Replacing several or all missing teeth

Dentures in Pomona, Brea and Newport Beach

Reviewed by Dr. Nabeel Cajee, DDS, MICOILast reviewed

Dentures replace some or all missing teeth, but the appropriate design depends on which teeth remain, gum and bone support, bite, dexterity, health, maintenance needs, and whether implants are suitable. Options may include a removable partial denture, complete denture, immediate denture, implant-retained removable overdenture, or a fixed full-arch implant prosthesis. These options differ in surgery, stability, cleaning, repair, and long-term maintenance. Advanced Dentistry & Orthodontics provides missing-tooth evaluation at all three offices. Dr. Nabeel Cajee leads implant surgery for the practice.

Key takeaways

  • Complete dentures replace all teeth in an arch; partial dentures replace selected missing teeth and use remaining structures for support.
  • Implants may improve support for a removable denture or support a fixed full-arch prosthesis, but surgery and candidacy evaluation are required.
  • The phrase fixed dentures often refers to a prosthesis retained by implants that the patient does not remove at home; it is not maintenance-free or permanent.
  • Immediate dentures may be inserted after extractions, but healing changes can require adjustment, relining, or replacement.
  • All denture options require cleaning, professional follow-up, and evaluation when fit, comfort, chewing, speech, or the prosthesis changes.

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What types of dentures are available?

The American Dental Association describes conventional complete dentures, immediate dentures placed after remaining teeth are removed, and overdentures that fit over retained teeth or implants. A removable partial denture replaces some teeth and may use clasps or other attachments for support.

Dental implants can support individual crowns, bridges, removable overdentures, or a fixed full-arch prosthesis. The design and number of implants depend on anatomy, health, remaining teeth, bite, hygiene, and the planned restoration.

How do removable and fixed options compare?

General comparison of missing-tooth replacement paths
ConsiderationHow it is supportedImportant considerations
Removable partial dentureRemaining teeth and oral tissues, sometimes with implant assistancePatient removes it for cleaning; fit and design depend on the remaining teeth and spaces
Complete removable dentureGums and underlying tissuesAdjustment takes time; fit can change as tissues change and may require relining or replacement
Implant-retained removable overdentureImplants add retention while the patient still removes the dentureRequires implant candidacy, surgery, attachment maintenance, and cleaning around the implants
Fixed full-arch implant prosthesisA complete-arch prosthesis secured to implants and removed only by a clinicianRequires surgery, daily cleaning beneath the prosthesis, professional maintenance, and repair or replacement planning

What does fixed dentures mean?

Fixed dentures is a consumer term often used for a complete-arch prosthesis attached to dental implants. The American College of Prosthodontists cautions that the word permanent can be misleading. A fixed prosthesis may be removed by a clinician for maintenance and can wear, loosen, chip, fracture, or require repair or replacement.

Full-arch implants are sometimes called All-on-4 or All-on-X. Those names describe treatment concepts, not a universal number of implants or a guaranteed same-day result. Review the full-arch implant treatment page for candidacy, staging, risks, and maintenance.

What happens during a denture evaluation?

The clinician reviews medical and dental history, missing and remaining teeth, gum and bone support, bite, jaw relationships, oral tissues, prior dentures, dexterity, hygiene, goals, and the ability to attend follow-up. Dental imaging may be recommended when it is needed for diagnosis, extraction planning, or implant evaluation.

The evaluation should compare tooth-preserving care where possible, a removable partial or complete denture, a bridge, implant-supported options, and no treatment when appropriate. The written plan should state which teeth or implants support the restoration, what is temporary or definitive, and which adjustments, relines, repairs, and maintenance are included.

What are the treatment stages?

  1. Diagnosis and option comparison

    The clinician determines which teeth may be retained, which spaces need replacement, and whether removable or implant-supported options fit the diagnosis and patient priorities.

  2. Records and design

    Scans, impressions, bite records, photographs, and dental imaging are selected as needed to plan fit, tooth position, appearance, and support.

  3. Preparatory treatment

    Decay, gum disease, extractions, tooth preparation, bone procedures, or implant placement may occur before the definitive prosthesis. Not every patient needs each stage.

  4. Try-in or provisional stage

    Depending on the design, the clinician may evaluate tooth position, bite, appearance, speech, and comfort before completion or use a temporary restoration during healing.

  5. Delivery and adjustment

    The prosthesis is evaluated in the mouth, and the patient receives instructions for insertion or removal when applicable, cleaning, eating, sore spots, and follow-up.

