What to Expect When Getting Implant-Supported Dentures

Dentures are a viable replacement option if you are missing one or multiple teeth. If you are looking for a permanent solution, consider implant-supported dentures. These restoratives are a favorite among dental professionals, as they are known for their durability and long-lasting results. However, patients will need to be able to commit to the somewhat lengthy process after the approval. Here is what you can expect during each appointment.

Consultation appointment

The first appointment is to determine whether the patient can undergo the strenuous process involved in implant-supported dentures. This is largely because dental implants, which serve as the anchor for the dentures, are going to be screwed into the jawbone. Therefore, the ideal candidate will have sufficient amounts of healthy bone density. Furthermore, a portion of the dental implant will need to be covered by the gums, making it necessary for the ideal candidate to have sufficient amounts of gum tissue.

First surgery

The first surgery involves anchoring the dental implant's base into the jawbone. To dissipate pain or discomfort, the dentist will use anesthesia. Therefore, the patient will likely need to arrange a ride home and schedule time off from work for a few days. The dentist will then create an incision in the gum line before drilling a hole into the jawbone. The number of incisions and holes depends on whether the patient receives partial or complete dentures. However, once decided, the dentist will screw them into place. To finish, they will suture the gum tissue around the jawbone and implant base so the patient can begin healing.

Healing phase

The first of two healing phases is known as osseointegration. This phase lasts approximately three months but can last longer, depending on the patient's healing abilities. In addition to healing, the jawbone and implant base fuse. At this time, we can usually tell if the body will accept the implant. However, implant failure or rejection can occur at any time. Patients will also attend check-up appointments during this phase before their second surgery.

Second surgery

The second surgery is less invasive than the first, only requiring the placement of the abutment. The abutments are pieces of titanium that attach to the implant's post and will serve as the anchor for the dentures. The process only involves reopening the gumline— not the jawbone— and firmly attaching the abutment to the post, which will then jut or stick out from the top of the gumline. The dentist will also take impressions of the mouth so the custom dentures can be crafted at an offsite location. Finally, they will fit the implant for a temporary denture to protect the rest of the mouth and the implant from debris and damage.

The patient will enter another healing phase, approximately two weeks, usually long enough for the gum line to heal and the dentures to be crafted and returned to the office.

Final appointment

The final appointment involves removing the temporary dentures and firmly anchoring the permanent ones. The dentist will then coach the patient through a bite-and-fit test and may make minor corrections if necessary. They will finish the appointment by reviewing proper care techniques and products and answering any questions the patient may have.