Screw Down Final Fixture for Dental Implants or Use Snap On?
Danny asks:
I just had six dental implants in my upper jaw. I am in healing mode now. In talking to the prosthodontist, he said that there are two options now for the final fixture.
One option is to get the final fixtures completely screwed down. And in that case only he could remove the fixture if needed.
The other option is a sort of two-part retainer, that had the first part screwed in but the second part (with the teeth) would snap onto the first part. The second part with the teeth, would be easy to remove for cleaning even by me.
Which option is better long-term? I am thinking that a snap-on type of retainer would wear down with time? But, I am worried that with everything completely screwed down it would be difficult to clean, and it may become more expensive over time if I need to go to the dentist to remove the fixture for cleaning. Any advice?
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Screw Down Final Fixture for Dental Implants or Use Snap On?
Dear Danny:
You are correct in your statements about the differences.
Teeth that are screwed down are harder to clean, and the prosthodontist will make it as easily cleansable as he can, but cleaning them is harder.
One guideline you may use is how you feel about having no teeth in your mouth at any given time. If this is unacceptable, then go with the screwed in teeth (also called a "hybrid").
Another guideline is how much bone and soft tissue loss you have had. If it is a lot, this is better handled by the bar overdenture (the removable one).
You have plenty of time to think and decide, but trust the opinion of your prosthodontist if he has a preference.
Good Luck!
Carlos A. Boudet, DDS, DICOI
http://boudetdds.com/
Hi Danny Screwed down teeth
Hi Danny
Screwed down teeth can be periodically removed for thorough cleaning by the dental team during your hygiene appointment. You can maintain hygiene around the fixtures with the disciplined use of a water-pik, floss (with ZOM threader) and an electric toothbrush.
Ask your prosthodontist to explain the cosmetic and functional advantage of each prosthesis.
Regards
Theodore M Grossman DMD
305-466-1804
www.Fortlauderdaleoralsurgery.com
Dr. Theodore M. Grossman
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