Dentures? Implants? Each Has Advantages

Once tooth loss occurs, some people opt for dentures. Others try implants--surgically implanted artificial teeth that can cost many times as much as conventional dentures. There are advantages and disadvantages to each approach, experts say.

John C. Ball, Encino dentist specializing in dental implants; assistant clinical professor, Loma Linda University School of Dentistry

“Implants have come a long way, as far as materials and the biocompatibility of those materials to the body. Nowadays, implants are being coated with a material that enhances healing and works somewhat to stimulate (underlying) bone growth.

“The success rates of implants are about 96%. A decade ago it was 50% to 75%.

“Patients must be cooperative and motivated. They must be willing to take care of implants just as carefully, if not better than, their own teeth. Implants are like a second chance.”

Albert Guckes, deputy clinical director of the National Institute of Dental Research, Bethesda, Md.

“People who are happy with dentures are accepting of what’s happened (to their natural teeth). Dentures are inconvenient. They have to be remade every five to eight years.

“The downside of implants, though, is that they are expensive and you have to know the qualifications and expertise of the person or team putting them in.

“There is still a role for dentures. People who are anxious about surgical procedures (might be denture candidates). And implants are not recommended for people with certain chronic medical problems.”