Tooth loss is more than a cosmetic concern — it affects chewing function, speech clarity, facial structure, and long-term oral health. In Ontario, patients exploring tooth replacement options are usually presented with two primary solutions: dentures and dental implants.

Though they interact with bone, tissue, daily life, and long-term results quite differently, both choices seek to restore function and appearance. There is no universal right answer; it varies depending on a patient’s health status, anatomical situation, financial constraints, and lifestyle choices.

At East River Dental, we assess these factors case by case. This guide outlines the differences between dental implants vs dentures, explains how each works, breaks down real-world costs in Ontario, and discusses how to make the right decision based on what matters most: function, longevity, comfort, and overall value.

Understanding Dentures

Technically speaking, removable prosthetic devices called dentures stand in for lost teeth. Though especially for those lacking several teeth or complete dental arches, they have been around for ages and are still a reasonable choice.

Types of Dentures

• Complete Dentures: Remove every tooth from the upper or lower jaw. Resting right on the gums, they depend on suction, anatomical fit, or adhesive for retention.
• Partial Dentures: Used when some natural teeth are left. These connect to neighbouring teeth using metal clasps or exacting attachments.
• Immediate Dentures: Scheduled for the same day as tooth removals. These are transient and changed following recovery.
• Implant-Supported Dentures: Especially in the lower jaw where suction is usually restricted, combine dental implants with removable prosthetics for better retention and function.

Materials and Fabrication

Usually made of acrylic resin, dentures are occasionally strengthened with metal frameworks (for partials). Several clinical visits — impressions, bite registration, try-in fittings, and final placement — make up the process. Well-fitted dentures can be tailored for natural look, enhance chewing ability, and restore facial contour.

Dentures, on the other hand, do not promote bone and may cause the underlying ridge to shrink with time, calling for relines or replacement.

Understanding Dental Implants

Dental implants are a fixed, long-term solution that replaces both the visible crown and the root of a missing tooth. They fuse to the bone and restore full chewing function while preserving facial structure.

Implant Structure

• Implant Post: A titanium or ceramic screw surgically inserted into the jawbone.
• Abutment: A connector placed on top of the implant that supports the final crown or bridge.
• Crown or Prosthesis: The visible tooth restoration, crafted from ceramic or zirconia, matched to the patient’s natural dentition.

The Dental Implants Procedure

1. Comprehensive Consultation: Includes a clinical exam, radiographs or CBCT scan, periodontal assessment, and occlusal evaluation.
2. Surgical Placement: The implant post is placed into the jawbone under local anesthesia. Healing time ranges from 3 to 6 months.
3. Osseointegration: Bone grows around the implant, securing it as a permanent fixture.
4. Prosthetic Phase: After healing, a crown, bridge, or implant-supported denture is attached.

At East River Dental, we perform in-house digital planning and coordinate all phases of implant care — from placement to restoration — using modern tools and guided surgical protocols.

Dentures vs Implants: Side-by-Side Comparison

Here’s a detailed look at the pros and cons of dental implants and pros and cons of dentures, based on our experience treating Ontario patients.

Feature	Dental Implants	Dentures
Functionality	High — 90–100% of natural bite force	Moderate — 30–60% of bite force restored
Stability	Fixed; no movement	May shift, especially lower arch
Bone Health	Preserves bone volume	Does not stimulate bone; leads to resorption
Aesthetics	Highly natural; mimics real teeth	Variable, depending on quality and fit
Comfort	Feels like natural tooth	Can cause pressure points or soreness
Longevity	15–25+ years with proper care	5–8 years before relining or replacement needed
Maintenance	Brush and floss like natural teeth	Remove, soak, and clean daily
Surgical Procedure	Yes	No
Initial Cost	Higher upfront	Lower upfront
Long-Term Cost	Lower due to longevity	Higher due to replacements and relines

Both options are clinically appropriate depending on case factors — but they serve different patient needs.

Cost Considerations in Ontario

The cost of dental implants and cost of dentures in Ontario depends on the type of restoration, materials used, surgical complexity, and whether additional procedures (like bone grafting or extractions) are required.

Dentures Cost (Ontario Averages)

• Full Denture (Upper or Lower): $1,500–$2,800
• Partial Denture: $900–$2,200
• Implant-Supported Denture: $6,000–$12,000+

Dental Implants Cost (Ontario Averages)

• Single Implant with Crown: $4,500–$6,000
• Implant-Supported Bridge (3–4 teeth): $9,000–$14,000
• Full-Arch Implants (All-on-4): $18,000–$30,000+

While implants carry a higher initial fee, they often prove to be more economical over time due to their durability and lower maintenance requirements.

Insurance coverage varies: some plans cover part of the surgical placement or prosthetic components. At East River Dental, our treatment coordinators assist with pre-authorizations, direct billing, and flexible financing where available.

Maintenance and Daily Care

Dentures Maintenance

• Must be removed at night to allow gums to rest.
• Should be cleaned daily with non-abrasive cleansers and a soft denture brush.
• Soaking in a cleansing solution prevents bacterial buildup.
• Periodic relining may be needed as gum and bone tissue resorb.
• Annual check-ups help assess fit and detect lesions or pressure spots.

Dental Implants Maintenance

• Demand the same cleanliness as natural teeth: brushing twice a day and daily flossing or interdental cleaning.
• Patients have to go to regular hygiene visits for professional implant cleanings.
• Avoiding peri-implantitis, an inflammatory disease that can cause bone loss around implants, calls for special attention.
• Uncontrolled diabetes and smoking raise the risk of implant failure.

Whether you choose implant-supported dentures or a single-tooth replacement, long-term success depends on patient compliance and regular professional care.

Who Is a Candidate for Each Option?

Dentures May Be More Suitable For:

• Patients with significant bone loss or systemic conditions that preclude surgery.
• Those looking for an immediate, cost-effective solution.
• Individuals unable to maintain complex hygiene routines due to dexterity or cognitive challenges.

Dental Implants May Be More Suitable For:

• Patients with adequate bone volume or who are eligible for grafting.
• Non-smokers or patients with controlled health conditions.
• Those seeking a permanent solution with optimal function.
• Younger or middle-aged adults prioritizing long-term stability.

At East River Dental, we never recommend a solution based on trend or assumption. Each treatment plan is developed after detailed imaging, consultation, and risk-benefit analysis.

East River Dental’s Approach to Tooth Replacement

Our office combines technology, experience, and education to support informed decision-making in dental implants vs dentures.

What We Offer:

• On-site CBCT imaging for bone assessment and guided surgery
• Prosthetic planning for both removable and fixed restorations
• Full treatment coordination — from extractions to implant placement and final crown delivery
• Support for all types of dentures, including full, partial, and implant-supported
• Follow-up protocols for implant maintenance and denture relines

We don’t “sell” procedures — we provide clinical pathways based on your goals, medical profile, and anatomy.

Conclusion

The decision between dentures and dental implants isn’t about which option is better — it’s about which one is right for you. Each has advantages, limitations, and ideal use cases. Dentures offer fast, economical restoration. Implants provide long-term function and preservation.

At East River Dental, we’re here to guide — not pressure — you through the process. Our commitment is to clarity, transparency, and outcome-focused care.

Ready to explore your options? Book a consultation today and let us help you rebuild your smile with the right solution for your needs.