Sat - By Appointment
November 23, 2016
What Is It?
An implant-supported denture is a type of overdenture that is supported by and attached to implants. A regular denture rests on the gums, and is not supported by implants.
An implant-supported denture is used when a person doesn’t have any teeth in the jaw, but has enough bone in the jaw to support implants. An implant-supported denture has special attachments that snap onto attachments on the implants.
Implant-supported dentures usually are made for the lower jaw because regular dentures tend to be less stable there. Usually, a regular denture made to fit an upper jaw is quite stable on its own and doesn’t need the extra support offered by implants. However, you can receive an implant-supported denture in either the upper or lower jaw.
You should remove an implant-supported denture daily to clean the denture and gum area. Just as with regular dentures, you should not sleep with the implant-supported dentures at night. Some people prefer to have fixed (permanent) crown and bridgework in their mouths that can’t be removed. Your dentist will consider your particular needs and preferences when suggesting fixed or removable options.
How Does It Work?
There are two types of implant-supported dentures: bar-retained and ball-retained. In both cases, the denture will be made of an acrylic base that will look like gums. Porcelain or acrylic teeth that look like natural teeth are attached to the base. Both types of dentures need at least two implants for support.
- Bar-retained dentures — A thin metal bar that follows the curve of your jaw is attached to two to five implants that have been placed in your jawbone. Clips or other types of attachments are fitted to the bar, the denture or both. The denture fits over the bar and is securely clipped into place by the attachments.
- Ball-retained dentures (stud-attachment dentures) — Each implant in the jawbone holds a metal attachment that fits into another attachment on the denture. In most cases, the attachments on the implants are ball-shaped (“male” attachments), and they fit into sockets (“female” attachments) on the denture. In some cases, the denture holds the male attachments and the implants hold the female ones.
The Implant Process
The implants usually are placed in the jawbone at the front of your mouth because there tends to be more bone in the front of the jaw than in the back. This usually is true even if teeth have been missing for some time. Once you lose teeth, you begin to lose bone in the area. Also, the front jaw doesn’t have many nerves or other structures that could interfere with the placement of implants.
The time frame to complete the implant depends on many factors. The shortest time frame is about five months in the lower jaw and seven months in the upper jaw. This includes surgeries and the placement of the denture. However, the process can last a year or more, especially if you need bone grafting or other preliminary procedures.
Two surgeries usually are needed. The first one places the implants in the jawbone under your gums. The second surgery exposes the tops of the implants. The second procedure comes three to six months after the first.
A one-stage procedure is now used sometimes. In this procedure, your dentist can place the implants and the supporting bar in one step. The success rate of this procedure is high.
Before any work is done, you will visit either a dental specialist called a prosthodontist or a general dentist who has advanced training in the placement and restoration of implants.
During the exam, the dentist will review your medical and dental histories, take X-rays and create impressions of your teeth and gums so that models can be made. In some cases, the dentist may order a computed tomography (CT) scan of your mouth. This shows where your sinuses (located above your upper teeth) and nerves are. It allows the dentist to make sure they will not be affected by the implant placement. A CT scan also may be done to see how much bone is available and to determine the best locations for the implants.
If you are not already wearing a complete denture to replace your missing teeth, your dentist will make you one. You will use this temporary denture until the implant-supported denture is placed. It will take about four visits, spanning several weeks, to complete this denture. By making this temporary denture, your dentist is able to determine the best position for the teeth in the final denture. The temporary denture also can be used as a backup if something happens to the final implant-supported denture. The temporary denture can also be used as the final denture to reduce overall costs. Attachments will need to be added so it can fit securely to the implants.
Once the temporary denture is finished, the surgeon will use a copy of it as a guide to help place the implants in the proper positions. Holes will be drilled in the copy of the denture so that the surgeon can see where the implants should be placed.
Month 1 (if no denture needs to be made)
Month 2 (if denture needs to be made)
The first surgery involves placing the implants in the jawbone. During the first surgery, an incision is made in the gum where the implant will be placed. A hole is drilled in the bone, the implant is placed into the hole, and the incision is stitched closed.
After this surgery, you should avoid putting pressure on the implants. The temporary denture can be made so that direct pressure is placed on other areas, not on the implants. It may also be given a soft reline (new lining next to your gums) to help to reduce the pressure on your gums.
