When patients are missing all teeth in one or both jaws but do not want removable appliances, permanent implant reconstructions are often possible. Treatment options depend on your overall oral health, and often include several different procedures.
Multiple implants placed in the jaw can support permanently cemented porcelain crowns or bridges. Sometimes all the teeth in the jaw can be replaced in this manner. When using this approach, it is important to be sure that there is adequate support for the lips and facial soft tissues, as this can vary from patient to patient. Some patients may have a high lip line, which could expose areas of gum and bone recession when they smile. But if the lip support, bone support and smile line allow implant supported porcelain bridges and crowns, they are the most natural-feeling and lifelike options.
When additional lip support is required, a hybrid bridge may be a better option. A hybrid bridge is screw-retained and is not removable by the patient. It can provide an acrylic flange to allow better lip support and mask areas of gum and bone recession.
Either of these options may also require additional planning and auxiliary procedures such as bone grafting, sinus lifts, CT scans and surgical guides. These all help to ensure more precise implant positioning and better support, and are especially useful when normal “landmarks” are missing (e.g., the natural positions of teeth).
As prosthodontists, Dr. Bryant and Dr. Junge are also trained in complex care management, which may include multiple dental specialists, outside medical treatment and advanced dental laboratory services. We supervise every aspect of the process very carefully to ensure the results meet our exacting standards.