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Prosthodontics/Implant supported dentures


I recently had lower extractions and five implants placed. As I wait for healing, I am contemplating which type of implant supported denture I will be getting. Expense-wise I am currently planning to do the removable overdenture. However, I have Sjögren's syndrome and with that have an excessively dry mouth. I am wondering if a fixed would be better in light of this or if the fixed vs. removable types will be significantly different as to how they impact a very dry mouth. The temporary denture that I currently have certainly shows me that a traditional denture is very difficult with significant dry mouth issues and thus I made the correct decision to go the implant route. I use Biotene under the denture and often use Xylimelts and drink tons, but it is a constant problem and I am having a very difficult time keeping it snug enough without causing sores, etc. etc. Bottom line though is I am researching every way I can to try to make the wisest decision I can make about which type of implant denture. The fixed is clearly the ideal, but I wonder if a removable is still a good choice. The one concern I have about the fixed is, again with the dryness issues, keeping it clean enough under the denture and around the implants. I actually like the idea of the removable better in that respect. I am thinking a lot about the pros and cons but trying to do some research and get professional advice from several sources. It is a huge expense and I need to make the best educated decision that I can. Any advice you can give would be very much appreciated.

From my experience with cases like yourself fixed would be better because the removable overdenture still have movement that could cause soreness. As for cleaning under the fixed denture, your dentist can design the denture with the desired space from the gum. That would allow you to easily clean under the denture and around the implants. In addition, there are several oral hygiene products like waterpik that would help you clean those areas.

Hope this helps.
Dr. Elsafi


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Mohamed Elsafi, DDS, MS, FACP


I am a board-certified Maxillofacial Prosthodontist. I do head and neck prosthetic reconstruction for patients with congenital and acquired defects. This also includes trauma and cancer patients. I can answer questions about prosthetic rehabilitation of the head and neck area. I am also a board-certified prosthodontist and can answer questions about dental reconstruction including crowns, bridges, veneers, partial and complete dentures and implant restorations. I can also answer questions about TMJ problems. I can not answer about surgical reconstruction.


I am a board-certified prosthodontist and maxillofacial prosthodontist and have been practicing denitstry for over 15 years.

American Academy of Maxillofacial Prosthetics. American College of Prosthodontists. American Dental Association.

I received my dental degree from University of Southern California. I did my prosthodontics residency at University of Florida and my maxillofacial prosthetics fellowship at MD Anderson Cancer Center in Houston.

Awards and Honors
Chief Fellow at MD Anderson Cancer Center.

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