Like any medical procedure, wisdom tooth extraction can come with potential complications or unexpected outcomes. Some issues that patients may experience include damage to the sensory nerve, sinus communication, infections, and dry sockets.
One option is to place two implants in your lower jaw and create a denture that snaps onto these implants. This solution provides more stability when chewing than a traditional denture. However, some movement may still occur, and sore spots may develop if food particles, especially seeds, get trapped underneath. Like all removable teeth, periodic adjustments to your denture will be necessary.
Another option involves placing four to six implants, depending on the shape and size of your jaw, into the lower jaw. After healing, these implants are connected with a custom-made support bar. The denture is designed with internal retention clips that attach to the support bar, making the denture secure and stable. This "overdenture" reduces movement compared to the ball attachment and is still removable for easy cleaning.
A third option includes placing five or more implants in your lower jaw and securing a permanent denture to the implants. This denture is held in place by screws or clasps that attach it to the support posts or bar. Because it doesn't touch the gum tissue, it can be cleaned underneath without removal. This option replaces all your missing lower teeth and is only removed during maintenance visits. While cleaning under the denture requires more time and dexterity, many patients prefer this permanent solution.
The final option is replacing each missing tooth with an individual implant. This method creates the appearance of natural teeth growing out of the gum tissue. Typically, eight or more implants are needed, along with custom abutments or support posts for each tooth. Crowns are placed on the abutments to complete the restoration. This is the most costly option due to the number of implants required and the fabrication of individual replacement teeth. However, it may be the most aesthetic and functional option, depending on your jawbone's size and shape.
Similar treatment options are available for replacing all upper teeth. However, because the bone in the upper jaw is typically less dense than in the lower jaw, more implants may be required for support. In some cases, implants may eliminate the need for a complete denture that covers the roof of the mouth, allowing you to taste food and sense its temperature more naturally. While you'll still have a removable denture, cleaning the support bar and denture becomes easier.
With a sufficient number of implants, it may be possible to avoid covering the roof of your mouth with a complete denture. This option offers a more natural feel, allowing you to fully taste your food and better perceive its temperature. Although the denture is removable, it allows easier cleaning of the support bar and denture itself.
For a more permanent, natural solution similar to your original teeth, you may opt for individual implants in your upper jaw. Typically, this requires eight to ten implants, followed by the placement of abutments and crowns once healing is complete.