Removable dentures are dental prosthetics designed to replace missing teeth. They have become a popular solution due to their flexibility, affordability, and ability to meet the needs of diverse patients, particularly older adults or those with limited budgets.
Choosing removable dentures can be a complex decision. For dentists, understanding the technical aspects, clinical features, and patient expectations is essential for providing accurate recommendations. This not only ensures optimal treatment outcomes but also builds patient trust, a vital factor for the success of any prosthetic treatment plan.
Removable dentures are flexible prosthetic solutions with a base made from acrylic or flexible materials like Valplast®, secured with metal or resin clasps, or sometimes supported by implants (overdentures). These dentures are easy to remove, offering convenience and suitability for patients with extensive tooth loss, particularly seniors.
In contrast, fixed dentures include fixed bridges or full-arch dentures supported by implants (e.g., All-on-X). These prosthetics are non-removable, providing a feel similar to natural teeth, but require advanced techniques for placement.
Fixed Dentures
Removable dentures are commonly fabricated using acrylic or flexible materials such as Valplast®. The process involves a precise base design to ensure a comfortable fit and stability. Implant-supported removable dentures (overdentures) require coordination with Locator Abutments or Metal Housings to achieve secure attachment. However, the fabrication of removable dentures is generally simpler, faster, and well-suited for dental labs with standard production facilities.
On the other hand, fixed dentures demand a higher level of craftsmanship due to their design and placement complexity. Fixed bridges require precise accuracy to ensure a perfect fit between the prosthetic and the abutment teeth, while full-arch implant-supported dentures (All-on-X) must balance aesthetics and functional force distribution.
Producing fixed dentures typically involves advanced technologies like CAD/CAM (computer-aided design and manufacturing), zirconia casting, or other premium materials. These processes deliver exceptional durability and natural aesthetics but require specialized expertise from dental labs equipped with cutting-edge technology and skilled technicians.
Fixed Dentures
From an aesthetic perspective, fixed dentures typically outperform due to their natural design and absence of visible metal clasps, meeting the needs of younger patients or those with high aesthetic expectations. Modern removable dentures, such as Valplast®, have also made significant improvements in aesthetics. However, traditional removable dentures with acrylic bases often reveal visible metal clasps or seams when patients smile.
The load-bearing capacity of these two types of prosthetics varies significantly. Fixed dentures can handle high chewing forces and distribute pressure evenly across the implants or abutment teeth, closely resembling natural teeth. This not only reduces the risk of bone resorption but also enhances chewing efficiency.
In contrast, removable dentures can only withstand moderate chewing forces, making them suitable for elderly patients or those with weaker supporting tissues. However, their limited ability to distribute force evenly can lead to bone resorption or gum deformation over time.
Fixed Dentures
In terms of cost, removable dentures are a more economical option, especially acrylic-based ones. Although Valplast® dentures are more expensive, they offer better comfort and aesthetics. Fixed dentures, on the other hand, require a higher initial investment due to the use of implants and advanced technology. However, they provide a long-term solution, ultimately saving costs by reducing the need for replacements in the future.
Dentists must thoroughly evaluate factors such as the patient’s overall health, jawbone structure, soft tissue condition, and financial capacity before recommending the appropriate solution.
Fixed dentures, including dental bridges and All-on-X solutions, are permanent restorations with outstanding advantages in aesthetics and chewing function. They are suitable for the following cases:
Fixed Dentures
Both removable and fixed dentures have their advantages and disadvantages. Dentists must thoroughly assess clinical factors and patient needs to recommend the most suitable solution. If you’re looking for a dental lab that provides high-quality restorations, contact VTS for a detailed consultation.
