Treating a patient with a completely edentulous jaw

For patients with a completely edentulous jaw – upper and/or lower – implantology offers two solutions that are comfortable to wear: the removable implant-supported denture, and the permanently screw-retained arch of teeth. In both cases the advantages over a classic adhesive denture are obvious: dentures gain a secure hold on implants, so painful pressure sores while chewing can be avoided. The palate of the upper jaw stays free of denture material, so patients can taste and enjoy food freely again.

In most cases implant-supported restorations allow greater chewing efficiency. Older people in particular tend to find fixed restorations far more comfortable than a removable denture. The most demanding solution in aesthetic terms is the permanently screw-retained arch. It is fixed on the implants and as a rule meets the gum harmoniously. Your dentist will explain in detail which option offers you the greatest benefit.

After a long period without teeth the bone has broken down. If a removable denture was worn during that time, it can be assumed that the gums (soft tissue) have suffered too. In such a case an aesthetically pleasing result with a screw-retained arch can only be achieved after extensive tissue-building procedures (soft-tissue management and soft-tissue grafting). Removable implant-supported dentures are therefore recommended after a longer period of edentulism. These also sit firmly while chewing, speaking and laughing. Removable means that they are taken out for care and oral hygiene.