Dental Implants vs. Dentures: Should I Get Implants or Dentures?

Willeri Dental Parkwood

Tooth loss can significantly impact your confidence, oral function, and overall well-being. You may have lost teeth due to gum disease, tooth decay, injury, or age-related changes. Finding the right way to restore your smile is an important step towards maintaining long-term oral health.

Both dental implants and dentures are widely used for replacing missing teeth. Each option has its own benefits and limitations, and what’s suitable will vary from person to person. The right option depends on your goals, medical history, and oral condition. Thanks to ongoing advancements in dental materials and technology, patients today have access to more comfortable and natural-looking options than ever before.

This article offers an evidence-based comparison of dental implants vs. dentures. It will help you understand how they differ in terms of function, aesthetics, cost, and long-term oral health. While both options can help restore your smile, the most suitable choice depends on your individual needs. That’s why it’s important to speak with your dentist for personalised guidance.

Summary of the Content:

  • Tooth loss can impact speech, function, appearance, and overall well-being. Two common options for replacing missing teeth are dental implants and dentures.
  • Dental implants are longer-term replacements consisting of a titanium post, abutment, and crown. They’re placed in the jawbone and fuse with the bone through osseointegration.
  • Dentures are removable appliances that restore appearance and function. They may replace some or all teeth in the upper or lower arch and are made from durable, gum-coloured materials.
  • Each approach differs in appearance, comfort, maintenance, cost, and procedure length. Implants offer greater stability, while dentures may appeal to those seeking a non-surgical option.
  • Suitability depends on gum health, bone density, medical conditions, recovery expectations, and lifestyle goals.
  • Costs can vary, and both upfront and long-term needs should be discussed with your dentist.
  • A personalised consultation can help you understand which tooth replacement method aligns with your dental needs and long-term oral health.

Dental Implants as a Replacement for Missing Teeth

A dental implant treatment is a long-term option for replacing missing teeth. They’re designed to restore the function and appearance of your natural smile by providing a strong and stable foundation for replacement teeth.

A dental implant consists of a small titanium post that is surgically placed into the jawbone. This post acts as an artificial tooth root, supporting an abutment and a crown that together restore the visible part of the tooth. The titanium material is widely used in medicine because it is biocompatible—it integrates safely with the body and promotes bone attachment.

The surgical procedure to place an implant is typically performed under local anaesthesia. With the help of digital planning and modern techniques, the process is precise and usually well-tolerated. During surgery, the dentist gently inserts the titanium post into the jawbone. In some cases, a healing abutment may be added to guide gum shaping for the future crown.

After the procedure, it is normal to experience mild swelling or discomfort for a few days. This can usually be managed with pain relief and home care. Over the following months, a natural process called osseointegration occurs. During this phase, the bone gradually bonds with the implant. This connection helps create a strong base for the replacement tooth to function similarly to a natural one. The healing period generally takes three to six months.

Dental implants are not suitable for everyone. Outcomes can vary depending on factors like bone density, oral health, and medical history. Your dentist will evaluate these considerations as part of your treatment plan.

What Are Dental Implants?

Dental implants are designed to replace missing teeth by replicating both the visible tooth and the root beneath the gum line. They are made up of three main components. Each one has a specific function that supports the stability and appearance of the final restoration.

  • Titanium Post (Artificial Root):
    The titanium post is a small, screw-like device that is surgically placed into the jawbone. It acts as an artificial tooth root, anchoring the implant securely in place. Titanium is commonly used because it is biocompatible. This means it integrates well with human bone and is generally well accepted by the body in most cases.
  • Abutment (Connector):
    The abutment is a connector piece that attaches to the top of the titanium post. It sits just above the gum line and supports the final crown, helping it stay stable and properly positioned.
  • Crown (Visible Tooth):
    The crown is the visible part of the implant and acts as an artificial tooth. It is custom-made to match the shape, colour, and size of your natural teeth. It’s typically made from ceramic or porcelain materials for a realistic appearance.

