Dental Implant vs Dentures Compared

Dental implants and dentures are two common solutions for missing teeth. Dental implants are surgically placed into the jawbone to replace missing teeth, while dentures are removable prosthetic teeth that sit on top of the gums. Both of these solutions can restore function as well as improve the aesthetics of your smile.

Dental implants are often the most appropriate option for patients who want a long-term solution that feels and functions like natural teeth. Dentures may be suitable for patients who need a faster, more economical, or non-surgical solution for missing teeth. It’s important to consider what both procedures entail in terms of the process, cost, required maintenance, and durability before making a decision.

What Are Dental Implants?

Dental implants are artificial tooth roots that are surgically attached to the jawbone and later covered with a dental crown attached to a connector (“abutment”). The artificial roots are commonly composed of titanium posts, which hold one or more crowns in place. Dental implants are designed to fit perfectly with the patient’s existing teeth in terms of size, function, and appearance.

Inserting the artificial root requires surgery. There is then a healing phase in which the artificial root integrates with the patient’s jawbone. Patients will feel slight pain or swelling after dental implant surgery, though this usually dies down significantly after a couple of days.

What Are Dentures?

Dentures are prosthetic devices used to replace anything from one missing tooth to several missing teeth. Removable dentures can be removed by the patient. All-on-4 dentures are screwed onto implants and can only be removed by a dentist. 

Removable dentures are generally less expensive than fixed dentures because they don’t require implant placement. However, all-on-4 implant dentures are much stronger and more durable than removable dentures and don’t move around in the patient’s mouth.

Dentures can be complete (when all teeth are displaced) or partial (when certain teeth are preserved). Partial dentures are a more stable option for those who are missing multiple teeth but still have some natural teeth remaining. Many dentures are still manufactured using dental acrylic resin, which is the primary material used in dental technology.

Dental Implant vs Dentures: Which Is Better?

Several factors can help you choose whether dental implants or dentures will work best for you as a tooth replacement option. These include your oral health, lifestyle, budget, and preferences. 

You should have good bone and gum health before undergoing oral surgery for dental implants. This is because gum disease during implantation may result in problems like inflammation, infection, poor healing, and dental implant failure.

Choosing dental implants or dentures will also depend on factors like bone density, budget, and overall health. Determining whether dentures or implants are best for you should be done alongside an experienced dentist who can evaluate your situation and give you the appropriate guidance.

Durability

Dental implants generally have a longer lifespan compared to dentures. Dental implants are made to integrate with the jawbone and may last decades when maintained well. Dentures are typically less durable and can require more maintenance than dental implants.

Removable or "temporary" dentures can also be inconvenient as they can shift out of place. In this case, implant-supported dentures (such as all-on-4) might be a better option. Dentures can also wear down easily. If you desire a more permanent prosthetic solution, you might decide that dental implants are a better long-term investment.

Duration of the Procedure

Dental implant surgery typically requires more trips to a dentist than dentures. This is because it involves several steps—each followed by a healing period. The dental implant procedure has three distinct steps. Some patients may also need a bone graft before the implant can be placed. Dentures typically involve fewer appointments and are finished in a shorter time because healing phases are not required (unless tooth extraction is involved).

The amount of time it takes a patient to heal from dental implant procedures is typically longer than the recovery period for denture procedures. Depending on the treatment, dentures can be completed relatively quickly, often within a few weeks. Dental implants take 3 to 6 months to properly infuse with the jawbone before the abutment and crown can be placed.

Cost

Dental implants tend to cost more upfront whereas dentures are a more economical solution. However, dental implant posts can last almost indefinitely if they are properly cared for, and the crown can last for 10 to 15 years. Dentures will generally need to be replaced every 5 to 10 years. Dentures may also require more trips to the dentist for adjustments, cleanings, and repairs compared to dental implants.

How much do dental implants cost? That depends, but you can generally budget for an amount between $3,500 and $5,000 per tooth from start to finish. Keep in mind that dental insurance can greatly reduce the out-of-pocket cost of dental implants. Dental implants are a higher investment upfront but can save you money in the long run by avoiding the need for frequent repairs and maintenance.

Pros and Cons of Dental Implants vs Dentures

There are advantages and disadvantages to both dental implants and dentures. Dental implants are designed to last and offer more durability than dentures, but dentures can also offer a long-term solution for missing teeth. Below are the most common pros and cons when it comes to choosing dental implants vs dentures:

Pros of Dental Implants

• Dental implants provide a tooth replacement solution that generally lasts longer than dentures and other tooth replacement options.

• Dental crowns—the artificial teeth that cover dental implants—are made from materials like porcelain that resemble natural teeth, improving the function and appearance of the patient's smile.

• Dental implants can prevent the loss of jaw bone by stimulating bone growth.

• Dental implants require very little maintenance beyond regular oral hygiene practices.

Cons of Dental Implants

• Dental implants require oral surgery, which may be intimidating for some individuals.

• Dental implants have a longer healing phase and will typically require more visits to the dentist during the treatment process than dentures.

• Dental implants may be less suitable for patients with significant bone loss in their jaw or advanced gum disease.

• Complications may arise, for example, implant failure or infection. Knowing the symptoms and warning signs of dental implant infection will help you be proactive in seeking treatment if necessary.

Pros of Dentures

• Dentures are a more economical solution for replacing teeth.

• The majority of dentures are non-invasive procedures; no surgery is done.

• Removable dentures can be detached by the patient, making washing and maintenance convenient.

• Dentures can help restore lost facial structure by providing support to surrounding teeth, cheeks, and lips, giving a more youthful appearance.

Cons of Dentures

• Dentures can shift or become loose while eating or speaking. Some individuals may find this “shifting” uncomfortable.

• Some dentures require special cleaning agents to keep them free from bacteria and plaque buildup.

• Dentures may help restore lost facial structure but do not prevent jawbone deterioration, which leads to permanent changes in facial appearance.

• Dentures do not provide the same biting and chewing power as natural teeth or implants; this may impact food choices.

• Dentures may have a longer adjustment and adaptation period compared to implants.

Additional Factors to Consider

Patients suffering from certain underlying medical conditions or even those with weakened immune systems may be less suitable for dental implant surgery. If this is the case, dentures may be a better alternative. Lifestyle and preferences also play a role in determining the best option for tooth replacement.

For example, patients who desire a more permanent solution may elect to have implant surgery. Individuals who want a less invasive option may choose complete or partial dentures. Each patient should take into account their medical history and lifestyle choices when deciding which dental treatment is most appropriate.

Choosing Between Dental Implants and Dentures

The choice of whether to get dentures or implants depends on the condition of your teeth, personal preferences, and available finances. Dental implants provide an effective and long-lasting replacement for lost teeth, looking and functioning just like natural teeth. While they typically have higher upfront costs than dentures, they last longer. 

Dentures represent a less invasive course of treatment than implants but may require more maintenance and adjustments over time. Reviewing your options and consulting a dental professional is the key to making the best decision for your circumstances.