additional expense. It would be much better to have 6 implants upper and 6 implants lower if you can afford it. Then you could have "all on 6" or fixed bridgework. Either of these will require diligent daily home care and regular 3 month maintenance visits for cleaning by your dental hygienist or dentist. This will be your best way to prevent periodontal disease around your implants. For easier maintenance, a removeable implant supported locator retained prosthesis would be a good alternative. This prosthesis can be removed daily or more frequently if necessary, giving you direct access to clean around the implants and remove any food or debris that may have gotten under it.