If you’re exploring ways to restore your smile, you’re not alone. Millions of people around the world turn to dentures each year to replace missing teeth and regain their confidence. Two of the most common choices you’ll come across are traditional dentures and screw-in dentures, also known as implant-supported dentures.
Each comes with its own set of benefits, limitations, and lifestyle considerations. So, which one is actually right for you? Let’s break it down clearly. By the end, you’ll know exactly what each option involves, how they compare, and which one might be the better fit for your needs.
What Are Traditional Dentures?
Traditional dentures are removable appliances that replace missing teeth. They sit on top of your gums and are custom-made to fit your mouth. Plus, they can be taken out at night for cleaning.
They come in two types:
- Full Dentures (for when all teeth are missing)
- Partial Dentures (for when some natural teeth remain)
These are usually made of acrylic, plastic, or a combination of both.
Pros of Traditional Dentures:
- Non-invasive: No surgery required.
- Cost-effective: Typically cheaper than implant-supported options.
- Quick solution: This can often be made and fitted within weeks.
- Removable: Easy to clean and replace.
Cons of Traditional Dentures:
- Stability issues: They can slip, move, or fall out, especially while eating or talking.
- Jawbone loss: Without tooth roots or implants, your jawbone may shrink over time.
- Discomfort: Can rub against the gums and cause sore spots.
- Adhesives required: Many people rely on sticky pastes or strips to keep dentures in place.
What Are Screw-In Dentures?
Screw-in dentures, or implant-supported dentures, are attached to small metal posts (implants) that are surgically embedded into your jawbone. Instead of sitting on your gums like traditional ones, they lock into place, offering more stability.
How Screw-In Dentures Work:
- A dentist surgically places titanium implants into your jawbone.
- These implants act like artificial tooth roots.
- A denture is then screwed or snapped onto the implants.
- You get a secure, long-term solution that looks and feels like real teeth.
Pros of Screw-In Dentures:
- Very Stable: No slipping or shifting.
- Improved chewing: You can eat steak, apples, and corn on the cob without worry.
- Preserves jawbone: Implants stimulate bone and prevent deterioration.
- Natural appearance: Looks more like real teeth.
- No adhesives needed: They stay in place on their own.
Cons of Screw-In Dentures:
- Surgical Procedure: Requires oral surgery and healing time.
- More Expensive: Typically costs more than traditional dentures.
- Not removable at home: A dentist will need to remove them if needed.
- Bone density matters: You need enough jawbone to support the implants. Some patients may need a bone graft first.
Comparing the Two: Head-to-Head
| Feature | Traditional Dentures | Screw-In Dentures |
| Stability | Can slip, move, or even fall out while eating or speaking. You may need adhesives to keep them in place throughout the day. | Firmly anchored to implants, so they won’t move or budge. |
| Comfort | May rub against your gums and cause sore spots over time. | Feels like natural teeth because they are fixed to your jaw. |
| Jawbone Support | Does not prevent bone loss. The pressure on gums without tooth roots leads to deterioration. | Helps stimulate the jawbone like natural tooth roots. Prevents bone loss and maintains facial structure. |
| Cleaning | Needs to be removed daily soaking and brushing. | These dentures stay in your mouth and you can brush and floss normally. |
| Procedure | Non-surgical. Dentures are simply molded and fitted. The process is usually quick and minimally invasive. | Requires minor oral surgery to place implants in the jaw. Healing time is needed before attaching the denture. |
| Cost | Lower upfront cost. A good option for people looking for a temporary or low-cost fix. | Higher upfront cost. These are considered an investment in long-term oral health. |
| Appearance | Can look artificial depending on the material. | Designed to mimic real teeth and gums with a realistic fit. |
| Suitability | Best for those who want a quick, removable solution. | Great for anyone looking for a long-lasting, stable solution. |
Who Should Choose Traditional Dentures?
Go for traditional dentures if:
- A quick, non-surgical solution is preferred, especially when time is a concern.
- Budget constraints make a more affordable option necessary.
- Surgical procedures aren’t ideal due to medical conditions or personal preference.
- A removable option is important for ease of cleaning and flexibility.
- They’re also a practical temporary choice while healing from extractions or preparing for future implants.
Just be ready for some adjustments and to replace them every few years.
Who Should Choose Screw-In Dentures?
Choose screw-in dentures if:
- Long-term stability and comfort are top priorities.
- Adhesives and shifting dentures have become frustrating.
- Overall health supports a minor oral surgery and proper healing.
- Preserving jawbone structure and investing in lasting oral health is a key goal.
It’s all about quality of life. Being able to eat what you want, smile without fear, and maintain your facial structure is a big deal.
Is Age a Barrier to Getting Screw-In Dentures?
There’s a myth that older people can’t get implants. That’s not true. As long as you’re healthy and have enough bone (or can undergo bone grafting), age doesn’t disqualify you. Many people in their 60s, 70s, and even 80s get implant-supported dentures and say it changed their lives.
Final Thoughts: Choose What Fits Your Life
There’s no one-size-fits-all answer here. If you want a quick, budget-friendly solution, traditional dentures might work for you. But if you’re aiming for comfort, security, and long-term oral health, screw-in dentures are worth every penny.
Before making any decision, have a detailed conversation with your dentist. They can assess your oral health, bone density, and lifestyle needs to recommend the best option for you.