How Implants Stay in Place

One of the key features of dental implants is their ability to bond with the jawbone. This occurs through a biological process known as osseointegration, where the bone gradually fuses with the titanium post over several months. This creates a strong and stable foundation, allowing the implant to function much like a natural tooth.

Because of this secure integration, dental implants can offer reliable support for single teeth, bridges, or even full-arch restorations. However, the success of this process depends on factors such as bone health, oral hygiene, and individual healing responses. Your dentist will assess these factors during your consultation to determine whether implants are suitable for you.

Types of Dental Implants

Dental implants can be tailored to suit different levels of tooth loss, from a single missing tooth to full arch replacement. The type of implant used depends on how many teeth are missing and the health of the surrounding bone and gums. The patient’s treatment goals are also taken into account. Here are the main types of dental implant options available:

  • Single-Tooth Implants:
    A single-tooth implant is used to replace one missing tooth without affecting neighbouring teeth. It involves placing one titanium implant into the jawbone, which supports a custom-made crown. This option is often considered when a tooth has been lost because of injury, decay, or extraction. It is suitable when nearby teeth are healthy and stable.
  • Implant-Supported Bridges:
    When two or more adjacent teeth are missing, an implant-supported bridge may be recommended. Instead of placing an implant for each missing tooth, implants are positioned at both ends of the gap. A dental bridge is then secured on top to restore function and appearance. This structure spans the gap without depending on nearby teeth for support. It’s often used to replace several missing teeth.
  • Full-Arch Implants (e.g., All-on-4 or All-on-6):
    For patients missing most or all teeth in an upper or lower arch, full-arch options like All-on-4 or All-on-6 may be considered. These treatments involve placing four or six implants strategically in the jaw to support a complete set of prosthetic teeth. These designs are intended to offer stability and support oral function when multiple teeth or a full arch are missing. This helps avoid putting pressure on neighbouring teeth and can often be fitted with a dental bridge for long-term wear.

Each of these options has different structural requirements, costs, and treatment timelines. Your dentist will assess your oral health, bone density, and lifestyle preferences. These factors help determine the most appropriate treatment for your needs.

Dentures as Teeth Replacement

Dentures are a well-established option for replacing missing teeth and continue to be an important part of modern dental care. They offer a removable, non-surgical option for people who have lost some or all of their natural teeth. Tooth loss may result from decay, gum disease, injury, or age-related changes.

Over the years, traditional dentures have evolved significantly. Improvements in materials and design have led to removable dentures that feel more comfortable and look more natural than earlier versions. Many people continue to benefit from dentures as a practical way to restore their smile and maintain oral function.

Dentures come in different forms depending on how many teeth need to be replaced and the condition of the surrounding structures. Your dentist will work with you to determine the most appropriate approach based on your needs, preferences, and oral health.

What Are Dentures?

Dentures are removable appliances designed to replace missing teeth and surrounding tissues. They come in two main types: complete and partial dentures, depending on how many teeth are missing and the overall condition of the mouth.

  • Complete Dentures
    Complete dentures replace all the teeth in either the upper or lower arch—or both. These are often recommended when no natural teeth remain due to conditions such as advanced tooth decay, gum disease, or trauma. The denture base is made to fit snugly over the gums and is shaped to match the contours of the jaw. They are typically held in place by natural suction, and in some cases, denture adhesives may be used for added security.
  • Partial Dentures
    Partial dentures are used when some natural teeth are still present. They consist of replacement teeth attached to a gum-coloured base, supported by a lightweight metal or acrylic framework. These dentures usually stay in place using clasps that grip onto existing teeth. This helps restore function and appearance without altering nearby teeth.

Denture Materials and Comfort

Modern dentures are made from materials such as acrylic resin, porcelain, or flexible polymers, depending on the design and location in the mouth. These materials are chosen for their durability, lightness, and ability to mimic the appearance of natural teeth and gums.

Compared to conventional dentures, today’s designs offer improved comfort, appearance, and fit. Recent developments in denture fabrication have contributed to improved fit and comfort, making them easier to wear throughout the day.