After the first surgery, the dentist will wait three or four months if implants were placed in the lower jaw, and five or six months if they were placed in the upper jaw, before scheduling the second surgery. During this time, the bone and the implants integrate (attach and fuse).
Month 4 or 5 (no denture needed to be made)
Month 5 or 6 (denture needed to be made)
Once the implants have become fused with the bone, the second surgery can be scheduled. Your dentist will confirm whether the implant is ready for the second surgery by taking an X-ray. This surgery is simpler than the first. A small incision is made in your gum to expose the tops (heads) of the implants.
A healing cap (collar) is placed on the head of each implant after it is exposed. This guides the gum tissue to heal correctly. The collar is a round piece of metal that holds the gums away from the head of the implant. The collar will be in place for 10 to 14 days. The dentists will adjust your temporary denture again and it may be given another soft reline. The reline material will secure the denture to the healing abutments.
About two weeks after the second surgery, the healing caps will be replaced with regular abutments. Your gums should now be healed enough for your dentist to make an impression of your gum tissue and abutments. The impression is used to make a working model of your abutments and jaw. This model is used to make the denture framework and teeth.
Denture Try-In and Insertion
Month 5 or 6 (no denture needed to be made)
Month 6 or 7 (denture needed to be made)
At this point, the metal bar is placed on the abutments. You will have the first try-in of your new denture framework to see if it fits properly.
Once the metal bar and the denture framework have been fitted together properly, the teeth are temporarily placed on the framework in wax. The whole denture is then tried in your mouth. If everything works well, the teeth are secured in the denture framework permanently. The bar or ball attachments also will be secured.
You will have to return to your dentist for another visit to have the completed denture inserted. When the denture is inserted, the denture is clipped onto the bar or snapped onto the ball attachments.Once the metal bar and the denture framework have been fitted together properly, the teeth are temporarily placed on the framework in wax. The whole denture is then tried in your mouth. If everything works well, the teeth are secured in the denture framework permanently. The bar or ball attachments also will be secured.
At this point, your temporary denture will be given a new reline. This will allow it to be used as a backup denture in case you lose or break your new overdenture. If you are using the “temporary” denture as a permanent denture, the bar or ball attachments are placed in that denture.
Caring for Your Implant-Supported Denture
You will need to remove the denture at at night and for cleaning. You also should carefully clean around the attachments.
Your dentist will test all the parts of your new denture to see if they are secure. Even though your denture is stable, it still can move slightly when you chew. This slight movement can cause the denture to rub against your gums, which can cause sore spots. Your dentist will check your gums and also will check the way your top and bottom teeth come together (your bite) after insertion of the denture.You will need to remove the denture at at night and for cleaning. You also should carefully clean around the attachments.
The clip or other attachments on the bar-retained denture usually will need to be replaced every 6 to 12 months. They are made of a plastic material (nylon) and will wear after continued use.
What Will X-Rays Show?
An X-ray will show the implants in the jaw and any attachments to them. Your dentist in Hollywood, FL will take X-rays a few times during the procedure. They help the dentist to see that the implants, abutments and attachments are in the right places.
In addition to the risks of surgery and of the implants failing, a bar-retained denture carries certain risks of its own.
A bar-retained denture needs space on the denture framework for the special attachments that are fitted to the bar. This means that there is less space available on the denture framework for the teeth to be fitted. Because of this, the teeth sometimes can come loose from the base. This problem is easily fixed.
Also, when the bar is attached to the implants it is important that the bar is evenly balanced on each implant. Dentists call this a “passive fit.” If the fit is not passive, the extra strain on the bar can cause the screws to loosen. If you grind or clench your teeth, it’s more likely that parts of the denture will break or that your implants will come loose.
What Can You Expect From Your Implant-Supported Denture?
Your implant-supported denture will be more stable than a regular denture. You will find it easier to speak and you won’t have to worry about the denture becoming loose or falling out of your mouth. You generally will be able to eat foods you could not eat before. However, you will not be able to chew hard or sticky foods because they can damage the denture.
If you have an implant-supported denture in your upper jaw, it can be made to cover less of your palate (roof of your mouth) than a regular denture. That’s because the implants are holding it in place instead of the suction created between the full denture and your palate.
Share With Your Friends:
Dr. Gorbatov is an excellent dentist whose main priority is making sure his patients are comfortable and get the best dentistry he can offer. He provides an attentive service, and...
