Comparison of dental prostheses: fixed or removable?

Discover the differences between fixed and removable dentures: advantages, disadvantages, price, comfort, lifespan and expert advice to make the right choice.

Why is choosing the right dental prosthesis essential?

Losing one or more teeth can significantly impact your smile, chewing ability, and self-confidence. Thanks to advances in modern dentistry, there are now two main types of dental prostheses: ➡️ Fixed prostheses, which are securely anchored. ➡️ Removable prostheses, which are more economical and customizable.
But which one is best suited to your needs? This professional guide helps you clearly compare the two options, based on your age, oral health, and budget.

What is a dental prosthesis?

A dental prosthesis is a medical device designed to replace one or more missing teeth. It restores not only the aesthetics of the smile, but also essential functions such as chewing and speech.
Prostheses can be:
Fixed: sealed or screwed in, they cannot be removed by the patient. Removable: they can be removed for cleaning or at night.


Fixed dental prostheses

Definition

Fixed prostheses are securely attached to natural teeth or implants. They perfectly replicate the appearance and function of a natural tooth.

Types of fixed prostheses

Dental crown: covers a damaged tooth to protect it and restore its shape.

Bridge: replaces one or more missing teeth by attaching to the adjacent teeth.

Dental implant: an artificial titanium root onto which a crown is fixed.

Removable dental prostheses

Definition

Removable prostheses, commonly called “dentures”, partially or completely replace missing teeth. They can be easily removed and replaced by the patient.

Types of removable prostheses

Partial prosthesis: replaces some teeth, relies on the remaining teeth.

Complete denture: replaces all the teeth in one jaw.

fixed vs. removable prosthesis

What criteria should be used to make the right choice?

The choice depends on several factors:

1. Oral health

  • Healthy teeth and gums facilitate the placement of fixed prostheses.
  • In cases of bone loss or fragile gums, a removable prosthesis is more suitable.

2. The budget

  • Fixed prostheses represent a long-term investment.
  • Removable prostheses are less expensive, but require more maintenance.

3. Age and lifestyle

  • Young and active patients often prefer fixed solutions for their comfort.
  • Older people prefer the ease of maintenance of removable products.

4. The aesthetic aspect

Fixed prostheses offer an almost undetectable result, while removable ones can sometimes appear less natural.

Maintenance and durability of dental prostheses

Fixed prostheses

  • Regular brushing 2 to 3 times a day.
  • Use of floss or interdental brushes.
  • Check-up visits every 6 months.

FAQ – Fixed or removable prostheses

1. Which prosthesis is the most comfortable?

Fixed prostheses are more stable and offer a feel close to that of natural teeth.

2. What is the lifespan of a dental prosthesis?

 Fixed ones last 10 to 20 years, removable ones 5 to 10 years, depending on maintenance.

3. Is it possible to eat normally with a removable prosthesis?

 Yes, after a short adjustment period, it is possible to regain satisfactory chewing.

4. Is it painful to insert?

 The placement of a prosthesis is painless, performed under local anesthesia or without intervention for removable prostheses.

5. Which solution is the most aesthetically pleasing?

Fixed prostheses perfectly mimic natural teeth, especially when placed on implants.

6. Are prostheses reimbursed?

 Yes, partially through insurance or mutual funds depending on the country and the type of prosthesis.

Conclusion

The choice between fixed and removable dentures depends on your needs, oral health, and budget. Fixed dentures offer superior comfort and aesthetics, while removable dentures are an economical and flexible solution.