Fixed Dentures

Implant supported fixed dentures vs removable dentures.

If you have lost an entire arch of teeth (top and/or bottom), or are soon to have your remaining teeth removed because they are too unhealthy to save, you may be able to replace them with fixed dentures supported by dental implants. Doctors and patients alike prefer fixed over removable dentures because they:

  • Look, feel and function just like natural teeth
  • Don't slip when you eat or talk
  • Prevent bone loss in the jaw
  • Last a lifetime

How It Works

Dental implants serve the same purpose as the roots of natural teeth: anchoring the replacement teeth to your jawbone. Just like natural tooth roots, they lie under the gum line and therefore are not visible in the mouth. Only the lifelike prosthetic teeth attached to them (the fixed denture) can be seen by you or anyone else. Because dental implants are made of titanium, a metal that has the unique ability to fuse to living bone, they are extremely stable and reliable. How many implants are needed? The number varies because each individual has unique conditions: Depending on the volume and density of the bone in your jaw, you will need as few as four implants or as many as six for your new teeth to function as well as a set of healthy, natural teeth.

What to Expect

All-on-Four.The surgery to place dental implants that support a fixed denture is a simple, routine procedure carried out in an office setting, under local anesthesia in most cases. (If you need to have failing teeth removed, that will be done first, often the same day your implants are placed). After numbing the area, the appropriate number of implants will be placed in your jaw at precisely planned angles and positions to maximize support and avoid anatomical structures such as nerves and sinuses. Depending on how many implants are needed, the surgery can take anywhere from one to three hours. Most people who have dental implants placed find that any post-operative discomfort can be managed with over-the-counter anti-inflammatory medication such as ibuprofen or acetaminophen. Some don't even need to take that.

What happens immediately after surgery will depend on what's best to promote healing in your individual situation. Sometimes a set of temporary teeth can be attached immediately, so that you can leave the office with new teeth. A few months later, your permanent replacement teeth with be installed. In other cases, the implants will be left to heal for several months before any teeth are attached. Sometimes that is the best way to insure that the implants remain undisturbed as they go through the process of fusing to your jawbone, which is known as osseointegration.

In either case, you will need to go easy on your newly placed implants during the crucial healing phase following surgery. You will be advised to eat a softer diet and avoid hard, chewy foods until the process of osseointegration is complete — about three months. While this may seem like a long time, keep in mind that people who wear removable dentures often avoid these foods permanently. The good news is that once your implants have fused to your jawbone and your new permanent teeth are attached, you will be able to eat anything you want. In fact, you are likely to forget you even have dental implants!

Related Articles

Dental Implants - Dear Doctor Magazine

Dental Implants – Your Best Option For Replacing Teeth Dental implants have many advantages over older methods of tooth replacement like bridges and dentures — from the way they function and feel to the way they look and last. Vigorous research has documented and confirmed that in the right situations, dental implant success rates are over 95%. It is no exaggeration to say that they have revolutionized dentistry. They may even change your life... Read Article

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  • "Dr Steve Manson... Superb! Janese... Top notch manager

    Jan 14, 2016 5/5 stars"
    - Morison, Jacqueline
  • "best dentist in town, very modern.

    Dec 27, 2015 5/5 Stars"
    -Toure, Elhadji
  • "The stairs will become more difficult as I age.

    Nov 5, 2015"
    - Hogan, Debra
  • "great dentist great secretary most important his treatment is outstanding. special treatment who have fear!!

    Oct 22, 2015 5/5 Stars"
    - Scime, Rose
  • "There was time between appointments.. You don't feel that the doctor has no time for you. Dr Manson has time for your individual needs... What a great man!

    Aug 27, 2015 5/5 Stars"
    - Morison, Jacqueline
  • "The visit was with staff that was friendly and professional.
    June 27, 2015 5/5 Stars"
    - McEvoy, Joe
  • "Professional staff, make you feel comfortable as you can be in the dental chair. Any questions you have are always answered & explained to the fullest. Taken for your appt. on time.

    Jun 25, 2015 5/5 Stars"
    - Phelps, Ruth
  • "Dr Steve Manson exceeds the standards of excellence in dentistry. We need another ten more of Dr Steve around New York City.

    May 21, 2015 5/5 Stars"
    - Morison, Jacqueline
  • "The Staff is wonderful. Dr. Manson is the best Dentist I ever went to. Does excellent work, and NO PAIN... Hes mine forever. I tell everyone I know to only go to him...He is a professional in every way. 5 STARS ALL THE WAY!!!

    May 8, 2015 5/5 Stars"
    - scime, Rose
  • "I was treated by staff and colleagues very well.

    June 27, 2015 5/5 Stars"
    - Rywak, Tamara
  • "Always feel confident I am getting the best advice possible on any dental situation.

    Mar 24, 2015 4/5 Stars"
    - Phelps, Ruth
  • "You guys are awesome!!!
    Aug 5, 2014 5/5 Stars"
    - Antoian, Kerrianne
  • "Besides being a great dentist, Dr. Manson is kind and caring.

    Jul 2, 2014 5/5 Stars"
    - Immordino, Rosary
  • "Fantastic dentist; been going to him for 15 years. Very nice and professional receptionist/assistant. Dr. Manson is the best of all professionals: he is meticulous, extremely skilled and has a warm but focused manner. The best old school professionalism with state-of-the art dental care.

    Jun 20, 2014 5/5 stars"
    - DiLeo, Leslie
  • "the office is run in a very professional manner. No changes are really needed.