Natallia Harbacheuskaya (Hollywood, FL)
I was very fortunate to find Dr. Gorbatov right when I had a major issue with an old crown that fell off and led to a major infection just a...
Octavian Miron (Aventura, FL)
I had a procedure done by Dr. Gorbatov, it was amazing, I didn't feel anything, he has very gentle hands and techniques and I didn't even feel the shot! I...
Jessica Y Montero (West Palm Beach, FL)
I had a great experience with Dr. Dmitry Gorbatov. He was able to save my tooth from getting a root canal. All the staff was really nice, and attentive. I...
Arthur R. (North Miami Beach, FL)
I went to the office to get teeth cleaning! The receptionist was overwhelmed with something, but she was the sweetest. My dental hygienist did great job, made sure I feel...
Elizaveta C. (Miami, FL)
Noel Reyes (Lake Worth, FL)
Great service Knowledgeable doctor Friendly staff 5+ stars!! Someone hacked into my account and gave false review. Not me!!! Outstanding service @ Dr Gorbatov Dentistry!!!!
Ellen Zlobinskiy (Hallandale Beach, FL)
I have been going to Dr Gorbatov at A Center For Dental Excellence for many years now and their use of "Excellence" isn't just a marketing ploy and they definitely...
Lawrence F. (Lake Worth, FL)
Absolutely amazing. Jess and Jessica at the front made me feel so comfortable and helped me conquer my fear of the dentist. The office is clean and welcoming I completely...
Hayley Kaplan (Wellington, FL)
Very impressed with Dr. Gorbatov's ethics. He truly cared about my situation, the fact that I was from another city and had limited time off of work to address my...
Tatiana Safonova (Sunny Isles Beach, FL)
This is the Best Dental Office I ever was. Great personality, gentle touch and perfectionism in all aspects of cosmetic dentistry. Thank you Dr. Gorbatov for creating Smile I always...
Yuriy Gorobets (Hallandale Beach, FL)
Very professional office. Good dentist.Clean dental office
Anna K. (Hollywood, FL)
I have been with the dentist for a few years now and love the care I receive. You are taken care of from the front desk person, through your visit!...
Juan Rodriguez (Greenacres, FL)
What a great experience at the dentist!! I wish I had found these guys years ago, maybe I wouldn't be so afraid of the dentist. Thought I needed a root...
Craig Balsam (Wellington, FL)
Dr. Gorbatov is an excellent dentist. I went to several other dentist and they all wanted to do a root canal, but Dr. Gorbatov was able to save my tooth....
Arthur Rubinovich (Sunny Isles, FL)
I have been going to this office now for the past 3 years. From Jessica working the front, to having my teeth cleaned, and both Drs. working on my teeth,...
Joanne Purdy (Wellington, FL)
I recommend this place to anyone that needs any type of dental work done , I always feel welcome from the moment i sign in untill my visit is over...
Lyn F (Wellington, FL)
I are retired dentist and visit dr Gorbatov,s office like a patien for dental works. We graduate the same school New York university and l can tell you the dr...
Shmuil Aronovich (Hallandale Beach, FL)
Very professional nice staff great service.
No teeth fell out mid cleaning. 10/10
Erik Purdy (West Palm Beach, FL)
I take my 90yr great grandmother to this office and they are so kind and she feels so loved here. Every visit she receives excellent service and quality work. Thank...
Farron Ann (Wellington, FL)
Excellent Service! Friendly, Clean and Prompt!
Deidre Reid-Thomas (West Palm Beach, FL)
This is IT!!!! As good as it gets!!! If you want a celebrity smile call his number.
Jacob F. (Miami)
First time here the staff and Dr were so informative and professional thank you for making my experience run so smooth ?
Evelyn Garcia (Greenacres, FL)
The atmosphere in this office is beyond believe, I instantly felt comfortable with Dr Dimitiri and his assistant Yuri. They work great together. I had 6 veneers put in and...
Ruslan Gahramanov (Sunny Isles Beach, FL)
Hello, Dr.Gorbatov is truly THE BEST ,so please just forget about all the rest! I truly witnessed MIRACLE IN MAKING!!! My sister now have a MOVIE STAR SMILE! Thank you...
Valnea Del Bianco (Hallandale Beach, FL)
Incredible how I was just taking my mother to her dentist appointment to me ending up becoming a patient, Jessica greeted me with such warmth and compassion and immediately noticed...
