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Implants & Prosthetics

Dentures and Dental Prostheses

Complete and partial dentures, bridges and implant-supported prostheses: when each is considered, how they are made, getting used to them, care and replacement.

Last updated:

Medically reviewed by:Dt. Emre Ersaçan

Illustrative image: acrylic complete denture on a plaster model

Quick Facts

Number of visits
Usually 3–6 visits, depending on the type of prosthesis
Types
Complete, partial, fixed bridge and implant-supported prosthesis
Adjustment period
Usually a few weeks for removable dentures
Care
Taken out and cleaned every day (removable dentures)
Check-ups
Fit and gum assessment at least once a year

A dental prosthesis is the umbrella term for appliances made to replace missing teeth and the surrounding tissues, both in function and in appearance. It can be removable or fixed.

This page explains the types of prosthesis, when each one is considered and how the adjustment period usually goes, for information purposes. Which option is right for you can only be decided after an examination and radiographic assessment.

Types of prosthesis

TypeSuitable forSupported by
Complete denturePeople missing all the teeth in one jawGums and the surface of the jawbone
Partial denturePeople missing some teethRemaining teeth and gums
Fixed bridgeOne or a few missing teeth in a rowThe teeth on either side of the gap
Implant-supported prosthesisPeople whose bone is suitable for implantsImplants placed in the jawbone

Removable dentures can be taken out of the mouth; fixed bridges and fixed implant-supported prostheses cannot.

Fixed or removable?

Fixed (bridge / implant-supported)Removable
Can it be taken out?NoYes
Effect on neighbouring teethA bridge requires the teeth to be reducedPartial dentures rest on clasps
Jawbone requirementImportant for implantsLess decisive
Adjustment periodShortUsually a few weeks
CleaningIn the mouth, with interdental brushesTaken out, every day
Treatment timeImplants add a healing periodShorter

How is a denture made?

  1. Examination and planning. The remaining teeth, gums and jawbone are assessed and X-rays are taken. If a tooth needs to be extracted, healing is awaited first.
  2. Impressions. Impressions are taken of the jaw and any remaining teeth.
  3. Bite registration. The relationship between the upper and lower jaws is recorded.
  4. Try-in. For removable dentures, the shape, shade and position of the teeth are tried in the mouth.
  5. Completion and fitting. The prosthesis is finished and its fit is checked.
  6. Follow-up adjustments. Extra appointments are planned in the first weeks to relieve any areas that rub.

What is normal while getting used to it?

  • A feeling of fullness in the mouth
  • Temporary changes in speech
  • Increased saliva
  • Some difficulty chewing
  • A mild gagging sensation (especially with an upper complete denture)

These complaints usually ease within a few weeks. Sores or marked pain are not normal; if they occur, see your dentist.

How should a denture be cared for?

TopicAdvice
Daily cleaningTake the removable denture out and clean it with a denture brush
Water temperatureDo not use hot water; it can distort the denture
Inside the mouthBrush the gums and any remaining teeth separately
At nightTake it out and store it as your dentist advises
Risk of droppingClean it over a basin filled with water
RepairsDo not glue a fracture or crack at home; bring it to your dentist
Check-upsHave the fit and gums assessed at least once a year

Risks and possible problems

  • Sores and pain where the denture rubs
  • Fungal infection under the denture (especially if it is not taken out at night)
  • Gradual shrinkage of the jawbone and loss of fit over time
  • Strain and decay on the supporting teeth of a partial denture
  • Fracture of the denture or a tooth coming loose
  • Chewing force that is more limited than with natural teeth

This list is not exhaustive. Risks specific to you are discussed during the examination and the informed consent process.

What should patients travelling from abroad consider?

A prosthesis is made over several appointments, and the adjustment visits in the first weeks after fitting are part of the treatment. Whether a prosthesis is suitable for you, and which type, can only be decided after an examination and imaging in the clinic.

TopicWhat to know
Number of visitsUsually 3–6 visits, depending on the type of prosthesis
Waiting periodsIf teeth need to be extracted first, healing is awaited before impressions; implant-supported options add a healing period
After fittingRemovable dentures usually take a few weeks to get used to; extra appointments for areas that rub are planned in the first weeks
Records in advanceRecent X-rays and dental records can be shared before your visit
Back homeAnnual check-ups of fit and gums, and any relining, can continue with a local dentist

About treatment fees

No fee information is given on this page. The type of prosthesis, the number of teeth and any treatment needed beforehand vary from person to person; fees can only be discussed after an examination, once a personalised treatment plan has been drawn up.

Frequently Asked Questions

Short answers to the questions patients ask most often about this treatment.

What types of dental prosthesis are there?

There are four main groups. A complete denture is used when all the teeth in a jaw are missing; a partial denture when only some teeth are missing. A fixed bridge is supported by the teeth on either side of the gap. An implant-supported prosthesis is anchored to implants placed in the jawbone.

Fixed bridge or implant?

A bridge requires the neighbouring teeth to be reduced in size; an implant leaves the neighbouring teeth untouched but involves a surgical procedure and a healing period. The choice depends on the condition of the neighbouring teeth, the volume of the jawbone and your general health.

How long does it take to get used to a removable denture?

In the first days a feeling of fullness, changes in speech and increased saliva are normal. Most people adapt within a few weeks. During this time it is advisable to start with soft foods and to spread each bite across both sides of the mouth.

What should I do if my denture rubs?

See your dentist before a sore develops in the area where the denture rubs. Adjustments are made by the dentist; cutting, sanding or heating the denture at home damages both the denture and the tissues.

How is a denture cleaned?

Removable dentures are taken out every day and cleaned with a denture brush. Do not use hot water, as it can distort the denture. The gums and any remaining teeth are brushed separately. If your dentist recommends it, denture cleaning tablets can be used.

Should dentures be taken out at night?

Taking removable dentures out at night is generally recommended; this lets the gum tissue rest and reduces the risk of fungal infection. A denture that has been taken out should not be left to dry, but stored as your dentist advises.

How often does a denture need to be replaced?

The jawbone and gums change over time, so the fit of a denture can deteriorate. No specific lifespan can be promised. Loss of fit, fractures or wear may make relining or replacement necessary; regular check-ups allow this decision to be made in good time.

Questions about a treatment? We are a message away.

Whether a treatment is suitable can only be decided after an examination and, where needed, imaging. Contact the clinic to plan your first visit.

References

The information on this page is based on the sources below. Links were accessible when last checked.

  1. Cleveland Clinic. What Are Dentures? Types, Care & Benefits. Health Library
  2. American Dental Association. Dentures. MouthHealthy
  3. American Dental Association. Bridges. MouthHealthy
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