    Jun 17, 2014 5/5 Stars"
    - Daly, William
  • "As always Dr. Manson and his assistant Janice are excellent. I travel from eastern Long Island because they are excellent! I have been a patient for approximately 40 years.

    June 12, 2014 5/5 Stars"
    - Tavano, Claudia
  • "Fantastic office. Fantastic work.

    Jun 11, 2014 5/5 stars"
    - Rusin, Ruza
  • "Janice is excellent!!!!!!

    May 6, 2014 5/5 Stars"
    -Tavano, Lawrence
  • "ALL'S WELL THAT ENDS WELL!

    Apr 24, 2014 5/5 stars"
    - Mushorn, William
  • "Janiece is a wonderful addition to Dr. Manson's practice. She is so helpful and wonderful with a calm demeanor. Perfect hire Dr. Steve!

    Apr 21, 2014 5/5 Stars"
    - Duffy, Robin
  • "No issues. Dr. Manson seemed very knowledgeable and I really appreciated his hands on approach.

    Apr 8, 2014 5/5 Stars"
    - Lodato, Anthony
  • "Dr. Manson was thorough, gentle and very understanding. Would absolutely recommend!"
    - Ikeguchi, Jennifer
  • "Don't change a thing...continue to do the excellent job and service I receive every three months.

    Mar 18, 2014 5/5 stars"
    - Morison, Jacqueline
  • "A fast thorough no nonsense cleaning procedure performed in a pleasant friendly manner.

    Mar 11, 2014 5/5 Stars"
    - Chu Mun, Donald
  • "No pain! Janice is great!

    1/19/2014"
    – K. Dicicco 5/5 Star
  • "PAINLESS....FOR ME....THAT SAYS IT ALL.!

    11/12/2013"
    - B. Mushorn 5/5 Stars
  • "Caring, efficient, meticulous, professional. What more do you want?

    11/6/2013"
    – D.Chu Mun 5/5 Star
  • "I have been going to Dr. Manson's office for 30 years. Starting with his Dad and then moving on to Dr. Steven Manson who is wonderful! I was someone who avoided dentists for many many years because i was fearful but if you do have that fear he will put you completely at ease. I know for a fact that had i not started when i did with him I would more than likely not have a tooth left in my head. I have very soft teeth with lots of decay from bad eating habits and he has fixed them all just perfectly. I do believe my fear came from having teeth pulled which didn't really have to be at a young age so just give him a try, just once, and your fears will be settled. You should also know I do not write reviews normally and that is how strongly i feel you will be happy with this choice. Good Luck and You're Welcome :)

    11/6/2013"
    – Anonymous 5/5 Star
  • "DR. Manson is highly skilled, caring and professional with an excellent staff that makes a trip to the dentist a pleasant experience. If you're looking for a great dentist in Long Island City- he's your man!

    10/13/2013"
    N. Ricci 5/5 Star
  • "Competent, caring, gentle, friendly. What more could you want?

    10/11/2013"
    – Immordino, R. 5/5 Sta
  • "I started going there with Dr. Roy Manson and when he retired I now see his son, Steven. They have been the most concerned about caring for you and not causing you any pain which other dentists did cause a great deal of pain in my youth. Very knowledgeable and always trying new and better methods of dentistry. I didn't have to wait long this time either which is a BIG plus.

    10/3/2013"
    - B. Trazino 5/5 Star
  • "Dr. Manson is a wonderful dentist that I have been going to for years and would highly recommend him…

    9/26/2013"
    – Costello, M. 5/5 Star
  • "Dr. Manson and his staff are extremely professional. I feel very confident at having my dental health in their care. Typically, my latest visit was a pleasant experience. My cleaning was performed successfully and efficiently.

    9/22/2013"
    – Daly, W. 5/5 Star
  • "Awesome

    8/23/2013"
    – Cheffolway, L. 5/5 Star
  • "The best dentist in all of the city, been going to Dr. Manson for 20+ years, he is kind, gentle and just an amazing dentist.

    8/23/2013"
    - R. Michele Marigliano 5/5 Star
  • "Dr. Manson is probably one of the BEST dentists in the area. Other then the fact that my entire family goes to him he really DOES care about his patients and his work (something that is hard to find these days.)

    8/21/2013"
    -– Anonymous 5/5 Stars
  • "As always the care was tops!

    7/27/2013"
    –Tavano, C. 5/5 Stars
  • "Every time I leave Dr. Manson's office (and it's been well over ten years since I first saw him), I think "what a fantastic dentist." He is skilled and meticulous in his work and senstitive to the patient's comfort. He makes smart use of the latest dental technology, and he is old-fashioned in the best sense of that description: focusing on quality care for the patient.

    7/5/2013"
    – Dileo, L. 5/5 Stars
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    6/26/2013"
    – Anonymous 5/5 Stars
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    6/1/2013"
    – R. Motta 5/5 Stars
  • "Dr Manson is an excellent doctor.

    5/13/2013"
    – R. Tavano 5/5 Stars
  • "I have been a patient of Dr. Manson's for nearly thirty years, and would recommend him to anyone interested in receiving excellent dentistry without pain or stress.

    5/6/2013"
    – R. Owsley 5/5 Stars
  • "I always feel comfortable with Doctor Manson and i always get praise on my teeth and i said Thanks to Dr. Manson

    5/6/2013"
    – R. Cavaliere 5/5 Stars
  • "Dr. Manson is on my opinion the "Best Dentist" in New York. I have been a patient of Dr Manson fit over 25 years and would recommend him to everyone. As a Dentist he makes his patient feel at home and relaxed. Everyone in the office will make your visit as comfortable as you can be.

    5/1/2013"
    – R. Hidalgo 5/5 Stars