Permanent false teeth have reshaped modern dentistry. What once slipped, clicked, and embarrassed is now anchored, silent, stable, and indistinguishable from the real.
If you are living with missing teeth or struggling with loose dentures, today’s solutions offer something closer to permanence than ever before: strength in the jaw, confidence in the mirror, and function in every bite.
This guide breaks down your options, how they work, and what you can expect when choosing a long-term solution.
What Are Permanent False Teeth?
Permanent false teeth are tooth replacement solutions that are fixed in place and cannot be removed by the patient.
Unlike traditional dentures, which rest on the gums and often loosen over time, permanent solutions are anchored to the jawbone using dental implants. This creates stability, restores function, and prevents the gradual bone loss associated with missing teeth.
The two most common options are:
- Dental implants (individual tooth replacement)
- Screw retained dentures (full or partial arch replacement)
Types of Permanent False Teeth
When considering permanent false teeth, patients are typically choosing between two advanced solutions:
1. Dental Implants
A long-term solution for replacing one or more missing teeth using titanium posts embedded into the jawbone.
2. Screw Retained Dentures
A full-arch solution supported by multiple implants, designed to replace several or all missing teeth.
Both options offer stability and durability—but they differ in structure, cost, and application.
Dental Implants Explained
Dental implants are widely regarded as the most advanced and permanent solution for missing teeth.
Each implant consists of a titanium post placed into the jawbone. Over time, this post fuses with the bone through a process known as osseointegration, effectively acting as an artificial root. A custom crown is then placed on top, completing the restoration.
Key Benefits
- Long-term durability
With proper care, implants can last decades—or even a lifetime. - Natural appearance and feel
Each crown is custom-designed to match surrounding teeth. - Bone preservation
Implants stimulate the jawbone, preventing bone resorption. - Full functionality
Eat, speak, and smile without restriction. - Low maintenance
Care mirrors natural oral hygiene routines.
For patients exploring dental implants in Pretoria, this option offers the closest experience to natural teeth.
Screw Retained Dentures Explained
Screw retained dentures—also known as implant-supported dentures—are designed for patients missing multiple or all teeth.
Instead of replacing each tooth individually, four to six implants are used to support an entire arch of prosthetic teeth.
Two Variations
- Fixed (non-removable dentures)
Permanently secured and only removable by a dentist. - Hybrid / “Snap-on” dentures
Can be removed when necessary but remain firmly secured during daily use.
Key Advantages
- Faster full-mouth restoration
Ideal for patients needing complete rehabilitation. - Improved stability over traditional dentures
No slipping, no adhesives. - Enhanced chewing ability
Restores proper nutrition and digestion. - Cost-effective alternative to full implants
Requires fewer implants than individual replacements.
This solution is often recommended for patients considering a full mouth dental restoration.
Dental Implants vs Dentures: A Clear Comparison
| Feature | Dental Implants | Screw Retained Dentures | Removable Dentures |
| Fixed in place | Yes | Yes | No |
| Prevents bone loss | Yes | Yes | No |
| Feels natural | Excellent | Very good | Moderate |
| Longevity | Very high | High | Moderate |
| Cost | Higher | Moderate | Lower |
Insight:
If permanence and natural feel are your priority, implants dominate.
If efficiency and cost balance matter, screw retained dentures offer a compelling middle ground.
Procedure & Recovery Timeline
Understanding the journey removes uncertainty.
Step 1: Consultation
Assessment of oral health, bone density, and suitability.
Begin by booking a dental consultation to evaluate your options.
Step 2: Implant Placement
Titanium posts are surgically inserted into the jawbone under local anaesthesia.
Step 3: Healing Phase
Osseointegration occurs over several weeks to months.
Step 4: Final Restoration
Crowns or dentures are attached, restoring full function and aesthetics.
Recovery
- Mild swelling or discomfort may occur
- Most patients return to normal activity within days
- Full healing depends on individual cases
Cost of Permanent False Teeth
Costs vary depending on:
- Number of implants required
- Type of restoration (individual vs full arch)
- Bone grafting or preparatory procedures
- Materials used
General Positioning
- Dental implants: Higher upfront investment, long-term value
- Screw retained dentures: More cost-efficient for full-mouth cases
Rather than focusing on price alone, consider:
longevity, function, and quality of life.
Who Is a Suitable Candidate?
You may be a strong candidate if you have:
- Healthy gums
- Adequate jawbone density
- Good overall health
- Commitment to oral hygiene
Even if bone loss has occurred, modern procedures can often restore eligibility.
A consultation with a cosmetic dentist in Johannesburg or Pretoria will determine the best approach.
Why More Patients Are Choosing Permanent False Teeth
Because instability has a cost.
Loose dentures affect:
- speech
- confidence
- nutrition
- social comfort
Permanent solutions remove those variables.
They restore:
control, certainty, and dignity in everyday life.
Frequently Asked Questions About Permanent False Teeth
What are permanent false teeth?
Permanent false teeth are long-term tooth replacement solutions that are fixed in place and cannot be removed by the patient. The most common options include dental implants and screw-retained dentures. Unlike traditional removable dentures, permanent fake teeth are securely anchored to the jawbone, providing improved stability and comfort.
Are dental implants better than removable dentures?
Yes, in most cases dental implants are considered superior to removable dentures. Implants prevent bone loss, feel more natural, and do not move while eating or speaking. Removable dentures may loosen over time and require adhesives, whereas permanent false teeth function like natural teeth.
What is the difference between screw in teeth and a screw-retained denture?
“Screw-in teeth” typically refers to individual dental implants with crowns attached. A screw-retained denture (also called implant-supported or non-removable dentures) uses multiple implants to support a full arch of teeth. Both are fixed solutions, but screw-retained dentures are often used when replacing multiple or full sets of teeth.
Are non-removable dentures truly permanent?
Non-removable dentures are fixed in place by a dentist and cannot be removed by the patient. While they may occasionally need professional maintenance or adjustment, they are considered a permanent solution for missing teeth.
How long do permanent fake teeth last?
With proper oral hygiene and regular dental check-ups, dental implants can last decades — and in many cases, a lifetime. The prosthetic crowns or dentures may need replacement over time due to normal wear.
Is the procedure for permanent false teeth painful?
The implant procedure is performed under local anaesthesia and is generally well tolerated. Mild swelling or discomfort may occur after surgery, but most patients report that the recovery is easier than expected.
Who is a good candidate for dental implants?
Ideal candidates for dental implants have healthy gums and sufficient jawbone density. A consultation with a cosmetic dentist will determine whether you qualify for implants or whether a screw-retained denture may be more suitable.
Permanent False Teeth from a Dental Specialist in Gauteng
Dr. Ivan Marx is a leading cosmetic dentist with practices in Johannesburg and Pretoria, offering advanced dental implants and permanent dentures. If you are embarrassed by missing teeth, contact your nearest Dr. Ivan Marx practice and book an introductory consultation.