Best complete dentures – which option to choose?

Which type of denture should you choose?

Over the years, you may have lost some or all of your teeth and received several treatment options from your dentist. Understandably, all the names and prices can be confusing.
To help you make an informed decision, let’s clarify some basic terms.
There are several options for patients with toothless jaws, such as acrylic dentures, bar-retained dentures, locator-retained dentures, or implant-supported solutions like all-on-4 or all-on-6.
The purpose of dentures is to replace missing teeth and restore chewing function.

Vacuum-based denture

This is a type of denture that doesn't anchor into the jawbone. It simply rests on the gums and jaw, relying on suction for retention. While this is usually the most affordable option, it's also the most difficult to get used to. These dentures are made from acrylic, so they're often referred to as acrylic dentures.
One common issue with upper acrylic dentures is the palate coverage, which many patients find uncomfortable. In the lower jaw, the denture tends to be pushed out of place by the tongue, making patients feel insecure while wearing it.
For this reason, the acrylic denture is classified as a removable prosthetic solution.

Implant-supported dentures

Bar-retained denture
This solution involves placing 4 dental implants, which are connected by a metal bar that is secured to the implants by the dentist. The bar itself is fixed and cannot be removed by the patient, but the denture clips onto it and can be removed when needed. The bar acts as a stable support for the denture.

All-on-4 and All-on-6 systems
These systems differ only in the number of implants—either 4 or 6. As with the bar system, the first step involves placing dental implants. In this type of restoration, the denture is fixed directly to the implants with screws, so it cannot be removed by the patien - only the dentist can take it off.

Locator or ball attachment dentures
This type of denture can be supported by just 2 implants in the lower jaw, but the upper jaw typically requires 4 implants. The denture snaps onto the locators, making it easy for the patient to remove and reinsert on their own. It functions similarly to the bar-retained system, but without a connecting bar between the implants.

Implant-supported dentures represent the most advanced option available today, offering excellent stability, improved chewing function, and a natural-looking appearance.

Full-arch bridge on implants

For patients with no remaining teeth, a ceramic full-arch bridge can be placed on implants. This involves placing 6 implants per jaw, which support 12 ceramic crowns.

This type of restoration provides exceptional stability and function, giving patients a sensation very close to natural teeth. The bridge can be attached to the implants either with cement or screws. Instead of a metal base, the framework can be made from zirconia, offering significant advantages.

Zirconia is lightweight and translucent, and its aesthetic properties give the teeth a highly natural look that is nearly indistinguishable from real enamel. This type of restoration offers outstanding visual results and blends beautifully with the surrounding tissue.

A full-arch bridge on implants delivers a long-lasting and visually flawless solution. It represents the highest standard in modern dentistry, offering both excellent function and a natural appearance.

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Which type of denture should you choose?

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