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.
Medically, the consequences of not replacing missing teeth include unwanted and unhealthy nutritional changes. There are also potential risks of diabetes, obesity, heart disease, depression, and an increase in the likelihood of developing cancer. These are all prominent health risks that are avoidable by providing a dental structure with partial dentures or another quality tooth replacement option.
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.
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.
We paid for extraction and dentures and it was for 2 sets one to wear until gums heal and so we did but it took so much time because they said not ready on gums. This went on & on and then they would NOT answer their phone when we called for the permanent set (we paid for) and they would not return messages. So 2 years have gone and I am left with the first set used until gum set and they are awful and this place is in Odessa, Texas. They are cheats and liars.
It takes practice to put in and take out a removable partial denture. It may feel a bit odd or tight for the first few weeks. But in time, you should get used to it. Never force the denture into place by biting down. This could bend or break the clasps or damage your teeth. If you have a problem with your new partial denture, talk with your dentist.
I'm 41 and have needed dentures because of illness for a few years now. I researched and looked at reviews for many different places, but I am so glad I picked Dr. Redditt and his staff to guide me through this emotional journey and process. First off I have been petrified of dentists since I was a little girl, due to a horrible incident, so I of course let the office aware of that and they were very accommodating. Secondly I suffer from a severe & chronic anxiety disorder, so these guys really had their work cut out with me to say the least. Step by step from making my first appointment on the phone, & then for my consultation I was treated very kindly. They explained things very thoroughly to me, and addressed every worry & question I had & there was of course a lot of those coming from me, lol. Day of surgery & I have 25 teeth extracted & a lower bone grafting done, with only novocain and I can tell you that it was made so comfortable & relaxing for me. With my girls guiding me with support through the door & all the way to the room & then Dr. Redditt's calming demeanor, it was the least painful & pleasantly surprising process I have ever experienced. Nothing like the scary things I was thinking in my head. He would joke with me & my husband throughout, and he always told me what his next step was, which I totally appreciated. We were humming along to the music & although I had a couple of stubborn teeth, I felt absolutely no pain or discomfort whatsoever, not even after! No bruising, barely any swelling, I mean nothing horrible or intolerable at all so I know he is a wonderful dentist. He was just awesome! I am now in the second phase and I have gotten to be buddies with pretty much the entire staff there. Them girls & Dr. Redditt spoil me rotten & take care of every complaint I have had. I also have had 2 emergencies, first one I broke my bottom denture & they had me come in & had a new one ready for me the next day! Second time I was camping & coming home for 2 days only to go back on vacation, & was the victim of theft which somebody had stolen my bag & yup got my top denture... needless to say Dr. Redditt & my girls had me come in & that same day I went home with a brand new replacement. I can't say enough good things about this place & all of the wonderful people who work here. I will say that this whole process is a long journey, sometimes good & sometimes bad of course, and without this dedicated group of women & such a caring Doctor like him, I would be lost and probably very depressed. They have literally made me smile again, and I have beautiful teeth now! They will go above and beyond to help you & give you what you want, and I am extremely grateful to have found them. If you are starting this journey or maybd you just need a second opinion or have questions, undoubtedly you will be in great hands here. Thanks so much to Dr. Redditt & his incredible staff, (especially my "Wonder Women" from the front desk & all the way to the back) you all have changed my life so much for the better, and I am extremely grateful.
In countries where denturism is legally performed by denturists it is typically the denturist association that publishes the fee guide. In countries where it is performed by dentists, it is typically the dental association that publishes the fee guide. Some governments also provide additional coverage for the purchase of dentures by seniors.[22] Typically, only standard low-cost dentures are covered by insurance and because many individuals would prefer to have a premium cosmetic denture or a premium precision denture they rely on consumer dental patient financing options.
Once the numbness wore off I could not open my mouth fully for days. It took a full week before I was out of severe pain. It honestly felt like she had broken my jaw. I decided to tough it out as I have a phobia of dentists. Once the severe pain was over my jaw was sore for the next two months. I'm fairly certain that isn't the norm for routine extractions.
Often more affordable than dental implants, dentures are removable dental appliances meant to look and function like natural teeth. Many patients who have experienced tooth loss and are concerned about the loss of both functionality and aesthetics turn to dentures to meet their needs. The cost of dentures varies considerably, according to geographical location, the dentist, and type of dentures.
