Missing All Upper or Lower Teeth


A woman smiling after receiving treatment for her missing teeth at Keith A. Boenning, DDS in Towson, MDLosing teeth has a significant impact on every aspect of your life. The more teeth that you lose, the greater the effects. When you lose an entire arch of teeth, more than just your smile is impacted. It becomes more challenging to bite and chew, which can significantly impact your digestion and nutrition. Your speech suffers, making it more difficult to communicate effectively. Your jawbone begins to lose mass, weakening and changing shape. At Keith A. Boenning, DDS, we provide the treatment you need to replace an entire arch of missing upper or lower teeth, restoring the functions of those teeth and improving your life.

Traditional Dentures


Dentures have been the solution for an entire arch of missing of teeth for hundreds of years. They are a removable prosthesis that consists of false teeth set into a rigid base that sits directly on your gums, which provide support for the entire restoration. Dentures have undergone numerous changes over the years. These changes have helped to improve fit and functionality.

More modern changes have also helped to greatly improve the appearance of dentures, making them look much more like real teeth. Today, a full denture consists of acrylic resin teeth and an acrylic base. The teeth are made to look exactly like your real teeth. The base is also made to match the color of your natural gum tissue. These features help to provide a much more natural restoration of your smile.

Dental Implants


Dental implants are a modern alternative to traditional dentures. The treatment uses small titanium posts, which are surgically placed into your jawbone. As you heal, your bone fuses to the posts in a process called osseointegration. This process essentially turns the posts into strong, stable roots that hold your new teeth firmly and securely in place. Implants have many applications and can be used to replace an individual tooth, multiple teeth, or even an entire arch.

Options for Full Arch Restorations with Implants


There are many different types of full arch restorations using dental implants, making this treatment available to many different patients. Common types of full arch restorations include
•  Fixed implant supported dentures. Fixed implant supported dentures are the typical full arch restoration using dental implants. This treatment uses 6 to 8 implant posts to support your full arch of replacement teeth.
•  Bar-retained dentures. Bar retained dentures are used in instances where you might not have sufficient bone mass in your jaw to support the 6 to 8 implant posts. With this type of full arch restoration, only 4 implants are used. After the implants are placed, a titanium bar is attached to them. Your replacement teeth clip into place on the bar and can snap off for cleaning. With this type of treatment, the need for a bone graft is avoided.
•  All on 4. All on 4 is another treatment used to replace an arch of missing teeth when you do not have enough bone mass for a fixed implant-supported denture. It also helps to avoid the need for a bone graft. Four posts are strategically placed in your jaw to maximize contact between them and your bone, ensuring optimal osseointegration. Like fixed implant supported dentures, your teeth are secured into place permanently with small screws.

Combining Treatments


If you are missing both arches of teeth, you can opt for dentures for both arches or implants for both arches. However, dentures can be unstable and require special care each night. Implants are more invasive and more expensive. It is possible to combine dentures and implants. With this option, a denture is often used for the upper arch of teeth while implants are used for the bottom arch.

Replacing an entire arch of missing teeth can help to greatly improve your smile, your oral health, your overall health, and your life. For more information, and to find out which option is best for you, call Keith A. Boenning, DDS at (410) 828-1717 today.
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