Dental Implant Maintenance…OVER-DENTURE VS FIXED BRIDGE

Fixed bridges are attached to your dental implants much like your natural teeth are connected to your bone. Because they are most similar to teeth, they do require some maintenance.

Most importantly is your daily routine at home. You must brush and floss your implant fixed bridge. You will also need to have regular x-rays to monitor the level of your bone. The bite needs to be checked routinely also. These are all things done during your cleaning appointments.

Overdentures are held in place by attachments that are embedded in the underside of the denture.

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These clips are made of plastic and they do wear out. You will know when they wear out because the overdenture will feel much looser. They wear out about every 18 months to 2 years on average. They are easily replaced my office in about 45 minutes.

The actual teeth on an overdenture will wear out. The teeth hardly wear at all on a fixed bridge. This is strictly due to the material that the teeth are made of.  Porcelain fixed teeth can chip, but generally are rarely replaced.

Overdenture teeth are made of plastic and wear out about every 5-8 years. When they wear out, they need to be replaced. If left to wear for too long, your face will begin to look older because the distance from your nose to your chin has gotten smaller.

The entire overdenture will probably need to be replaced at 10 years.  Although, overdentures are great solutions, they do require replacement.

A fixed dental implant bridge requires much less maintenance than an overdenture.


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9 thoughts on “Dental Implant Maintenance…OVER-DENTURE VS FIXED BRIDGE

  1. Susie

    Dear Dr. Amin,
    I had an overdenture and had lost two implants. I moved to another state and the surgeon said the loss could be due to an overdenture and agreed to placing two more implants for a total of six for a fixed bridge. The surgery was performed May 1, 2014. The TMD in my right jaw became so severe that I just received the third permanent bridge that was cemented in. The teeth on the left side do not make contact unless forced and I finally figured out that when I open my mouth and close for the impression, my jaw pops and moves to the left when closing causing my bite to change. My dentist keeps shaving the bridge teeth and my bottom natural teeth in an attempt to adjust the bite but it changes back within hours. The only way I can get my neck straightened back up and a little of my posture back is to hold my front teeth together. I have tried a chiropractor, neck wrap and bought an expensive chair but nothing helps. I’m becoming depressed and am in desperate need of advise.

    Reply
    1. RamseyAminDDS Post author

      Hmmm….if the bite keeps changing after being leveled many times the issue could be deeper than just “teeth.”

      Not to scare you, but I would evaluate you for a tumor that may be causing expansion of the bones that would change the bite. This is more rare but does happen.

      You can also try a DDS fabricated night guard over the teeth to help find a stable and reproducible bite.

      Good luck.

      Reply
      1. Susie

        Thank you. I saw my surgeon today and was given a frontal programmer for nights. She did a bite adjustment while manipulating my jaw. I received instant relief. Yay!

        Reply
  2. BILL

    I wish I would’ve known all this before I got my overdenture. It has broken so many times. The lower one is good but the upper 1 has had nothing but problems. One implant even fell out. I only had 2 implants on the upper

    Reply
    1. Ramsey Amin DDS

      Hi Bill,

      Upper over dentures are not as beneficial as lower over dentures. Need a lot more implants for them to be stable and to be without a palate. He is very rare for me to do it upper overdenture. It is much more common for me to do a Prettau dental implant fixed bridge or porcelain fused to metal fixed bridge on 6-8 implants. You can always upgrade to this.

      2 implants are never enough under any circumstances for the upper jaw to hold an overdenture. That only applies to a lower overdenture situation that requires minimal hold.

      All of this should be discussed during 3-D planning and treatment consultation so you know what expectations are.

      Respectfully,

      Ramsey Amin DDS

      Reply
      1. Marlene

        I have 4 implants on top and I am being told I still need a partial palate made for a over denture as the denture would break other wise

        Reply