Prosthodontics
Fixed dentures
A fixed denture is permanently attached to implants – the solution when many or all teeth have been lost. It does not come out, does not move and does not cover the palate.
- implants per jaw, typically
- 4–6
- you never take it out
- Fixed
What is a fixed denture?
A fixed denture (a fixed restoration on implants) replaces all or most of the teeth in a jaw but – unlike a conventional denture – does not come out. It is supported by implants placed in the bone, so it stays stable when you speak and chew and does not cover the palate.
The right solution depends on the condition of your bone and remaining teeth, your bite, and your wishes and circumstances.
Types of fixed dentures
- All-on-4 / All-on-6 – a complete arch of teeth on 4 or 6 implants, with metal-ceramic or zirconia-ceramic crowns.
- Toronto bridge – a hybrid full-arch bridge of 12 to 14 teeth (ceramic or zirconia) with a thin layer of artificial gum; usually on 6 implants, although the number depends on the case. The dentist can remove it for check-ups and professional cleaning.
Course of treatment
- 01
Specialist consultation
An examination of your mouth, a conversation about what you would like to achieve and, if needed, an X-ray or 3D CBCT scan – all in the clinic, in one place. Based on this, you receive a treatment plan and a quote.
- 02
3D planning
The number and position of the implants are planned on the CBCT scan.
- 03
Surgical preparation and implants
Implant placement, with extraction of the remaining teeth or bone grafting if needed.
- 04
Temporary restoration and healing
You wear a temporary restoration while the implants heal; we see you for regular check-ups.
- 05
Try-in and final restoration
The final restoration from our laboratory is tried in and fixed in place.
Fixed or removable denture?
- Fixed – stable, no palate coverage, a more natural feel; requires implants and sufficient bone (or bone grafting).
- Removable – simpler and more affordable; comes out for cleaning but is less stable.
- Bar-retained overdenture – a compromise: a removable denture without palate coverage, stabilised on implants.
Questions & answers
Frequently asked questions
How many implants are needed for a fixed denture?
Usually 4 to 6 per jaw, and most often 6 for a Toronto bridge. The number depends on the bone and the type of restoration and is determined on the basis of a 3D scan.
Will I be without teeth while the implants heal?
You shouldn't be – you wear a temporary restoration during healing. In selected cases, temporary fixed teeth are fitted on the day the implants are placed.
How do I look after a fixed denture?
By brushing it every day and cleaning the space beneath it with special aids, along with regular check-ups and professional cleaning.
Can I replace my existing denture with a fixed one?
In most cases, yes – if the condition of the bone allows or the bone can be built up. We assess the options at your consultation and on a 3D scan.
Related services
All-on-4 / All-on-6
A complete fixed arch of teeth on 4 or 6 implants – for a toothless jaw or for teeth that need to be replaced.
Dental implants
A fixed replacement for one, several or all teeth – B&B Dental implants, 3D planning and crowns from our in-house laboratory.
Removable dentures
Complete and partial dentures, combined restorations and bar-retained overdentures – from our in-house laboratory.
The first step
Book a specialist consultation.
Your appointment includes a free specialist examination of your mouth, a consultation with the dentist, a treatment plan and a quote for the treatments you need, tailored to your wishes and circumstances.