Complete edentulism refers to the loss of all teeth in either the upper or lower jaw. This condition affects not only aesthetics but also chewing function, speech, digestion, and self-confidence. Modern dentistry offers various treatment options to solve complete edentulism.
The most traditional solution is full dentures; however, implant-supported prostheses now provide a more comfortable and functional approach. The aim of treatment is to restore the function and aesthetics of missing teeth and improve the patient’s quality of life.
Which Methods Are Used in Complete Edentulism Treatment?
Several treatment options exist, and the choice depends on the patient's oral structure, bone density, and expectations:
Conventional Full Dentures:
Fixed bridge-type prostheses are made by placing 6–8 implants.
Implant-supported fixed prostheses can offer a different chewing and usage experience compared to conventional removable dentures.
Implant-Supported Removable Dentures:
2–4 implants are placed to stabilize the denture, improving comfort and chewing ability.
Implant-Supported Fixed Prostheses:
6–8 implants allow fixed bridge prostheses, providing comfort closest to natural teeth.
All-on-4 and All-on-6 Systems:
It allows fixed prostheses to be made with fewer implants and can be fitted within 2–3 days. It offers a significant advantage, especially for patients of advanced age with limited bone volume.
Every method has its advantages and disadvantages. Implant-supported solutions may offer different benefits compared to conventional prostheses; longevity and comfort depend on the individual and on maintenance.
How Long Does Complete Edentulism Treatment Take?
The duration varies by method. Conventional full dentures are usually prepared within a few weeks after impression taking.
Implant treatment takes longer since implants need 2–4 months to fuse with the bone. Additional procedures such as bone grafting or sinus lifting may extend the process.
In All-on-4 systems, temporary fixed teeth are delivered within 2–3 days, preventing edentulism during healing; however, permanent prostheses are placed after 3–5 months.
How Are Eating and Speaking Affected After Treatment?
Patients who use complete dentures may experience some difficulties at the beginning. Starting with soft foods helps make the adaptation process easier. Over time, chewing ability improves. However, with conventional removable dentures, consuming hard foods may always remain somewhat limited.
Implant-supported fixed prostheses aim to support chewing function; the experience varies from person to person. Hard foods can usually be consumed more comfortably. They may also offer an advantage for digestion, as food is broken down more effectively.
Speech can also differ depending on the type of prosthesis. With conventional dentures, the tongue and lips may need time to adapt to the new structure, which can cause temporary lisping or changes in sounds. With regular use and practice, these issues usually resolve. With fixed prostheses, speech typically returns to normal more quickly and easily.
What Factors Determine the Cost of Complete Edentulism Treatment?
Prices depend on many factors—primarily the chosen treatment method. Conventional dentures are the most economical, while implant-supported solutions are more costly but longer-lasting and more comfortable.
Bone structure, need for grafting, implant brands, prosthetic materials (porcelain, acrylic, zirconia), clinical technology, dentist experience, and laboratory quality all influence cost. Treatment is always planned individually.
This page is for informational purposes only.
For diagnosis and treatment, you should always consult your dentist.