Is there a way to avoid a face looking sunken if an upper and lower denture wearer switches from denture to fixed bridges?

I am not talking about all-in-4- but about teeth that are directly implanted on/in the real gum/bones of the patient without acrylic palate or flange between the natural gum and the lip. I assume after some years of wearing dentures that there was bone loss and that the denture fills out that place. Placing the teeth of these shrunken bones could mean a fallen-in face or a flat mouth. That is not very appealing.

Doctor Answers 1

Any way to avoid sunken in face if an upper and lower denture wearer switches from denture to to fixed bridges?

The answer depends on how much bone and soft tissue have been lost.  This increases with years of wearing a denture.   To replace with fixed bridges would require 8 implants ideally  in both upper and lower arches.  The proper position of the front  teeth will give support to the upper and lower lip.  The proper position of the back teeth will rebuild your occlusion to the position prior to loss of bone(  in dental terms, open your bite to the correct vertical dimension).   This will give support to your facial muscles and prevent that sunken in look. If there is excessive bone and tissue loss, pink porcelain between your teeth and your upper front gums(ridge) will  allow your teeth to be normal size and not excessively long ,  and will also fill in space between your teeth and your gums.  This will also give added support to your  lips.   If you do not want this pink porcelain to replace lost tissue,  your only option would be to have a space between your teeth and your gums, and to lose some support of your lips.  This will be an expensive treatment so be sure you find a dentist that has  implant,  reconstructive and cosmetic experience.


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