Aracelis Figueroa (Wellington, FL)
Been going here forever and they do an excellent job with all your dental needs and even with cosmetic dentistry as well!
Lauren Harris (Lake Worth, FL)
I've been looking for a good dentist since So. FL lacks them. Not anymore, great professional services, and best of all, you will find a personal touch. You will truly...
ML GG (Hollywood, FL)
High-level professionals. Thank you, Dr. Gorbatov. I'm going to recommend your clinic to my friends. With best regards!
Vlad Shishko (Sunny Isles, FL)
I’ve been coming here for almost 10 years now and can surely say that the customer service provided is one of the best in town. Make sure to be nice...
Hype Kay (Royal Palm Beach, FL)
The dentist fit me in last minute when my normal dentist was unavailable I tried them on the recommendation of a friend after I broke a veneer and had 3...
Mark Krawiec (Hollywood, FL)
My experience was great.Doctor is very professional.I really recommend.The best place to go for your dental.
Olga Meverden (Sunny Isles Beach, FL)
ML GG (Aventura, FL)
Very helpful and amazing response time! Found them on Instagram and I'm happy I did!
Cece Esk (Hollywood, FL)
I know Dr. Gorbatov and use his service already for 15 years since we moved to Florida. He is an amazing doctor capable to do all types of dental and...
Eugenia Aulov-Volchek (Sunny Isles Beach, FL)
Very happy with quick service, suggestions & prices. Will be a repeat customer
Jaclyn Franceschini (Fort Lauderdale, FL)
I always have a great experience when I come here, the staff is wonderful and I would not change my dental office for anything in the world.. Jessica is amazing...
Shiloh Robinson (Wellington, FL)
Since me and my wife moved to Florida from Nj several years ago, we were looking for good dentist, the one we can trust. We tried a few but were...
Tatiana Lapushchik (Hollywood, FL)
Had an amazing experience. Staff was very caring and nice. They are very honest
Billie Selinsky (Wellington, FL)
Painless, professional and efficient. Dr Gorbatov is great!
Suzanne Wilt (West Palm Beach, FL)
Loved coming here, very nice Doctor and wonderful experience with a great cleaning. Receptionist is awesome too.
Lina Lobo (Greenacres, FL)
S u p e r b ...Immaculate dentistry! I was impressed with a GREAT attention to details! His work is truly an ART and priceless! Everyone in the office is...
Gordana Skracic (Aventura, FL)
From the minute I walked in the dr Gorbatov office till the and of my treatment I was pleasantly surprised with professionalism and care of Dr and his staff. I...
Anna (Hollywood, FL)
Excellent service , friendly & professional !!!
Mauricio Bonifacio (Sunny Isles, FL)
Dr. Gorbatov was very thorough and went over all concerns I had (I'm not really a fan of the dentist). He is definitely the nicest Dentist I have ever been...
Sofia Rodriguez (Hallandale Beach, FL)
I finally found a great dentist who does its all, root canals, caps, and implants. I needed major work on my mouth all at once, although it was expensive because...
Diane O’Brocki (Loxahatchee, FL)
Everyone in the office is super amazingly fantastic! They're informative and understanding. Dr. Gorbatov has done great work on my teeth! The dental hygienist has been a charm, makes every...
John Kern (Hollywood, FL)
Entire office & staff is very accommodating and attentive to all your needs. The dentist was very nice and professional and really took the time to explain to me everything...
Tiffany D. (Hollywood, FL)
Jessica at the front has helped me tremendously and the Dr has made the large amount of work that I have had done painless
Celeste Clossin (Wellington, FL)
Great staff I was nervous but they made me feel at ease. I am confident that they will give me the smile that I airways wanted. The receptionist personality is...
Uuggh uggh (West Palm Beach, FL)
Very good cleaning
Riley Purdy (West Palm Beach, FL)
Thank you Dr. Gorbatov for the great experience, your gentle touch and quality work you have done on my teeth. I have been very pleased with your professional, yet personable...
Irina D. (Port Orange, FL)
I have been Dr. Gorbatov's patient for over 8 years and have always received excellent service. The facility and staff are wonderful. I would highly recommend A Center for Dental...
Teresita Camacho (Lake Worth, FL)
Thank you doctor for my beautiful smile!
