Permanent denture or a removal denture implant?

| May 16, 2014 | 1 Comment

Permanent denture or leave the canine teeth and have a removal denture implant?

I had several implants done 10 years ago, lower right and left jaw. One implant never took and I had to have it removed. Right now my lower mouth consists of one jaw tooth on either side. Next to the jaw tooth on my right side is a single implant then there is a space between that implant and my canine tooth. This space is where the other implant failed. I have a bridge attached to my two canine teeth with four teeth attached to the bridge. On my lower left side I had two implants next to my jaw tooth with one tooth attached to both implants. The implant closest to the canine tooth is loosing bone and has to be removed.

It has been suggested to have my two canine teeth removed (there is some gum recession around these two teeth and a bit of mobility) along with the bridge that’s attached and have a four on four inserted. I would need some bone around my two canine teeth removed as there is too much bone in relation to the area between the two teeth.

Should I have these two teeth removed and go with a permanent denture or leave the canine teeth and have a removal denture implant? My concern is if the implants don’t take then I would only have two permanent jaw teeth ( which are also loose)and wouldn’t have any teeth out front to attach a bridge to if needed. I also wear a full upper denture, no implants, not enough bone.

Also how long will a four on four dental implant last if there is sufficient bone and no major medical issues?

Looking for a second opinion.

Thank -you

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Category: Do I Need Implants?

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  1. sandydig says:

    Too much bone loss to leave canines
    by: Stacey Norrell, RDH

    With the amount of boneloss you are describing I suspect that you have severe periodontal disease. If the canines are mobile on bottom due to boneloss they will not be a good anchor for a bridge.

    The only way you would be able to do an implant would be to have bone grafting done in the implant sites. The bone grafting would need a healing period before the implant was placed. This may or may not be successful as you have not had success in the past with the implant.

    Speak with your oral surgeon and general dentist or prosthodontist to discuss the odds of a bone grafting procedure being successful for your level of bone loss. Sometimes the full denture is the only option.

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