What is the Difference Between Permanent Dentures and Implants?
- Local Start Dental
- May 14
- 5 min read

For patients seeking an effective solution to restore their smile and replace missing teeth, there are several options available today. Among the most popular are permanent dentures and dental implants. But how do you decide which treatment is best for you? Understanding the differences between the two can help you choose the treatment option that fits both your needs and lifestyle.
Both permanent dentures and implants offer numerous advantages. However, they differ in their approach, durability, and suitability for individual cases. This article provides a detailed comparison of these tooth replacement options and explores the benefits and suitability of each.
For expert guidance on dental implants or permanent dentures, contact Local Start Dental today at 919.569.5533 or reach out online to discuss the best option for your needs.
What Are Permanent Dentures?
Permanent dentures, also known as implant-supported dentures, are a modern approach to replacing a full mouth of missing or damaged teeth. Unlike traditional removable dentures, these dentures are secured in place using 4-6 dental implants, which act as anchors in the jaw bone. Because they are firmly anchored, permanent dentures offer unmatched stability, functionality, and comfort.
Key Benefits of Permanent Dentures:
Stability: They stay securely in place without the need for additional denture glue.
Chewing Ease: Offer improved chewing efficiency compared to traditional removable dentures.
Confidence: They alleviate concerns of slipping or discomfort while eating or speaking.
Cost-Effective: Permanent dentures are more affordable for replacing several teeth or a full mouth compared to individual dental implants.
Who is a Candidate for Permanent Dentures?
Permanent dentures are best suited for patients with significant tooth loss or those who already wear traditional removable dentures but want a more stable option. However, for successful implant placement, patients must have a healthy jaw bone or be prepared to undergo bone grafting if necessary. Additionally, your medical history, oral health, and personal preferences will play a role in determining your candidacy.
What Are Dental Implants?
Dental implants are the gold standard in tooth replacement options. These involve surgically placing titanium implants directly into the jaw bone, where they fuse through a process called osseointegration. Once the implants have healed, they are topped with a prosthetic dental crown to replicate the look and function of natural teeth.
Benefits of Dental Implants:
Preserve Jaw Health: Implants help prevent jaw bone loss that often occurs after tooth loss.
Durability: Dental implants can last over 20 years with proper care.
Individualized Solutions: Whether replacing one or two teeth, several teeth, or a full mouth, dental implants offer tailored solutions.
Natural Appearance: The prosthetic crown looks and feels like your original teeth.
Surrounding Teeth Protection: Unlike traditional bridges, dental implants don't rely on neighboring teeth for support.
Are You a Candidate for Dental Implants?
A good implant candidate should have strong oral health, a healthy jaw, and no active gum disease. Heavy smokers or those with chronic conditions like diabetes may need additional consultation, as these can impact the success of implant placement. For some, treatments like bone grafting may be necessary to ensure adequate jaw bone support for the titanium implants.
How to Decide Between Permanent Dentures and Implants
Choosing between permanent dentures and dental implants depends on several factors. Here's what to consider:
Extent of Tooth Loss – If you need to replace multiple missing teeth or an entire arch, permanent dentures might be a more practical option. They are designed to replace larger areas of tooth loss, whereas dental implants are often used for individual teeth or smaller areas.
Budget and Affordability – Permanent dentures are typically a more cost-effective treatment, especially for full-arch replacements. Dental implants, while more expensive, offer a long-term solution with fewer replacements required over time. However, it's important to weigh initial costs against potential long-term benefits.
Jaw Bone Health and Structure – Dental implants require sufficient jaw bone density for successful placement. If you’ve experienced significant bone loss due to missing teeth or gum disease, additional procedures like bone grafting may be necessary to prepare your jawbone for implants, which can add to the overall cost and time.
Lifestyle Preferences and Maintenance – Consider how each option fits with your lifestyle. Removable traditional dentures can be easier to clean and adjust, making them appealing to those who prefer flexibility. On the other hand, fixed implant-supported dentures offer a more natural feel, stability, and convenience as they are permanently attached and don’t require removal.
Oral Health and Long-Term Goals – If maintaining strong oral health is a priority, dental implants promote better bone health by stimulating the jawbone, preventing deterioration over time.
Consultation with a Specialist – The best way to determine the right solution is to consult a skilled implant dentist or prosthodontist. They can evaluate your oral health, jawbone condition, and personal needs to recommend the most suitable treatment for your situation.
Both fixed dentures and dental implants have their advantages and limitations. Carefully considering your oral health, lifestyle, and budget will help you make the best decision for restoring your smile.
Proper Care for Long-Term Oral Health Success
Both permanent dentures and implants have the potential to last a lifetime, but they require diligence:
Practice good oral hygiene, including brushing and using floss threaders for implants.
Schedule regular dental check-ups.
Follow your dentist's specific care instructions for cleaning and maintaining your prosthetic teeth.
Frequently Asked Questions
1. What is the difference between permanent dentures and dental implants?
Permanent dentures are custom-made prosthetics that replace multiple missing teeth and are securely fixed to your gums using adhesives or implants. Dental implants, on the other hand, are titanium posts surgically placed into your jawbone to serve as a foundation for individual crowns or bridgework. Both options improve functionality and aesthetics, but implants more closely mimic natural teeth.
2. Are permanent dentures or implants more cost-effective?
Dental implants tend to be more costly upfront due to the surgical procedure and materials used. However, their durability and low maintenance can make them a cost-effective, long-term solution. Permanent dentures are typically more affordable initially, but they may require replacements or adjustments over time.
3. Can permanently attached dentures or implants fail?
Yes, while both solutions are durable, they can fail under specific circumstances. For permanent dentures, improper care or changes in gum structure can lead to instability. Implants, conversely, can fail if proper oral hygiene isn't maintained, leading to infections or insufficient bone support.
4. Which solution works better for older adults with missing teeth?
Both permanent dentures and dental implants suit older adults, but the choice often depends on individual circumstances, such as oral health, bone density, and budget. Your dentist will perform a thorough evaluation to recommend the best option for you.
5. How do I care for my implants or fixed implant-supported dentures?
Caring for dental implants involves regular brushing, floss threaders for cleaning around the implants, and consistent dental visits. For permanent dentures, proper cleaning and occasional relining are essential. Both options benefit greatly from a strong oral hygiene routine and regular professional cleanings.
6. Are dental implants painful to get?
The implant procedure is typically done under anesthesia, minimizing discomfort during the process. Some mild pain or swelling may occur during recovery, but it can usually be managed with over-the-counter pain relievers and diligent post-procedure care.
By thoroughly understanding the distinctions between permanent dentures and implants and addressing your questions, you’ll be better prepared to choose the most suitable option for restoring your smile. Remember, consultation with your dentist is key to arriving at the best decision for your specific needs.
Why Contact Local Start Dental?
Whether you're leaning toward permanent dentures or are interested in traditional dental implants, Local Start Dental is here to help. Our experienced team provides personalized care to determine the best option for replacing missing teeth. From consultation to implant placement and beyond, we ensure a smooth recovery process and a renewed smile.
Contact Local Start Dental today at 919.569.5533 or reach out online to discover how we can support your tooth replacement journey.