Deposits such as microbial plaque, calculus and food debris can accumulate on the dentures, which may lead to issues such as angular stomatitis, denture stomatitis, undesirable odours and tastes as well as staining. The deposits can also quicken the rate at which some of the denture materials wear down.[26] Due to the presence of these deposits, there is an increased risk of the denture wearer and other people around them developing a systemic disease by organisms such as methicillin-resistant Staphylococcus aureus (MRSA),[27] but research shows that denture cleaners are effective against MRSA.[28][29][30] Therefore, denture cleaning is imperative for the overall health of the denture wearers as well as for the health of people they come into contact with.[31]
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).
No consensus has been reached regarding the best occlusal scheme for making complete dentures. Thus, the purpose of this systematic review was to compare bilateral balanced occlusion (BBO) with other occlusal schemes (canine guidance, lingualised occlusion and zero degree) in complete dentures. The schemes were compared in terms of quality of life/satisfaction and masticatory performance. Two independent reviewers performed a comprehensive search of studies published in or before October 2017 using the PubMed/MEDLINE, Scopus and Cochrane Library databases. The search was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The focused question was: "In conventional complete denture, is BBO better than lingualised occlusion, canine guidance and zero degree in terms of quality of life, patient satisfaction and masticatory performance/muscle activity?" Seventeen studies were selected for analysis. In total, there were 492 patients with a mean age of 64.78 years and a mean follow-up duration of 2.96 months (range: 1-6 months). All studies compared BBO with the other occlusal schemes. Eleven studies evaluated the influence of the occlusal scheme designs on quality of life and satisfaction, and 8 studies evaluated masticatory performance and muscle activity between BBO and the other occlusion schemes. The present systematic review indicated that BBO does not confer better quality of life/satisfaction or masticatory performance and muscle activity. Thus, lingualised occlusion can be considered a predictable occlusal scheme for complete dentures in terms of quality of life/satisfaction and masticatory performance, while canine guidance can be used to reduce muscular activity.
Dentures are mainly made from acrylic due to the ease of material manipulation and likeness to intra-oral tissues, ie. gums. Most dentures made are fabricated from heat-cured acrylic polymethyl methacrylate and rubber-reinforced polymethyl methacrylate.[3] Coloring agents and synthetic fibers are added to obtain the tissue-like shade, and to mimic the small capillaries of the oral mucosa, respectively.[4] However, dentures made from acrylic can be fragile and fracture easily if the patient has trouble adapting neuromuscular control. This can be overcome by reinforcing the denture base with cobalt chromium (Co-Cr). They are often thinner (therefore more comfortable) and stronger (to prevent repeating fractures).
Custom-made porcelain dentures are crafted to look like your natural teeth (or an improved version of your natural teeth). Great care is taken to design and fabricate a set of teeth that not only look natural, but also complement the size and shape of your mouth. Dentists may first create wax versions of the dentures so patients can try on their new teeth on before the final dentures are made; this process allows for design modifications and fit adjustments that can be applied to the final set of dentures.
The general rule is: brush, soak and brush again. Always clean your denture over a bowl of water or a folded towel in case you drop it. Brush your denture before soaking them, to help remove any bits of food. Using an effervescent (fizzy) denture cleaner will help remove stubborn stains and leave your denture feeling fresher - always follow the manufacturer's instructions. Then brush the denture again, as you would your own teeth, being careful not to scrub too hard as this may cause grooves in the surface.
According to Statista: The Statistics Portal and the U.S. Census Data and Simmons National Consumer Survey (NHCS), in 2017 0.66 million Americans are using dentures. A 2012 survey states that 40 % of Americans lack dental insurance which further hinders them from getting the dental care that they need as it is deemed unaffordable which would make the likelihood of poor oral health higher.
As you may know, dentures are removable substitutes for missing teeth. Full dentures provide value when a person is missing all of their natural teeth while partial dentures replace only individual missing teeth to eliminate gaps and improve chewing. Denture treatment is customized specifically to each patient, and Dr. Yonan, Scott, Bushnell, Fairbanks & Quigley can help you decide which option works best for you.
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 shoddy work of Drs. ** and ** resulted in blisters, lesions, sores and bleeding in my mouth. All caused by Affordable Dentures' defective product. The lowers would not allow my mouth to rotate or chew. And I was expected to be tortured like this for no less than one year and up to two years! Subsequently, I was examined in an emergency room and by a dentist in federal practice, all advising me to contact Dr. ** for adjustment.
Extra care must be taken when handling dentures or partials because they are delicate and could break when dropped. It is also important to prevent dentures or partials from drying out so place them in the specified soaking solution or plain water when not in use. Avoid hot water because this will cause the denture to lose its shape. Brush dentures daily to dislodge food deposits and prevent them from becoming stained.
Before I close, I'd like to add a word on fees as well. I almost hesitate to call this an affordable dental office, simply because they obviously put care first. All dental offices should do what this office does and provide options, but few do. It's that commitment to patient care and letting you choose what's right for you that makes them more affordable, versus the offices that cut corners to save you a buck. That's a major difference worth noting. They also have an on-site lab, which saves costs as well.
Removable partial dentures are for patients who are missing some of their teeth on a particular arch. Fixed partial dentures, also known as "crown and bridge" dentures, are made from crowns that are fitted on the remaining teeth. They act as abutments and pontics and are made from materials resembling the missing teeth. Fixed bridges are more expensive than removable appliances but are more stable.
You should see your dentist 24 hours after delivery of your new dentures. It is not unusual to experience some initial discomfort. Minor adjustments can increase comfort and eliminate problems before they become more serious. Initially, a new denture may feel unusual in the mouth. The cheeks, lips, and tongue are very sensitive areas that require time to adjust. It is not uncommon to bite one’s cheek or tongue while acclimating to the new restoration. However, persistent soreness or irritation should be reported to your dentist.
Later that afternoon I came back to have 16 teeth extracted. I got to the office and waited about 30 minutes before I was seen. I got to the back and began injections. After this I went to a full blown panic attack and came close to passing out. The one positive is the dentist who was working on me took it in stride. I wasn't treated disrespectfully and after about 30 minutes the panic subsided and she was able to finish my injections and begin pulling teeth.