Although dentures are removable, many people adapt well to wearing them with regular use and proper care. They can look natural and support both speech and chewing. This is especially true when they’re customised for your facial structure and bite.

The Denture Fitting Process

Getting dentures is a multi-step process designed to support comfort, function, and a natural appearance. Because every mouth is unique, creating well-fitting dentures typically requires several appointments over a number of weeks.

  1. Initial Consultation
    The process begins with a thorough dental examination. Your dentist will assess your oral health, discuss your goals, and determine whether complete or partial dentures are appropriate for your situation.
  2. Impressions and Measurements
    Next, detailed impressions of your gums, jaws, and any existing teeth are taken. These impressions are used to create custom models that help guide the design of your dentures. Your dentist may also measure how your jaws relate to one another to help achieve proper bite and alignment.
  3. Trial Dentures
    Before the final dentures are made, you’ll usually try a wax or plastic version of the denture. This trial fitting allows your dentist to check the shape, fit, and appearance—and make any necessary adjustments to support comfort and function.
  4. Final Fitting
    Once the trial version is approved, the final denture is fabricated by a dental laboratory. Your dentist will fit it in place and make minor adjustments to fine-tune the bite and comfort. It may take a few days or weeks to fully adjust to wearing them.
  5. Follow-Up and Adjustments
    As your mouth naturally changes over time, dentures may need to be relined or adjusted to maintain a proper fit. Follow-up visits are important to check for pressure spots, improve comfort, and support long-term oral health. Some patients may need more than one adjustment as they adapt to the new appliance.

Adapting to wearing dentures varies from person to person. It’s normal to experience mild discomfort, increased saliva flow, or speech changes at first, but these usually improve with time and consistent use. Your dentist will guide you through the process and provide tips for care and adjustment along the way.

Comparing Dental Implants and Dentures

When considering tooth replacement options, it’s important to understand how dental implants vs. dentures compare across several key areas. Both treatments have legitimate advantages and may be suited to different individuals based on health, lifestyle, and personal preference. This section provides a balanced, evidence-informed comparison without suggesting that one approach is universally better than the other.

Functionality and Comfort

  • Dental Implants:
    Dental implants are securely anchored into the jawbone and function similarly to natural teeth. They tend to provide greater chewing efficiency and can tolerate higher bite forces than removable options. Because they are integrated with the bone, implants generally remain stable during eating and speaking. This added stability can enhance comfort for many patients in day-to-day activities.
  • Dentures:
    Dentures rest on the gums and may shift slightly during use, particularly in the lower jaw, where suction is more limited. Some patients may need time to adapt to speaking and eating with dentures, especially during the initial adjustment period. However, many long-term denture wearers report good function and comfort with the right fit, regular adjustments, and supportive follow-up care. Some patients also prefer the removable nature of dentures for ease of cleaning and non-surgical management.

Appearance and Aesthetics

  • Dental Implants:
    Implants are often considered closer in appearance to natural teeth, as they emerge from the gum line without visible clasps. The crown is custom-shaped and colour-matched to nearby teeth, creating a seamless and lifelike result. Because implants are anchored below the surface, they offer deep support. This helps maintain gum tissue and facial structure more like natural teeth.
  • Dentures:
    Modern dentures are designed with gum-coloured acrylic bases and teeth that mimic natural enamel in shape and shading. When crafted well, these prosthetic teeth can restore a natural-looking smile and support the contours of the face. While they sit on top of the gums rather than below, current materials and fabrication methods have greatly improved their aesthetic appeal.

One important factor in long-term appearance is bone preservation. Implants stimulate the jawbone in a similar way to natural tooth roots. This may help maintain bone density and reduce the risk of a sunken appearance over time. Dentures do not provide this stimulation and may need more frequent relining or replacement as the underlying bone and gum shape change.

Longevity and Durability

  • Dental Implants:
    With proper care, dental implants offer a durable, long-term tooth replacement option. The titanium post can last for many years. While the crown may eventually need replacement due to wear, implants are known for their strength and longevity. Regular home care and professional dental check-ups are essential to maintaining implant health.
  • Dentures:
    Dentures typically last between 5 and 10 years, depending on wear and changes in the jawbone and gums. Materials used in denture fabrication can wear down over time, and the fit may need to be adjusted through relining or full replacement. Denture longevity also depends on cleaning routines, oral hygiene, and monitoring for changes in fit or comfort.