  6. Maintenance

    Fit, tissues, remaining teeth, implants, attachments, bite, and the prosthesis are checked over time. Relines, repairs, replacement components, or a new prosthesis may eventually be needed.

What should I expect while adjusting?

The ADA notes that new removable dentures may initially feel awkward or loose while the mouth adapts. Minor irritation, soreness, and increased saliva can occur, and follow-up visits are commonly needed to evaluate fit and make adjustments.

Adaptation varies. Persistent soreness, a denture that rocks or will not stay seated, difficulty closing, new sores, broken components, or a sudden change in fit should be evaluated. Do not attempt a permanent home repair or use an over-the-counter reline product without professional guidance.

How are dentures and implants maintained?

Removable dentures should be cleaned daily with a denture brush or soft brush and a nonabrasive cleanser, and the gums, tongue, palate, and any remaining teeth also need cleaning. Follow the clinician's instructions about overnight removal and storage.

Implant-retained and fixed prostheses require cleaning around attachments or beneath the prosthesis as instructed. Professional maintenance checks the tissues, implants, bite, screws or attachments, and prosthesis. Implants and prostheses can still develop complications, and maintenance does not guarantee a particular lifespan.

What are the risks and limitations?

Removable dentures may move, irritate tissues, affect speech or chewing during adaptation, wear, fracture, or stop fitting as oral tissues change. Partial dentures also depend on the health of supporting teeth. Implant-supported options add surgical risks, healing requirements, component maintenance, and possible implant or prosthesis complications. The FDA lists possible implant complications including infection, delayed healing, injury to nearby structures, nerve or sinus problems, loosening, and implant failure.

No denture option feels exactly like natural teeth, eliminates maintenance, or has a guaranteed lifespan. The evaluation should set realistic expectations for stability, function, cleaning, repairs, and future replacement.

Where are denture options available?

Missing-tooth and denture evaluations are available through Pomona, Newport Beach, and Brea. Dr. Nabeel Cajee leads implant surgery and reviewed this page. For full-arch cases, the surgeon and anesthesiologist coordinate care at the patient's chosen office.

Financing options include Cherry, CareCredit, and in-house financing. Ask for a written treatment sequence and estimate, review financing terms in writing, and verify dental benefits directly with the insurer.

Offices, clinicians and financing

This treatment is offered at all three Advanced Dentistry & Orthodontics offices. Complete, partial, implant-retained, and fixed full-arch options are evaluated through every office. For full-arch cases, the surgeon and anesthesiologist coordinate care at the patient's office.

Clinicians who provide this care

Financing options include Cherry, CareCredit, and in-house financing. Review the interest rate, promotional-period rules, fees, and total repayment in writing before choosing one. See the financing and insurance page. Dental benefits vary by plan; ask the office for a written estimate and verify benefits directly with your insurer.

Dentist-reviewed guides

Read before your consultation. Each guide names its reviewing dentist and lists its sources.

Frequently Asked Questions

What is the difference between a complete and partial denture?

A complete denture replaces all teeth in an arch. A partial denture replaces selected missing teeth and uses remaining teeth and oral tissues for support.

Are fixed dentures permanent?

No dental prosthesis is permanent or maintenance-free. A fixed full-arch prosthesis is secured to implants and is removed by a clinician rather than by the patient, but it can still require maintenance, repair, or replacement.

Can I receive a denture on the day teeth are removed?

An immediate removable denture may be planned in selected cases, but healing changes can require adjustments, relining, or replacement. A fixed same-day provisional depends on implant stability, anatomy, health, and the treatment plan and cannot be promised before evaluation.

Will implants make a denture more stable?

Implants may improve retention or support for selected patients, but suitability depends on anatomy, oral and general health, healing, hygiene, and the proposed design.

How often should dentures be checked?

The interval depends on fit, oral tissues, remaining teeth, implants, risk factors, and prior problems. Contact the office sooner if the denture becomes loose, painful, damaged, or difficult to use.

Sources

These sources support general patient education. Individual diagnosis, treatment options, timing, and risks require an examination by a qualified dental professional.

  1. DenturesAmerican Dental Association, MouthHealthy. Accessed 2026-10-05.
  2. Partial DenturesAmerican Dental Association, MouthHealthy. Accessed 2026-10-05.
  3. DenturesAmerican College of Prosthodontists. Accessed 2026-10-05.
  4. Dental Implants: What You Should KnowU.S. Food and Drug Administration. Accessed 2026-08-24.

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An evaluation establishes a diagnosis and the options that apply to you. It is not a promise that a particular treatment is indicated.

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