Dentures provide several cosmetic benefits. They fill in gaps left by missing teeth so a person can feel more confident about his or her appearance. Dentures also prevent further shifting of the remaining teeth and improve facial structure. They offer a range of functional benefits, which include helping the patients chew food more easily and improving speech.
The different types of complete dentures include Conventional, Immediate and Implant-retained. Conventional Dentures which are applied after the teeth are extracted and the gums are allowed to heal – takes around 8-12 weeks. Prior to the fitting of the Conventional Dentures and the interim healing period, the dentist would normally place a pre-fabricated Immediate Denture over the gums to protect the area while the patient waits for the Full Denture to be made at a dental lab.
The fabrication of a set of complete dentures is a challenge for any dentist/denturist. There are many axioms in the production of dentures that must be understood; ignorance of one axiom can lead to failure of the denture. In the vast majority of cases, complete dentures should be comfortable soon after insertion, although almost always at least two adjustment visits are necessary to remove the cause of sore spots. One of the most critical aspects of dentures is that the impression of the denture must be perfectly made and used with perfect technique to make an accurate model of the patient's edentulous (toothless) gums. The dentist or denturist must use a process called border molding to ensure that the denture flanges are properly extended. An array of problems may occur if the final impression of the denture is not made properly. It takes considerable patience and experience for a dentist to know how to make a denture, and for this reason it may be in the patient's best interest to seek a specialist, either a prosthodontist or denturist, to make the denture. A denturist is a trained and licensed professional who sees patients in need of dentures, partials, relines or repairs. A denturist not only takes the impression, but makes the entire denture in his or her own laboratory. The denturist then schedules a date for the delivery of the finished dentures to the patient. A general dentist may do a good job making dentures, but only if he or she is meticulous and experienced. Many dentists no longer make dentures themselves. but instead take an impression of the patients' mouth and then either send the impressions to a dental laboratory, which could be anywhere in the world, or send the patient to a denturist. Once the laboratory receives dental impressions of the patient's mouth, the laboratory creates plaster molds from them. The laboratory uses the molds to create the wax rims used to register the patient's bite. These wax rims are returned to the dentist, who uses them to register the patient's bite. The dentist may assist the patient in choosing the correct size of teeth for the dentures, or simply make the selection himself. Once bite registration is completed and the teeth are selected for the dentures, the wax rim is usually returned to the dental laboratory in order to have the denture teeth set into the wax. Once the teeth are set into the wax rim, the result is a prefinished denture that looks almost like the finished product. This prefinished denture is usually returned to the dentist's office and the patient usually has a chance to approve the setup (for immediate or standard dentures) or to try the denture before it is finished. After approval by the patient, the dentist returns the pre-denture to the laboratory for final processing. The finished denture is then returned to the dentist's office for delivery to the patient.
Removable complete denture. This denture sits on top of the gums where the missing teeth were. It can be uncomfortable, affect your ability to experience the full taste of food, cause sore gums, and shift and click in your mouth when you speak, eat, smile, yawn or cough. While the initial costs are low, they only last an average of 7 to 15 years, and the replacement costs can be significant over the long term. They need to be removed regularly for cleaning, which can be a time-consuming hassle. Also, as with a partial denture, the natural bone underneath a complete denture may deteriorate over time, permanently changing the appearance of your smile and face.
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Canker sores are a common complaint, and are small ulcers on the inside of the mouth. Canker sores aren't contagious (as opposed to cold sores), and typically last for 10-14 days usually healing without scarring. A variety of things cause canker sores, for example, medications (aspirin, beta-blockers, NSAIDs, high blood pressure medication, and antibiotics); injury to the mouth from dental work, braces, or sports accidents; acidic foods; allergies; and diseases or conditions like celiac disease, Crohn's disease, and lupus. Canker sores can be cure with home remedies, and prescription and OTC topical and oral medication.
In addition to directing the fabrication of the denture, dentists provide information to patients on the proper care and use of the appliance. Dentures must be cared for properly. For example, placing removable dentures in water or a denture cleanser solution, when they are not being worn, helps the denture retain its shape, remain pliable and keeps it from drying out. Dentures should never be placed in hot water as it could cause them to warp.
If you are in need of replacing an entire arch of teeth, a full arch denture is going to be the most affordable tooth-replacement option. Additionally, not having any teeth causes mild to severe physical changes in your face mouth and lips. A full arch denture can restore some biting and chewing functionality and bring back a more attractive appearance.
Patients can become entirely edentulous (without teeth) for many reasons, the most prevalent being removal due to dental disease typically relating to oral flora control, i.e., periodontal disease and tooth decay. Other reasons include pregnancy, tooth developmental defects caused by severe malnutrition, genetic defects such as dentinogenesis imperfecta, trauma, or drug use.
Immediate Dentures: Immediate dentures, as the name implies, are placed as soon as the natural teeth are removed. With immediate dentures, the patient need not face the world without teeth, can eat normally much sooner than with conventional dentures, and does not have the speech problems associated with the normal denture process. However, since healing of the gums and jaw will change the fit of immediate dentures, the patient will typically need a new set in about six months.
More modern dentures can be fitted immediately after removal of the last tooth. They are made prior to the operation and allow the user full faculty of their mouth straight after their insertion. However, immediate dentures may lose their fit as the bones and gum shrink during the healing process. Immediate dentures are often used as a temporary solution until conventional dentures can be fitted at a later date.
