Missing All Lower Teeth
Although many patients have no problem wearing an upper denture, some people find it difficult to wear and eat with lower dentures. Several implant-supported replacement options are available if you are missing all of your lower teeth.
Ball Attachment Denture
One option is to have two implants placed in your lower jaw and a denture made that snaps onto these implants. This option allows your lower denture to be more stable while chewing than without implants. However, there will still be movement of your lower denture, and sore spots will occur if any food particles, especially seeds, are caught under it. As with all removable replacement teeth, you still will need periodic appointments for denture adjustment.
1. Before
2. Implants Placed
3. Denture Attached
Bar Attachment Denture
Another option involves placing four to six implants, depending on your jaw size or shape, into your lower jaw. After healing is complete, the implants are connected with a custom-made support bar. Your denture will be made with special internal retention clips that attach onto the support bar, enabling the denture to snap firmly into place. This is called an “overdenture.” The advantage of this option is that it is much more stable than the first option and allows very little denture movement. Your denture is still removable for easy cleaning and maintenance.
1. Before
2. Implants Placed
3. Denture Attached
Screw Retained Denture
A third option involves placing five or more implants in your jaw and attaching a permanent denture. Your denture is held in place by screws or clasps that secure it to the support posts or bar. It doesn’t touch the gum tissue, which allows you to clean under the denture without removing it. This denture will replace all your missing lower teeth and will not be removed except at maintenance visits. Although cleaning under your denture without removing it is more time consuming and requires more dexterity, many patients who want a permanent denture prefer this option.
1. Before
2. Implants Placed
3. Denture Attached
Individual Implants
The final option is to have all your teeth individually replaced so that they will appear to be growing out of your gum tissue and will most closely resemble the appearance of your natural teeth. This option usually requires eight or more implants. Separate abutments or support posts for each one of these implants will be made and crowns for each missing tooth will be placed. The teeth are often joined together for sinus grafting to replace bone height strength and support. Overall, this is the most costly option, because it requires the most implants and individual replacement tooth fabrication. Your replacement options may also be limited by the current size and shape of your jawbone.
1. Before
2. Implants Placed
3. Healing Completed
What If I’m Missing All Of My Upper Teeth?
A similar range of treatment options is also available for your upper jaw. However, because the bone is not as hard as that in the lower jaw, people often need more implants to support their new replacement teeth. Depending upon the number of implants to be placed, it may be possible to eliminate the need for covering the roof of your mouth with a complete denture. This option allows you to fully taste your food and gives you a better sense of its temperature. Your denture will feel more natural. You will still have a removable denture, which makes cleaning the support bar and denture much easier.
Implant Retained Upper Denture
Depending upon the number of implants to be placed, it may be possible to eliminate the need for covering the roof of your mouth with a complete denture. This option allows you to fully taste your food and gives you a better sense of its temperature. Your denture will feel more natural. You will still have a removable denture, which makes cleaning the support bar and denture much easier.
Individual Upper Implants
If you want a restoration that is similar to your natural teeth and therefore not removable, you probably will need eight to ten individual implants placed. This is followed after healing by the placement of the abutments and new replacement crowns.
Pleasanton Prosthodontics
Our Latest Patient Testimonial
We had the privilege of meeting Dr. Chao after consulting with three other prosthodontists, each of whom recommended vastly different—and at times, extreme—treatment plans for our aging mother. From the very first visit, Dr. Chao and her team stood out for their kindness, compassion, and professionalism. Unlike other practices, Dr. Chao took her time to carefully explain the entire process, ensuring we understood every step and how it would be tailored to our mother’s unique needs, especially given her underlying health issues. What truly set Dr. Chao apart was her incredible attentiveness. She listened intently to all of our mother’s concerns and addressed each one with an impressive level of care and thoughtfulness. It was clear that she was not only focused on the technical aspect of the treatment, but also deeply concerned about our mother’s comfort and long-term well-being. The results speak for themselves—my mother’s dentures now feel like a natural part of her, something she hasn’t experienced in over four years. The fit, comfort, and quality are exceptional. Dr. Chao didn’t rush; she meticulously crafted a solution built to last. We are beyond grateful for the life-changing care she provided and would highly recommend her to anyone seeking the absolute best in prosthodontics.
