In many countries, removable dentures are one of the many options for replacing teeth, but they always take a toll on your bones and also can be cumbersome and hard to adapt to.
Dentures are worth considering as an option if you have lost natural teeth such as all your molars and cannot benefit from dental bridges anymore. Depending on the tooth loss, they can either be partial dentures or total removable dentures.
Losing one or more natural teeth is an important matter and most people do not know what options they have when trying to get proper dental care and a healthy mouth back. One of the best tooth replacements is dental implants. They are specifically designed to restore normal function, contour, esthetics, comfort, and also natural eating and speaking to the patient in need. Also, as a solution for replacing a total denture there is this system based on dental implants with a fixed prosthesis, called All-on-4 or Fast and Fixed, depending on the implants manufacture.
Removable Dentures Accelerate Bone Loss
Many people do not realize that when they choose to wear removable dentures, they do not stimulate or maintain the bone, but they rather accelerate bone loss. They transfer the load from mastication only to the surface, on the upper jaw, not to the whole bone, thus reducing the blood supply.
Removable Dentures Should Be Renewed Every 5 Years
The damage is greater if the removable dentures are loose fitting, the quality of the denture adhesive is low, or if they are not renewed every 5 years on dental visits. Your dental technician must be aware and informed of these potential consequences, because bone loss can be associated with complications, such as gum diseases, changing the shape of the maxillary and face, periodontal disease, mouth sores, bad breath, and an overall decaying oral health.
On average, most dentures are replaced between 3-8 years combined with a number of factors such as wear and deterioration of the denture materials and changes that occur in the denture wearer’s jaw.
Considering these factors, implants are a more desirable means of treatment. Wearing removable dentures for a long time to replace your missing teeth can make you suffer from all these serious consequences:
- The height and width of the supporting bone tend to decrease thus making it harder to place a dental implant
- The mucosa becomes more sensitive and more prone to sores, due to loss of keratinization, which also leads to a dry mouth
- Loss of the basal bone with an increased risk of mandibular body fracture
- Loss of feeling in some parts of the oral mucosa
- Changes in mastication, with a more active role of the tongue
- Esthetic changes, due to the shrinkage of the lower third of the face: tongue increases in size, decreased facial height, deepening of the lines around the mouth and of the vertical lines in the lips
- Chin starts to rotate forward
- The muscles that give us our facial expressions lose tone and the lips start thinning
- The dentures take some time to adapt to, you can have impaired speech, sores and issues with chewing food at first
- Removable partial dentures that are not fitting properly can fall at any time, causing embarrassing situations in the daily life
Complete dentures are still used, even though the difference in maximum occlusal forces documented in a person with natural teeth and one who is completely edentulous is dramatic.
Removable Dentures Reduce Masticatory Forces Significantly
The masticatory forces decrease significantly if you wear removable dentures. Some studies have shown that, over time, the masticatory forces can be reduced to over 80%, dropping from 250 pounds per square inch to 50 pounds per square inch (psi). The longer you are, the less force you are able to generate. If you have been wearing complete dentures for more than 15 years, you may have a maximum occlusal force of 5.6 psi, which is very low. 
Dentures Should Be Worn for a Limited Amount of Time
Ideally, dentures should be worn for a limited amount of time to prevent loss of bite strength, together with facial and muscular changing shape. The referenced literature includes several reports suggesting that a compromised dental function causes poor swallowing and masticatory performance, which in turn may influence systemic changes favouring illness, debilitation, and shortened life expectancy.
Dental implants are the main alternative to removable prosthesis while following a treatment plan for such a procedure offers many advantages. The main benefits of choosing implants are:
- They maintain the alveolar bone
- Restore proper occlusion and vertical dimensions to the lower third of the face
- Maintain or even improve facial esthetics because the teeth will not be positioned for appearance, nor for maintaining the denture stability
- Improved speech
- Improved bite
- Better prosthesis success over time, since you keep the implants in your mouth for a longer time
- The size of the prosthesis is smaller
- The prosthesis is fixed and has an increased survival rate
- The adjacent teeth do not need alterations
- Better for the psychological health
Find the right dentist for you and your needs. Put your dental care first and enjoy chewing and speaking properly once again. And to ease this process, check dental care available abroad. Here are 5 reasons why you should consider getting your teeth treated abroad.
1. Howell AW, Manley RS: An electronic strain gauge for measuring oral forces, J Dent Res 27:705, 1948.
2. Carr A, Laney WR: Maximum occlusal force levels in patients with osseointegrated oral implant prostheses and patients with complete dentures, Int J Oral MaxillofacImplants 2:101-110, 1987.