V V (Hollywood, FL)
I want to say that I never write reviews. However I have to say that this dentist center is amazing! From the moment you enter you feel like family. Everyone...
Lisa Jerkins (Wellington, FL)
Wonderful facility and staff, very professional.
(Sunny Isles, FL)
Dr. Gorbatov placed an implant for me, I am extremely happy with the result, I had absolutely no pain during the procedure after few month doctor put a crown, looks...
Sergey Kasatkin (Sunny Isles Beach, FL)
Dr. Gorbatov is an outstanding dental surgeon and professional in every sense of the word. He and his entire staff are wonderful--- by far the most knowledgeable and compassionate of...
Salt&Light (West Palm Beach, FL)
You are the best guys! You definitely make me smile more :) Thank you sooooo much! Olga Aksenova ❤️
Olga Axenova (Hallandale Beach, FL)
I would like say that this office is at the TOP of my list. The staff is awesome, it is very clean and you made at home as soon as...
Jazlyne Jimenez (Lake Worth, FL)
This is the best dentist in the world who really cares about each and every patient and makes your smile look perfect! After visiting the new office you will be...
Kseniia Dursinova (Sunny Isles, FL)
Good quality office, and dental work.
Igor Gonchar (Hallandale Beach, FL)
The dentist is very friendly and gentle during procedures.
Sofie M (Sunny Isles Beach, FL)
I have lived and worked all over North America. One of the greatest challenges of relocating is finding the best dental practice. "Center For Dental Excellence" was recommended to me...
Gregory Sutton (Wellington, FL)
Love Dr. Gorbatov! He is skilled, professional, thorough, nice, and always keeps me comfortable. The assistants and office staff are great too. I highly recommend Dr. Gorbatov!
fannabl (Hallandale Beach, FL)
When I first found this office I was terrified of the dentist and I had constant anxiety when seeing dentists. Now I look forward to cleanings and my anxiety is...
Hayley Kaplan (Wellington, FL)
The receptionist goes above and be on for the customers. Excellent service the doctor treats you with all his attention feels like I’m right at home and explain everything detailed....
Sophie Garcia (Royal Palm Beach, FL)
Love the staff and great service!!
Rebeca Saravia (Dania Beach, FL)
For me, dental work always came with the presumption of pain and discomfort. That's why it was always very difficult to get any recommended work done, because all I'd have...
Iry T. (Hallandale Beach, FL)
Benjamin R. (West Pam Beach, FL)
Fast service and the best staff! I highly recommend this Dentist. I've been going to this Dentist for 2 years and I travel far now just to come here. They...
Christine (Orlando, FL)
Awesome service. Highly recommended
Iliana Gonzalez (Royal Palm Beach, FL)
I feel I have the best care possible under Dr. Gorbatov and his team. His work is top quality and because of him I know my teeth and the health...
Alex P. (Fort Lauderdale, FL)
Very high professionalism, excellent atmosphere and responsiveness of employees have made this business one of the best. A well-functioning team led by one of the best professionals of the US...
Lili Ivanova (Sunny Isles Beach, FL)
Thank you personally and from the bottom of my heart for the kindness and consideration you showed my mom, Catherine the other day! ?
Patrizia Rondelli (Hollywood, FL)
Well I’ve been going to Dr. Gorbatov since 1996.... Yes ! I’m a loyal. With all the dental issues I’ve had, he’s been able to resolve them and been keeping...
Burke Crump (Wellington, FL)
I had been looking for a dentist for a few months and I was referred to Dr. Gorbatov and I can certainly see why. I've always been a little skeptical...
Jazlyne Jimenez (Hallandale Beach, FL)
Had a great experience with Dr.Gorbatov, he is really professional and doing great his job always with a smile)) Definitely recommending him
Tanya Kusiumova (Sunny Isles Beach, FL)
I have been having a lot of issues with my teeth for quiet some time, including broken molars and bad procedures at other dental facilities. I came to Dr. Gorbatov...
Felix Spengler (Miami, FL)
A Center for Dental Excellence is fantastic. They’re understanding and extremely competent. Not only is the dental care itself excellent, but their quality of caring about their patients is unparalleled....
Haylee J (Aberdeen, FL)
I switched my dentist because i was dissatisfied with their service and decided to go to Dr.Gorbotov's office for my wisdom tooth extraction. I never thought I would see the...