Both dentures and implants require daily cleaning and periodic professional reviews. Regular dental check-ups are important to assess fit, gum health, and function. Ongoing maintenance helps prevent irritation and extends the functional lifespan of both options.

Bone Health Considerations

Tooth roots play an important role in maintaining the jawbone. When a natural tooth is lost, the surrounding bone will begin to shrink through a process called bone resorption. Dental implants help reduce this effect because they act as an artificial tooth root, providing stimulation to the bone during chewing.

Dentures rest on the gums and do not engage with the bone in the same way. Wearing dentures for many years can lead to bone loss in the jaw. When this happens, the jaw shape may gradually change, which can affect how well the dentures stay in place or feel over time. This doesn’t mean dentures are inappropriate—it simply means they may require more adjustments over time to maintain comfort and function.

Bone health is just one of many factors considered during treatment planning. A thorough assessment by your dentist will help guide your treatment options. They’ll determine whether implants, dentures, or a combination suits your long-term oral health goals.

Cost Considerations

Understanding the financial side of tooth replacement options is an important part of treatment planning. Dental implants and dentures differ in both their upfront and ongoing costs. However, the long-term value of each option depends on a range of personal factors, including oral health, lifestyle, maintenance preferences, and future dental needs.

This section outlines key considerations to help you make an informed choice.

Initial Investment

Dental implants typically involve a higher initial cost due to the surgical procedure, multiple components, and materials used. Pricing generally ranges from $3,140 to $4,510 for a single dental implant. More complex restorations cost more.

  • Implant-supported bridges:
    $7,545 to $10,820
  • All-on-4 full arch implants:
    $24,275 to $42,745

These figures vary based on the number of implants needed. Other factors include whether bone grafting, sinus lifts, or specific types of prosthetic restorations are involved. Some costs may be partially covered depending on your health fund. Payment options are also available depending on your provider.

Dentures usually have a lower upfront cost and offer a non-surgical option for tooth replacement. Estimated fees include:

  • Full dentures (upper and lower):
    $2,795 to $4,700
  • Upper or lower denture only:
    $1,555 to $3,800

Costs depend on whether full or partial dentures are required, the materials used, and the number of adjustment appointments. Your dentist can provide a detailed quote tailored to your treatment needs.

Long-Term Financial Outlook

  • Dental Implants:
    Although implants require a greater initial investment, they may offer better long-term value for some patients. The implant post is designed to last for many years. While the crown or bridge may need replacement due to wear, implants typically require fewer adjustments over time. Good oral hygiene and regular dental check-ups are essential to maintaining long-term.
  • Dentures:
    Dentures generally need to be replaced every 5 to 10 years due to changes in jaw and gum structure or natural material wear. They may also require relining or adjustments to maintain a comfortable fit. While dentures are more cost-effective initially, it’s important to factor in long-term maintenance and replacement when comparing treatment options.

Who Is a Good Candidate?

When deciding between dental implants and dentures, it’s important to consider your individual health, lifestyle, and preferences. Each option has its advantages, but suitability varies from person to person. A dental professional can assess your needs and help you determine which option aligns with your goals and circumstances.

Medical and Dental Considerations

  • Bone density and jaw health:
    Dental implants need adequate bone volume and density for long-term support. In cases where bone is lacking, procedures such as bone grafting or sinus lifts may be recommended before placement.
  • Gum disease and oral health:
    Patients with active gum disease may need treatment before considering implants. Healthy gums and supportive tissues are essential for the stability of any dental restoration.
  • General health and oral surgery:
    Implants require minor oral surgery, which may not be suitable for everyone. Individuals with certain medical conditions—such as those affecting healing or immune response—may be better suited to non-surgical options like dentures.
  • Oral hygiene commitment:
    Both implants and dentures require daily cleaning and regular professional care. Implant patients should be especially committed to oral hygiene and check-ups to reduce the risk of complications.
  • Remaining teeth and bite alignment:
    If you have healthy remaining teeth, partial dentures can work with your existing bite. Implants may also be considered when adjacent teeth are healthy and shouldn’t be altered to support a bridge.

