In cases where multiple teeth are missing implants can be used to replace missing teeth. There are two possible situations here. Firstly where there are several missing teeth and secondly where all teeth are missing.
1. First, the implants are installed. This is normally done in a single session.
2. Attaching the bridge. After a period of healing a bridge is made to restore the space
Alternatives for several missing teeth
In the case above the only alternative is a removable partial denture. Many patients find they would prefer a fixed solution. In some cases where there are teeth either side of the missing ones bridgework is an option. However the longer span of this would increase the chances of problems.
Where all the teeth are missing implants can be used in two ways. The first is to retain a fixed bridge. The second is to secure a removable overdenture.
Fixed bridge
1. Firstly the implants are placed.
2. Subsequently a bridge is made which is fixed to the implants.
Overdenture
1. The implants are placed and allowed to heal.
2. A specially modified denture is made which locks onto the implants but which is removable by the patient.
Mini implants
Mini implants are smaller than regular implants and can be used in situations where bone is limited to stabilise dentures. The cost of this type of implant is less than standard implants.
When multiple implants are placed, they are routinely joined together in the same way that a bridge supported by natural teeth would be designed.
If enough implants are available, it is often easier and just as effective to make several smaller sections of bridgework each supporting a few teeth. The overall effect in the mouth is the same and if you ever need to repair one of the small sections, this can be very much easier to do.
Again the bone quality and the number and position of the implants will largely determine which option is most suitable for you. When implant-supported teeth are linked together, they are mechanically stronger than the individual parts and can better resist the forces of normal function which will try and undo the screw components, posts and/or cements that secure the underlying structure to each of the implants.For most implant-supported teeth you will be able to clean around each supporting implant by brushing and flossing in just the same way that you would around natural teeth and tooth-supported bridges. In some areas special floss, interdental toothbrushes and other cleaning aids may be needed to maintain good oral hygiene. Cleaning is not at all difficult, provided that you do not have impaired use of your hands.