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.

A mouth with the lower jaw missing all of its teeth
1. Before
A mouth with the lower jaw with two implants and no bottom teeth
2. Implants Placed
A mouth with a Ball Attachment Denture latched onto the lower jaw by two implants
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.

A mouth that has all teeth missing on its lower jaw
1. Before
A mouth without teeth and four implants connected by a metal bar on its lower jaw
2. Implants Placed
A mouth with a Bar Attachment Denture secured onto the lower jaw by four implants
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.

A mouth that has all lower jaw teeth missing
1. Before
A mouth that has six implants and no teeth on its lower jaw
2. Implants Placed
A mouth with a Screw Attachment Denture affixed onto the lower jaw by six implants
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.

A digital representation of the lower jaw missing all of its teeth
1. Before
A mouth showing the lower jaw with all the teeth as individual implants
2. Implants Placed
A mouth showing the healed lower jaw after individual implants were 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.

An Implant Retained Upper Denture with its implants attached

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 Dental Implants

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.

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Pleasanton Prosthodontics

5 out of 5 stars based on 43 Missing All Upper or Lower Teeth reviews

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I would say if you fear going to the dentist they might change your. I would gladly recommend them to family and friends.

- Anonymous

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Nice office, Dr Chao is very gentle and explains everything before each procedure, All the staff is very friendly and helpful.

- Steve F

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I am very pleased with the results of my Prosthidontic treatments. Dr. Chao and her team was a pleasure to deal with!

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Wonderful care!!! ️️️️️

- Susan R

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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

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I recently had the pleasure of undergoing a full mouth reconstruction with zirconia crowns at Pleasanton Prosthodontics’ office, and I am absolutely thrilled with the results! After years of feeling self-conscious about my smile, I finally have the confidence to show it off, thanks to the incredible work of Dr. Nguyen. From the initial consultation to the final fitting, the care and attention to detail provided by Dr. Nguyen and their team were exceptional. They took the time to explain every step of the process and made sure I was comfortable and informed throughout. The professionalism and expertise displayed by the entire staff made me feel at ease, even during the most extensive procedures. The quality of the zirconia crowns is outstanding, and the transformation is truly remarkable. Not only do they look incredibly natural, but the fit is perfect, allowing me to eat and speak comfortably without any issues. It’s a game changer to finally enjoy meals and conversations without any discomfort. I am deeply grateful to Dr. Nguyen for restoring not just my smile but my confidence as well. I highly recommend their services to anyone considering a full mouth reconstruction. Their meticulous work and the stunning outcome have made a significant impact on my life, and I couldn’t be happier with the results. Thank you, Dr. Nguyen, for giving me a reason to smile with pride!

- Eugene S

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Everyone at this office, from staff to Dr. Chao, is so sweet, kind, helpful, professional and top notch at what they do!

- Gilbert L

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I have had a very positive experience in every encounter with Dr. Chao. Not only does she strive to deliver excellent prosthodontic work, she also treats me with compassion, courtesy, and respect as a patient at every visit. Well done, Dr. Chao!

- Andrea B

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Dr Maggie Chao has extensive experience in dental works. She listens to your concerns and will help to solve and take care of your needs. I would highly recommend Dr Maggie Chao who needs advanced dentistry.

- Isabella C

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It is worth driving from Castro Valley. I’m so impressed,everyone gets along and I feel a part of a family.

- Colleen Pearl

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Great service,great staff , I would definitely recommend to family and friends.

- Jorge G

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Amazing group of processionals. Dr. Olivia Nguyen explained my procedure thoroughly. She restored my smile back! Thank you Dr. N!!

- Eloisa N

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My son got his teeth bonding completed by Dr. Maggie Chao who did a fantatic job. His teeth turn out great and our overall experience was painless.

- Isaiah W

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I had the All in 4 surgery and it was the best surgery experience that I have ever encountered. Dr. Chao was so professional but also very concerned for my well being. I NEVER had ANY pain after surgery. I ended up throwing the pain pills away as I never needed them. The process was long but through it all I could hear the doctors talking to me and assuring me that everything was going well. When I woke up and the surgery was complete, the staff was really attentive and gave me instructions to follow at home. I received the normal call to see if I was okay the next day. The experience I have to say was so very positive, the best thing I did was to choose Dr Maggie Chao and she referred me to Dr Ali Alijanian for my extractions. The was the first time my experience of dental surgery was so positive and with a brilliant outcome. I am truly happy with the All in 4 and so happy with Pleasanton Prosthodontics. I would highly recommend this office.

- Tina J

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Dr. Nguyen and the staff at Pleasanton Prosthodontics have been immensely professional and attentive. I am so happy with my crown (on a front tooth, no less) and new mouthguard. It looks and feels great, and I can finally bite into my food again. Thank you!

- Nathan L

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My wife received a permanent implant procedure at Pleasanton Prosthodontics. The attention to detail and professionalism displayed by Dr. Olivia Nguyen and her Clinical Assistant, Yolanda, surpassed our expectations and left a lasting impression. From the moment we walked through the door, the staff at Pleasanton Prosthodontics ensured that Gina felt welcomed and comfortable. Dr. Nguyen's expertise and dedication were evident throughout the entire process. She took the time to thoroughly explain the procedure, addressing all of Gina's concerns and ensuring she felt confident moving forward. Yolanda, Dr. Nguyen's Clinical Assistant, played a crucial role in making Gina's experience as smooth as possible. Her warmth, compassion, and efficiency were truly remarkable. What truly sets Pleasanton Prosthodontics apart is their commitment to providing personalized care. Dr. Nguyen and her team tailored the treatment plan to suit Gina's specific needs, ensuring the best possible outcome. Their attention to detail and dedication to excellence were evident every step of the way. Thanks to the exceptional care provided by Dr. Nguyen and Yolanda, Gina's permanent implant procedure was a success.

- RODRIGO A

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Very competent

- Carole C

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Always a pleasure. Never feel rushed and they are genuinely interested in taking the time to make sure they are doing the best care for you possible.

- John W

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I was very pleased and satisfied with this visit. Wonderful!

- Anne A

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Very tough crown/abutment failure but it was handled extremely well and saved the implant!!!

- Ronald M

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