All Teeth Missing

Fixed-bridge Option

Up to 12 dental implants may be placed in each arch followed by placement of bridgework.

15 dental implants placed to support fixed bridgework	The final result is esthetic and natural-looking

Advantages	Disadvantages
Feels most like natural teeth Maintains bone (by virtue of implants) Chewing efficacy is optimal	Costly Appointments are time consuming and treatment period may be long Not suitable for patients with unrealistic expectations

Implant Overdenture Option

Two to four (or More) dental implants may be placed in each arch followed by placement of attachments on the implants to retain a denture or partial denture.

Lower jaw with 2 implants to support a removable partial denture (right) retained by ball anchors

Advantages	Disadvantages
Chewing efficacy much better than a conventional denture Treatment time is efficient Cost-effective	May not feel like natural teeth Still a removable prosthesis Maintenance visits and prostheses remakes necessary (after 4-6 years)

Fixed-detachable Option (Hybrid)

Four to six implants may be placed to support a full-compliment of teeth.

Five implants in lower jaw	Finished Lower Hybrid Denture

Advantages	Disadvantages
Chewing efficacy close to that of natural teeth Treatment time is efficient Fixed prosthesis: not removable by patient	Requires maintenance (especially if made of acrylic resin) More costly than implant overdenture

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