Dentures (false teeth) are synthetic replacements for missing natural teeth. Some dentures are designed to replace a few missing teeth. Other types of dentures replace all of your teeth, gums, and surrounding tissues.
Tooth decay, gum disease, and facial injuries can lead to tooth loss. Depending on how many teeth are lost, dentures may be necessary.
When teeth are missing, facial muscles can sag over time. Dentures are designed to help fill out your facial profile and improve your appearance. They also make it easier to eat, chew, and speak regularly.
Common types of dentures include:
Dentures replace some or all missing teeth in a patient's mouth. They come in removable and fixed forms.
Tooth loss is the main reason people get dentures. There are a few primary causes of tooth loss, including:
You are also at a higher risk for tooth loss if:
Older adults have the highest risk of tooth loss from gum disease, cavities, poor oral care, and natural aging. Tooth extractions and facial injuries can also lead to tooth loss. Dentures may be necessary in these cases.
There are many different types of dentures available. The type of denture that is best for you depends on your oral health status and lifestyle. The most common types of false teeth include:
Complete dentures, also known as full dentures, are removable replacements for a patient’s entire set of teeth. They are completely customized and restore the shape and look of natural teeth.
Conventional dentures also improve mastication, which means you can crush, grind, and eat food normally again.
If your chewing functions were normal before denture placement, the functions will be much less than with natural teeth or implants. The lack of anchorage in the bone means you are not able to produce as much chewing force.
Many patients also develop speech impediments, such as a lisp, with complete dentures. This is due to the thickness of the material covering the palate (which is necessary and cannot be thinned). Some people adapt to it over time, while others do not.
Complete dentures are the last option after all other tooth restorations are deemed ineffective. False teeth do not prevent bone shrinkage, and sometimes, poorly fitting teeth can contribute to it. Only a dental implant will preserve the bone and prevent it from shrinking after tooth loss.
Candidates for complete dentures include:
Fixed partial dentures (FPD), also called implant-supported bridges, use existing teeth as abutments. Abutments refer to the surrounding teeth that serve as the main support for the denture.
FPD's replace a few missing teeth in a row with two dental implants.
Unlike complete and removable partial false teeth, implant-supported bridges are not removable. These permanent dentures restore one or more missing teeth in a row when strong natural teeth are present on both sides of the missing ones.
Advantages of fixed partial dentures:
Disadvantages of fixed partial dentures:
Unlike complete dentures that replace all teeth, removable partial dentures (RPD) only replace some missing teeth.
An RPD consists of replacement teeth attached to a gum-colored plastic base.
Removable partial dentures are built onto a cast metal framework for strength. They restore the natural look, feel, and function of your teeth.
RPD’s can be removed at any time and replaced easily. They are most commonly recommended for patients who cannot get a dental bridge (implant-supported bridge).
There are two types of removable partial dentures available, including:
Implant-retained dentures, also called overdentures, do not permanently attach to dental implants. They click into place and latch onto the abutments (metal posts). Implant dentures support more than one tooth and, oftentimes, an entire set of teeth.
Implant-retained dentures increase stability and improve chewing function better than traditional dentures. However, you must remove them every night for cleaning and tissue rest.
Types of implant retained dentures:
Benefits of implant-retained dentures:
In traditional dentures, after all of a patient’s teeth are extracted, they must wait at least 6 to 8 weeks before false teeth are placed.
This gives the extraction site and jawbone enough time to heal.
Removable immediate dentures can be used directly after your natural teeth are extracted. Although convenient, immediate dentures are more challenging than traditional dentures because they are not molded specifically to the gums.
Types of immediate dentures include:
Snap-in dentures, also called snap-on dentures, are other names for removable implant-supported overdentures. Snap-on dentures are held in place by dental implants that are screwed into your jawbone. In most cases, two to four implants keep the denture in place. However, up to 10 implants can be inserted.
After the implants are surgically inserted into the bone, you can snap on the implant-supported denture. The overdenture can be removed at any time, but the implants cannot.
The six types of dentures include complete dentures, fixed partial dentures, removable partial dentures, implant-retained dentures, immediate dentures, and snap-in dentures.
After you are fitted for dentures, it will take the dental lab a few weeks to make them. You will also have to set up a few different appointments with your dentist or prosthodontist (a teeth replacement specialist).
In general, the denture fabrication process consists of 10 steps:
Two types of dentists offer dentures:
General dentists make dentures. They also offer preventive and restorative services, such as x-rays, teeth cleanings, cavity fillings, and sealants.
Unlike specialists, who focus on one specific area of dentistry, general dentists offer a wide range of treatments for people of all ages.
Prosthodontists are the main providers of dentures. They specialize in many different tooth replacement procedures.
Men and women with significant tooth loss are candidates for dentures. False teeth are not dependent on age, but more so on the condition of the patient's teeth.
It is also important for a patient to have enough jawbone structure and healthy gum tissue remaining. False teeth need a sufficient amount of support from natural tissue to remain in place for a long period of time.
The most common age group that has false teeth is people over 65 years of age. Needing dentures over age 40 is also fairly common, especially in women.
Nineteen percent of women over 40 are denture wearers. Twenty-seven percent of seniors over 65 have no remaining teeth.
Anyone who has missing teeth is a candidate for dentures. Older adults (65+) need dentures most commonly.