Lifestyle Factors

  • Treatment timeframe:
    Dental implant treatment usually takes several months from start to finish due to the healing process and integration of the implant with the jawbone. Dentures can typically be fitted over a shorter period—often within a few weeks—making them a faster option in some cases.
  • Comfort with surgical procedures:
    Some people may prefer to avoid surgery due to medical reasons or personal comfort. In these situations, dentures offer a non-invasive alternative.
  • Preference for stability or removability:
    Dental implants are securely anchored in the mouth. They do not need to be removed for cleaning. Dentures, on the other hand, are removable and may appeal to patients who prefer a prosthetic that can be taken out daily. Each has its maintenance routine and lifestyle implications.
  • Budget and long-term planning:
    Initial costs and ongoing maintenance are important considerations. While implants generally involve a higher upfront cost, they may require fewer adjustments over time. Dentures are more affordable at the start but may need to be replaced or relined periodically. The right choice depends on your long-term goals, financial priorities, and preferences.

A dentist will guide you through these factors and help tailor a treatment plan that aligns with your health, expectations, and lifestyle. Every case is different, and both dental implants and dentures have a valuable role in modern dentistry.

Making Your Decision

Choosing between dental implants and dentures is a significant decision—one that involves careful thought and professional guidance. Each option has its own considerations, and what works well for one person may not be ideal for another. Several factors influence the right choice for tooth replacement. These include your oral health, personal preferences, comfort with surgery, and long-term goals.

Discuss both dental procedures with your dentist to better understand what’s involved. They will help you weigh the pros and cons of each based on your individual situation, health status, and expectations. This collaborative approach helps develop a treatment plan that supports your oral function, comfort, and lifestyle over time.

Questions to Ask Your Dentist

To make the most of your consultation, consider discussing the following:

  • Will I need a full dental examination before we decide which option is suitable?
  • Am I a candidate for implants, dentures, or both?
  • What are the steps involved in each procedure, and what’s the expected recovery time?
  • How will each option affect my daily routine, including speaking, eating, and cleaning?
  • What are the expected maintenance requirements over time?
  • What are the initial and long-term costs associated with each option?
  • How often will I need follow-up appointments or adjustments?

These questions are designed to start a helpful and open conversation. Your dentist may raise additional points based on your oral condition and health history.

The Importance of Professional Advice

There’s no universal answer when it comes to tooth replacement. Implants and dentures both offer effective ways to restore missing teeth. The right approach depends on your unique needs and overall health circumstances. A professional assessment will take into account your bone structure, medical history, personal preferences, and oral goals.

Seeking advice from a qualified dental provider can help create a personalised care plan. This plan should suit your needs and support your long-term oral health. A well-informed decision, made in collaboration with your dentist, supports confidence in the treatment you choose.

Final Thoughts

When comparing dental implants vs. dentures, both have unique benefits depending on your situation. Each option has a valuable role in modern dentistry and can help restore function and confidence after tooth loss.

The most suitable choice depends on factors—including your general health, oral condition, lifestyle preferences, and comfort with procedures. Some patients may prefer the stability of implants, while others value the flexibility of dentures. There’s no single option that fits everyone, which is why professional advice is essential.

Whichever option you choose, it should support your long-term dental health and align with your personal goals. If you’re exploring your options, you’re welcome to contact Willeri Dental Parkwood for a tailored assessment. Our team can guide you through your choices at your pace—without pressure, just clear and honest advice.

Dr. Meheransh Chopra

Principal Dentist

Dr. Chopra is an experienced dentist who graduated from the University of Western Australia. He focuses on educating patients to make informed decisions about their dental health.

Besides dentistry, he enjoys motorsports, football, and music, showcasing a well-rounded lifestyle. He is also the Vice President of the WA Dental Alumni Association.

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