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Complete dentures are made when gums are restored to a healthy condition and sufficient time has passed for healing. Complete dentures replace all teeth in the upper or lower jaws of the mouth. Gums will naturally shrink through the healing process of tooth loss, which normally takes from six to 12 months. During this period the immediate dentures may require adjustments to accommodate the changes in the gums and underlying bone structure. This could include soft and hard relining procedures.

Dr. Okunuga’s dental center has an on-site dental lab that fabricates new dentures and provides repairs and relines, often with same-day service. Being able to provide dentures in a day is a significant advantage, especially for patients who have traveled far distances. The on-site lab also eliminates the need to use outside commercial labs, which helps keep our fees low.

Implants: An implant is a metal post that is inserted into the bone of the upper or lower jaw. This post is then used to replace a single tooth by attaching a crown to it, or multiple teeth by attaching a bridge to multiple implants. Implants are the most expensive option for tooth replacement, but implants simulate natural teeth better than any of the other options.
Dentures that fit well during the first few years after creation will not necessarily fit well for the rest of the wearer's lifetime. This is because the bone and mucosa of the mouth are living tissues, which are dynamic over decades. Bone remodeling never stops in living bone. Edentulous jaw ridges tend to resorb progressively over the years, especially the alveolar ridge of the lower jaw. Mucosa reacts to being chronically rubbed by the dentures. Poorly fitting dentures hasten both of those processes compared to the rates with well-fitting dentures. Poor fitting dentures may also lead to the development of conditions such as epulis fissuratum. In addition, the occlusion (chewing surfaces of the teeth) tends to wear away over time, which reduces chewing efficacy and decreases the vertical dimension of occlusion, (the "open-ness" of the jaws and mouth).

New dentures may feel a little odd or loose for a few weeks until the muscles of the cheeks and tongue learn to keep them in place and you get comfortable inserting and removing them. Also, it is not unusual for minor irritation or soreness to occur and for saliva flow to increase when you first start wearing dentures, but these problems will diminish as the mouth adjusts.

In any case, implant-supported dentures have several advantages over conventional dentures. They offer improved comfort due to less irritation of the gums, confidence due to less risk of slipping out, and appearance due to less plastic required for retention purposes. Patients with implant-supported dentures have increased chewing efficacy and can speak more clearly.

Your dentist or prosthodontist will instruct you as to how long to wear dentures and when to remove them. During the first several days after receiving your denture, you may be asked to wear it all the time, including while you sleep. Although this may be temporarily uncomfortable, it is the quickest way to identify the areas on the denture that may need adjustment. Once adjustments are made, you should remove dentures before going to bed. This allows gum tissues to rest and allows normal stimulation and cleansing by the tongue and saliva. The denture can be put back in the mouth in the morning.

As far as back office goes, Carlos the assistant has the patience of a saint. Seriously. We had to do a full series of x-rays because my mom couldn't stand up for the pano. My mom had trouble holding still and repeatedly failed to follow instructions. Carlos never stopped smiling and encouraging her. He had a lot of positive energy and kept joking with her throughout, which I know went a long way to making her feel good about the office. He did the same during the other visits, but the x-rays I'm sure were the biggest challenge.

New dentures may feel awkward or uncomfortable for the first few weeks or even months. Eating and speaking with dentures might take a little practice. A bulky or loose feeling is not uncommon, while the muscles of your cheeks and tongue learn to hold your dentures in place. Excessive saliva flow, a feeling that the tongue does not have adequate room, and minor irritation or soreness are also not unusual. If you experience irritation, see your dentist.

Support is the principle that describes how well the underlying mucosa (oral tissues, including gums) keeps the denture from moving vertically towards the arch in question during chewing, and thus being excessively depressed and moving deeper into the arch. For the mandibular arch, this function is provided primarily by the buccal shelf, a region extending laterally from the back or posterior ridges, and by the pear-shaped pad (the most posterior area of keratinized gingival formed by the scaling down of the retro-molar papilla after the extraction of the last molar tooth). Secondary support for the complete mandibular denture is provided by the alveolar ridge crest. The maxillary arch receives primary support from the horizontal hard palate and the posterior alveolar ridge crest. The larger the denture flanges (that part of the denture that extends into the vestibule), the better the stability (another parameter to assess fit of a complete denture). Long flanges beyond the functional depth of the sulcus are a common error in denture construction, often (but not always) leading to movement in function, and ulcerations (denture sore spots).

Getting dentures can be an intimidating process. The American College of Prosthodontists (ACP) answers the most popular questions regarding denture costs. Read more about denture adhesives here.How much do dentures cost?Answer: That is a really good question that has a range of answers. The cost of dentures is dependent upon the conditions within your mouth, the types of materials being used, the techniques used by the dentist or prosthodontist, as well as the location and general operating costs of the dental office. Denture care is an ongoing service to maintain a healthy mouth. What many patients don't realize is that there is a service aspect connected to complete denture care, which includes modification of dentures over time to eliminate "sore spots" or to improve how the teeth fit for chewing, and correcting the look of or adjusting the dentures to make them more comfortable and stable. The conditions of your mouth make your treatment easier or harder and therefore may result in different costs. If cost is your primary concern, you might want to locate a dental school in your community for treatment. Keep in mind, low-cost treatment is of limited value if you have to have the treatment done over again in a short time. To locate a prosthodontist near you,visit www.gotoapro.org. Read more about denture adhesive creams here. Response provided by the American College of Prosthodontists. Back to top  
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