Implants vs Dentures: Which is the Right Choice for You?

When deciding between dental implants and dentures, it’s important to consider various factors that could impact your long-term oral health and comfort. Each solution has advantages and disadvantages of its own, and the best option for you will mostly rely on your dental needs, lifestyle, and personal tastes.

Below, we’ll explore the key comparisons between implants and dentures that will help you in making an informed decision.

Procedure for Dentures vs. Implants 

Dental Implants Dental implants need a sufficient amount of bone to place screw-like posts that will be capped with crowns. Implants have gained popularity in recent years, particularly among adults aged 55 to 64. The procedure begins with the extraction of a damaged or previously removed tooth root. Once the root is gone, a hole is drilled into the jawbone, where a metal post, or prosthetic root, is implanted deep into the bone. Over time, bone growth around the post secures it in place. This process can take a few months. Afterward, an abutment is placed on the post, and a crown is fitted to complete the procedure. The crown is customized to match the surrounding teeth, offering a natural and durable solution.

Dentures: Dentures are removable and can be customized to fit your mouth, regardless of how much bone is available. They can be available as partial dentures to replace a few missing teeth as well as full dentures to replace every tooth in the upper or lower jaw. The process starts with taking an impression of your gums and studying your bite and jaw alignment. A preliminary set of dentures is created, and your dentist will make any necessary adjustments before the final set is made. Dentures are made to look like real teeth and gums, and they are bonded to the gums with specific adhesives.

Cost of Dentures vs. Implants 

Dental implants are more costly than dentures due to the complexity of the procedure. An implant ranges from $1,600 to $2,200 per tooth, with additional costs for follow-up visits and potential bone grafting if needed. 

Dentures are more affordable, with a complete upper set typically costing around $1,600 and lower dentures priced similarly. However, keep in mind that dentures may require more frequent adjustments and replacements over time.

Maintenance of Dentures vs. Implants 

Dental implants require the same routine of care as natural teeth: twice-daily brushing, flossing, and routine examinations. With the right maintenance, implants can survive for many years.

In contrast, dentures require more maintenance. They should be removed at night, soaked in water or a special cleaning solution, and brushed daily.

Dentures may also need to be refitted over time as your bite changes, while implants, being permanent fixtures, may require replacement crowns if damaged.

Complications of Dentures vs. Implants 

Dental implants are generally safe but can sometimes present complications such as infection, implant failure, or mechanical issues like loose posts or cracked crowns. Dental implant failure occurs in about 5-10% of cases. 

Dentures, while less invasive, have their own set of challenges, including difficulties with them staying in place, soreness from ill-fitting dentures, and the need for frequent adjustments.

Making a Decision: Dentures vs. Implants 

Choosing between dentures and implants depends on several factors:

1. Age: Younger patients may benefit from implants due to their long-term durability, while older individuals who may not wish to undergo invasive procedures may prefer dentures.
2. Bone Density: Implants require sufficient bone material for secure placement. If bone density is lacking, a bone graft may be needed, adding to the cost and complexity. Dentures, however, can be used without concern for bone density.
3. Function and Comfort: Implants typically provide better comfort and chewing efficiency. For those who may have trouble maintaining daily care for dentures, implants offer a low-maintenance alternative.
4. Hygiene: If you are willing and able to take the time to care for dentures properly, they may be a good option. However, implants, although more expensive, are easier to maintain and offer more long-term benefits.