Missing one or more teeth affects more than your smile. It can change how you chew, speak, and feel day to day. At Aesthetic Oral Health in Durham, NC, we help you choose a tooth replacement that restores confidence, protects your oral health, and fits your routine. Many patients compare Dental Implants and Dentures when exploring options. Both can look natural and function well. The best choice depends on your goals, timeline, and overall health.
What are Dental Implants?
Dental implants are small posts made of titanium that sit in your jawbone and act like a new tooth root. After dental implant placement, the bone attaches to the implant during a healing process called osseointegration. This creates a more solid base for a replacement tooth. A connector called an abutment is added, and then we attach a custom crown or other restoration to complete your new smile.
Modern dentistry uses digital planning for dental implant surgery. In some cases, we coordinate with an oral surgeon for the surgical procedure and the placement of dental implants, then our team completes the aesthetic and functional restoration. For back teeth in the upper jaw, your provider may discuss the sinus area. If you lack enough bone near the sinus floor, a sinus augmentation or a bone graft can help create healthy bone for stable support.
Why many patients love implants:
- They look and feel similar to natural teeth.
- They help prevent bone loss by stimulating your natural bone.
- With proper care, they can offer long-term comfort and function.
What are Dentures?
Dentures are removable appliances that replace several teeth or a full arch. A removable denture rests on your gums and is shaped to fit your mouth. Materials and design have improved significantly, and modern dentures can offer a very natural look.
Types you may consider:
- Partial dentures to replace a few missing teeth.
- Full dentures to replace an entire arch.
- Implant-supported dentures that attach to several implants for added stability.
Patients who choose dentures often want an efficient timeline, a solution for widespread missing teeth, or a more budget-friendly start to treatment.
At-a-Glance Comparison: Feel, Function, and Maintenance
Look and feel
Dental implants anchor in the jawbone, which helps the new crown move more like natural teeth. Dentures rest on the gums. They can feel different at first and may require an adjustment period.
Chewing and speech
Implants provide a stable bite that supports daily eating habits. Well-fitted dentures can work beautifully for meals and conversation, although some foods may be easier with implants, especially over time.
Oral health
Implants help preserve oral health by supporting the bone around a missing tooth site. Traditional dentures do not stimulate bone and may be associated with gradual changes to the ridge. Good fit and routine care keep dentures comfortable.
Cleaning and care
Implants are brushed and flossed like teeth. Dentures are removed for cleaning. In both cases, proper care and regular visits with your dentist are essential to avoid issues related to poor oral hygiene.
Candidacy: Which Option Fits Your Health and Goals?
You may lean toward dental implants if you want a fixed solution that closely resembles natural teeth, are comfortable with a slower healing process, and have healthy bone. If there is not enough bone, your provider may discuss a bone graft to rebuild the site. In the upper back jaw, a sinus augmentation can lift the sinus floor to create space for implants.
You may lean toward dentures if you prefer a non-surgical path, want to restore many teeth at once on a shorter timeline, or are not a candidate for implant surgery. For added stability, implant-supported dentures combine the benefits of both approaches by attaching the denture to a few implants.
Every mouth is unique. We evaluate your jawbone health, gums, bite, and goals. We also review any history of allergic reaction to materials. Most implants use titanium, which is widely used in dentistry.
Timeline and Steps: What to Expect
Dental implant procedure
- Consultation and planning with digital imaging to assess natural bone and anatomy.
- Implant surgery and placement of dental implants. Healing varies by site. Your provider will review your period of healing and overall healing process.
- Placement of the abutment and final crowns, bridge, or prosthetic teeth after the site is ready.
Denture process
- Consultation, impressions, and bite measurements.
- Try-in for fit and appearance.
- Delivery of the final artificial teeth. Adjustments ensure comfort.
In both paths, your comfort matters. Our team discusses options that support a calm visit. We also coordinate care if a specialty oral surgeon is part of your plan.
Comfort, Confidence, and Quality of Life
Your smile does more than complete your look. It influences mealtimes, conversations, and social moments. Implants provide a fixed solution that many patients find highly natural for daily life. Well-made dentures can also improve quality of life with a beautiful result and a smooth routine. We walk you through each step so you know what to expect and feel supported throughout care.
Costs and Longevity: A Practical View
Treatment plans vary across the United States. Implants often involve a longer timeline and multiple steps, which can affect cost. Dentures can be a quicker start with straightforward maintenance. Many patients think long term. Implants help support the bone and, with proper care, can serve for many years. Dentures may need periodic relines or replacement as your mouth changes.
We tailor recommendations to your health, goals, and budget. We will outline each option clearly so you can decide with confidence.
Caring for Your New Smile
Healthy habits protect your investment whether you choose dental implants or dentures.
For implants:
- Brush and floss daily around the implant and crowns.
- Keep regular hygiene visits to monitor the implant and surrounding tissue.
- Address habits like clenching with a nightguard if recommended.
For dentures:
- Clean your dentures daily with products made for prosthetic teeth.
- Soak overnight if advised.
- Maintain checkups to keep the fit comfortable and your gums healthy.
Good daily care lowers the risk of irritation and infection. It also helps your results look great long term.
When Implant-Supported Dentures Make Sense
If you love the idea of a full-arch restoration but want added stability, implant-supported dentures may be the perfect middle path. Several implants are placed in the jawbone. The denture then attaches to those implants so it stays put while you eat and speak. Many patients appreciate the blend of a streamlined denture with the security that implants provide.
How We Personalize Your Plan at Aesthetic Oral Health
You receive options, not pressure. We talk through your timeline, medical history, and what a typical day looks like for you. Then we design a plan matched to your needs, whether that is dental implants, dentures, or an implant-retained approach. Our comprehensive services include Implant Restoration, Dental Implants, Dentures including partials and full arches, and Implant-Supported Dentures. We focus on both aesthetics and function so your smile looks natural and works comfortably.
Ready to Talk Through Your Options?
Your smile deserves thoughtful, personalized care.
Request an appointment with our team today. We will evaluate your needs, explain every step clearly, and create a plan that helps you enjoy eating, speaking, and smiling again.


Dr. Peter Tzendzalian, DDS
Kristin Tzendzalian
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