- SamM
Our Latest Patient Testimonial
With the advice of my general Dentist to get serious about my teeth. With this i started out at 80 years old to do something. Did some talking with various firms and Dr. Chao. I decided to try Dr. Chao a small local provider. Extremely satisfied with the upper implants at 84. Again i had the lower implants with the same results. Very pleased at 85 with them all. So i give them a thumbs up and 100% recommendation.
- Ken B
Our Latest Patient Testimonial
No additional comments
- Steve M
Our Latest Patient Testimonial
I was happy to replace my old denture at Pleasanton Prosthodontics. Doctor Nguyen is highly skilled in this kind of dentistry. She made my teeth look attractive and my eating more comfortable and enjoyable. Even though it is a bit expensive but ultimately worth it.
- Sasha M
Our Latest Patient Testimonial
Everyone was so lovely and kind - I am so pleased with my teeth. The way Dr. Chao made me feel like I had a winning smile before any work was done cannot be understated. I came here from a referral (via my orthodontist) for veneers and Dr. Chao was so nice about my teeth right from the beginning. I felt so confident and happy while sitting in her chair and trusted her completely with the final product. Everyone on staff was also so lovely and kind. Highly recommend coming here to experience top notch service, care, and consideration.
- Elaine T
Our Latest Patient Testimonial
I had to have a new nightguard made as mine was no longer functional. Dr. Nguyen took her time in adjusting my bite with my new nightguard, and with such care. I have a difficult bite, and she really took the time to listen to me, and left it open for future adjustments as she knew I would most likely need them. I am so happy with the doctors, and all of the staff in this office. It is really a rare find!!!! I feel so blessed to have found my dental home.
- Dee P
Our Latest Patient Testimonial
The staff is way, great, real friendly, real talkative, real helpful, respectful, and down the Earth
- Cynthia green
Our Latest Patient Testimonial
Amazing staff and doctors!
- Anonymous
Our Latest Patient Testimonial
I had been working on a plan for my bridge work for over 20yrs. Dr Chao came up with a good plan that we both agreed to and executed on it. I’m super happy with my new teeth!
- Dimitri K
Our Latest Patient Testimonial
Super friendly, efficient and knowledgeable
- Linda Chao
Our Latest Patient Testimonial
Always superb care
- Anonymous
Our Latest Patient Testimonial
Hi Had oral cancer an was needing teeth to be pulled it has been many other dentist that dould not work on me do to the radiation treatments I had! Dr.Chao an Tara went over and above to find someone who could help me an for this I will be forever greatfull my journey has yet to begin with a lot of risk but I feel at ease with all these wonderful people going full blast to help me!
- Andrea A
Our Latest Patient Testimonial
Staff's are all nice and friendly. Dr. Olivia Nguyen is very accommodating, kind and knowledgeable . Thank you Dr. Nguyen for taking care of me, I'm so glad that you're my dentist!
- Susan D
Our Latest Patient Testimonial
Very nice and professional.
- Jackie C
Our Latest Patient Testimonial
Everyone is fabulous, and they’re great with information that’s needed for one’s “upgraded” teeth. Happy with mine. Dr. Olivia is smart, lovely and she has great teeth! Her team is warm and pleasant at all times. Thank you, Ladies! Highly recommended.
- Marie G
Our Latest Patient Testimonial
I would say if you fear going to the dentist they might change your. I would gladly recommend them to family and friends.
- Anonymous
Our Latest Patient Testimonial
Nice office, Dr Chao is very gentle and explains everything before each procedure, All the staff is very friendly and helpful.
- Steve F
Our Latest Patient Testimonial
I am very pleased with the results of my Prosthidontic treatments. Dr. Chao and her team was a pleasure to deal with!
- Alex V
Our Latest Patient Testimonial
Wonderful care!!! ️️️️️
- Susan R
Our Latest Patient Testimonial
I highly recommend Dr. Chao professional and expert care from crowns to implants (for my daughter). She does beautiful work, and I couldn’t tell which tooth was the implant when all was done.
- Kimberly C