Hello.
This is Yonsei Dagam Dental Clinic near Garak Market Station.
Have you been wearing dentures for a while and would like to switch to implants?
Depending on the situation, the treatment needed may differ.
We will go over what should be considered and introduce the advantages and disadvantages of each prosthetic option.

The upper arch was using dentures, and the lower jaw had partial implants in place.
In cases like this, it is often difficult to adapt.
That is because the upper arch uses a removable appliance that is taken in and out,
while the lower arch is a prosthesis firmly fixed to the bone,
so the forces received during chewing are different.
As shown by the dentist near Garak Market Station,
the upper arch is a removable denture resting on soft gums,
and if the lower arch uses a fixed restoration,
the balance of force becomes uneven.

Therefore, not only is eating uncomfortable,
but the gum bone that does not receive stimulation gradually becomes resorbed, causing the denture to no longer fit properly.
This case also involved a state of generalized bone resorption after a long period without teeth.

When the gum bone is resorbed and the denture wears down from long use, the vertical dimension decreases.
The vertical dimension refers to the vertical distance between the tip of the nose and the tip of the chin when the teeth naturally come together.
This is determined by the shape of the face and jaw bones,
the length of the related muscles,
and the occlusal relationship between the upper and lower teeth.

However, because the patient was using an ill-fitting denture,
as shown in the area marked by the dentist near Garak Market Station,
the gums were also injured.


So in a situation like this,
what treatment would be better to choose?
Dentures
✔ More affordable than implants, so they are economical and have a shorter treatment period.
✔ They have drawbacks such as lower chewing strength and retention, and they can accelerate bone resorption.
✔ Therefore, because the shape of the gums changes, they may need periodic adjustments and have a shorter lifespan.
Implants
✔ Because they are fixed to the gum bone and stimulate the alveolar bone, they can help reduce alveolar bone resorption.
✔ They also have higher chewing strength and retention, so even tough foods like meat can be eaten.
✔ However, the treatment process is longer and the financial burden is greater.
Based on the overall diagnostic findings, the dentist near Garak Market Station considered implants to be appropriate,
and judged that the height of the bone lost due to resorption could be sufficiently improved through surgery involving bone grafting and sinus lift procedures.

After performing a lateral approach sinus lift on both maxillary sinuses,
the bone graft material was placed, and a total of 8 fixtures were inserted.
There is a post that covered sinus lift procedures in detail at the dentist near Garak Market Station.
I think it will be helpful for those who need this information.
After carrying out such a complex case,
sufficient healing time is needed.
Four months later, once bone reconstruction and proper osseointegration with the fixtures have taken place,
the next stage for placing the crowns begins.
When fabricating a full-arch implant prosthesis, it is important to comprehensively evaluate the patient’s swallowing function, facial appearance, and speech.
Swallowing refers to the act of swallowing food,
and because the position and movement of the tongue change, prosthetic design must take this into account.
Changes in facial appearance due to bone resorption, especially a reduced vertical dimension,
create more wrinkles around the lips.
Therefore, the dentist near Garak Market Station aimed to restore the vertical dimension by increasing it.

To adapt to the completed prosthesis,
we made adjustments while having the patient use it sufficiently.
Fortunately, the patient adapted quickly, and the treatment was finished with final cementation.
The improvements that can be gained through treatment like this include stronger chewing ability,
making it possible to eat meat that could not be eaten properly before.


Also,
a full denture that covers the entire palate interfered with speech,
but the fixed prosthesis was able to solve this problem.

The deep nasolabial folds were also improved,
which could create changes in facial appearance.
To go through this process, it is important to establish an appropriate treatment plan for each individual,
considering the overall situation and environment, such as treatment duration, cost, and alveolar bone condition.
Through this case, we looked at the various clinical factors that should be considered when switching prostheses.
We wanted to show that not only surgical techniques,
but also a comprehensive approach to improving functional and aesthetic factors is necessary.
We hope this was helpful, and we will end here.
This was Yonsei Dagam Dental Clinic near Garak Market Station.
Thank you.

Treatment period: 2023.5.15 – 2023.8.31