Dental plaque buildup on false teeth can lead to bone loss, bad breath, and stomatitis (inflammation of the soft tissue lining inside of the mouth).
Another risk factor of uncleaned dentures is a fungal infection called oral thrush.
To prevent these conditions, it is essential to practice proper denture care:
Properly taking care of your false teeth ensures your gums, jawbone, and artificial teeth stay healthy long-term. Brush them daily and soak them in diluted white vinegar or denture-cleaner overnight.
Here are some tips for adjusting to new dentures:
Your dentist or prosthodontist will provide you with aftercare instructions after placement. Make sure you follow these instructions carefully to ensure proper healing and comfort.
If you have removable dentures, refrain from removing them too often. It's essential to wear them throughout the day so you can get used to them quickly.
For the first few days post-op, you should only eat soft foods to prevent additional discomfort.
Practice speaking out loud to exercise your facial muscles and prevent any unwanted speech issues. Singing can also help you get used to forming words.
Brush your dentures and gums regularly to prevent bacteria buildup and bad breath.
Denture adhesive can be used to soothe any irritation caused by new dentures. However, if you notice that your dentures aren't fitting properly, set up an appointment with your dentist. Adhesives cannot fix poorly-fitted dentures.
Dentures can take time to get used to. To help make the process easier, only eat soft foods at first and use a denture adhesive when necessary. You can also practice speaking/exercising your facial muscles.
Dentures typically need to be replaced every 10 years (if you take care of them properly). Just like natural teeth, dentures become discolored over time. If your dentures chip or crack, they might only need a minor repair. However, if they break, you'll need to replace them quickly.
Most full dental insurance policies cover up to 50 percent of the cost of dentures. According to Carefree Dental, the cost depends on the chosen type and individual insurance coverage policies:
|Complete Dentures||$1,300-$3,000 (upper or lower, not both)|
|Temporary (Immediate) Dentures||$1,500-$3,200 (upper or lower, not both)|
|Partial Removable Dentures||$650-$2,500 (upper or lower, not both)|
|Implant-Retained Dentures (Overdentures)||$1,500-$4,000 (upper or lower, not both)|
|Snap-In Dentures||$1,500-$4,000 (upper or lower, not both)|
Partial dentures cost $650 to $2,500 for an upper or lower denture, not both.
No, Medicare does not cover dentures or other dental devices, such as partial plates. Generally, Medicare does provide dental coverage.
Medicare Advantage plans sold through private insurance companies may provide coverage for dentures and other dental health care.
Dentures are usually made of acrylic, metal, nylon, and/or plastic.
At night, gently brush the dentures with a soft denture brush to remove plaque. Soak them in a commercial denture cleanser liquid overnight.
In the morning, brush them again before you insert them. They can be soaked overnight in white vinegar diluted with water to remove calculus and prevent the formation of calculus.
Full-strength vinegar is acidic and can damage the surface of your teeth, causing acid erosion.
Full mouth dental implants provide a permanent full-arch restoration using four implant placement points. These implants can replace failing or missing teeth, whether in the upper jaw, lower jaw, or both. However, full mouth implants are expensive (ranging up to $25,000 per jaw).
Fixed dentures should be worn throughout the day but taken out at night.
Yes, you can eat with dentures in your mouth. It may be difficult to eat at first. You will get used to them over time.
Dentures can change the way you speak at first. However, you will adjust to them.
Your voice may also sound different (but only to you). This is because the sound travels to your ears through vibrations in the skull and jaw. Dentures increase this sound, but only you will notice the change.
Dentures change the appearance of your smile. If you had many missing teeth, especially in the front, dentures will improve your self-confidence.
You can only get temporary dentures (immediate dentures) placed directly after extraction. You'll have to go back in to get your permanent dentures once they are ready.
If your dentures do not fit properly, you can use denture adhesive to keep them in place temporarily.
After you adjust to your new dentures, you'll need to visit your dentist at least twice a year for routine check-ups. This is the same for patients who don't have dentures.
Your dentures may feel bulky and uncomfortable at first. This is normal and will get better over time as you adjust to the new restoration. Many patients also experience speaking, chewing, and eating difficulties during the first few weeks. Extra saliva flow is also common.
Bilhan, Hakan, et al. Complication Rates and Patient Satisfaction with Removable Dentures. May 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3381202/.
“Complete Denture.” Complete Denture - an Overview | ScienceDirect Topics, www.sciencedirect.com/topics/nursing-and-health-professions/complete-denture.
Devlin, Hugh. Complete Dentures: a Clinical Manual for the General Dental Practitioner. Springer, 2012.
Hollins, Carole. Basic Guide to Dental Procedures. John Wiley & Sons, Inc., 2015.
Rangarajan, V., and T. V. Padmanabhan. Textbook of Prosthodontics- E-Book. Elsevier India, 2017.
Syrbu, John DDS. The Complete Pre-Dental Guide to Modern Dentistry. 2013.
“Tooth Loss in Seniors.” National Institute of Dental and Craniofacial Research, U.S. Department of Health and Human Services, www.nidcr.nih.gov/research/data-statistics/tooth-loss/seniors.
“Upper Denture Savings.” Carefree Dental, www.carefreedental.com/procedures/complete-upper-denture.