I wasted 4 hours of my time today to be denied service I requested. Apparently the dentist is too worried about being sued (a statement she made to me about her not wanting to be sued if I changed my mind after the fact - you'd think they'd have some kind of legal waiver for patients like me) to consider the fact that I'm in extreme pain, have limited resources, have spent 30 years and tens of thousands of dollars to fix the teeth that she wants kept in my mouth and I want removed. The impact of my current condition is both physical and emotional. However, to her credit she said it was in my best interest not to get dentures and was not charged for the visit. I'm irritated that my opinion didn't count at all and was flat out denied service I wanted.
When are Dentures Necessary?What are Temporary Partial Dentures?If you’ve had teeth removed due to decay or gum disease and will be receiving permanent dentures, your dentist may suggest temporary or “immediate” dentures. These are dentures you can wear for the first two to three months immediately after tooth removal. They can be especially helpful for someone with a history of sensitive teeth and gums, since the patient does not have to be without teeth while the area heals, and any remaining sensitive teeth are subject to less pressure from chewing food.The creation of temporary dentures may require four to five dental visits prior to tooth extraction. Temporary dentures are made using basically the same technique as a permanent denture, but because they are made in advance of any surgery, you can’t tell exactly how your mouth will look after teeth are removed. By contrast, the molds for conventional dentures are made once the gum tissues have healed following any tooth extractions, which takes about six to eight weeks. During this time, the gum tissues will shrink and so the fit of temporary dentures will change.Temporary Dentures CostThere is an added cost associated with immediate dentures, but when you’re trying to determine what dentures cost and how to pay for them, remember that you have several options.Most dentists take major credit cards and some offer financing plans that let patients pay for major procedures, such as tooth removal and dentures, over time with low monthly payments. Ask your dentist about financing. Also, if you know in advance that you want to get dentures, you may be able to set aside money in a flexible spending account or health care savings account to help cover the cost of dentures.Immediate dentures cost more than conventional dentures because more time goes into preparing them. There are several advantages that may make them worth the cost. The main advantage of immediate dentures is that you don’t have to go out in public without teeth following tooth removal. An immediate denture is placed at the same visit as your tooth removal, so they serve as a bandage to control bleeding and protect gum tissue. Also, if you have immediate dentures you can start adjusting your speech to wearing the denture immediately.Not everyone is a good candidate for immediate dentures. Cost can be a prohibiting factor, or your dentist may advise against immediate dentures depending on your general health and oral health.What are Permanent Dentures?Dentists will work with you to preserve your natural teeth if at all possible, rather than extract them, but sometimes permanent dentures are the only way to provide the appearance of teeth and facilitate eating and speaking.Permanent Dentures ProcedureGetting permanent, full dentures takes about three to six weeks. The denture-making process involves several dental appointments and follows these steps:Impressions: Your dentist takes several impressions of your jaw and measures the space in your mouth.Models: Your dentist makes a mold of wax or plastic in the exact shape of the denture so you can try it and make any adjustments to the color, shape, and fit before the permanent dentures are made.Cast: The final dentures are cast, and then adjusted as necessary.When you first receive your permanent dentures, your dentist may recommend that you wear them 24 hours a day, even while sleeping, because this is the easiest and quickest way to determine whether there are any spots that need adjustment. It’s important to ensure a good fit right away, because poorly fitting dentures can be irritating to the gums.Once you have adjusted to the dentures, you can remove them at night to allow normal stimulation of the gum tissues by the tongue and saliva, which helps keep your gum tissue healthy.Temporary Dentures vs. Permanent Dentures Pros and ConsOne main disadvantage of temporary dentures is that, because they’re made in advance and placed as soon as the damaged or decayed teeth are removed, the fit will not be exact. So they may require more frequent adjustments to get a good fit. Consequently, they should only be considered a temporary solution until the permanent dentures are ready.You may find that both temporary and permanent dentures take some getting used to. Don’t worry if the dentures feel loose at first—your cheek and tongue muscles will need to adjust to them. And don’t worry if you notice more saliva in your mouth than usual, or if you notice minor soreness or irritation. These problems usually resolve on their own. But if you experience major discomfort that doesn’t seem to improve, see your dentist to have the dentures adjusted.You may also opt to have your temporary dentures realigned for a better fit so you can use them as permanent dentures. Or, you can keep them as a spare set so you won’t find yourself without teeth if your permanent dentures should get lost or become damaged. If your dentures need repair or realignment, they will have to be sent to a laboratory and probably kept overnight.When are Dentures Necessary?Not everyone needs a full set of permanent dentures. A dental bridge fills a gap created by one or more missing teeth. Removable partial dentures are another option for replacing missing teeth. There are several reasons to consider removable partial dentures. Not only can partial dentures improve your appearance, they can improve your oral health by keeping your remaining teeth in place. If you opt for a dental bridge, your dentist will fit customized crowns to the teeth on either side of the gap to be bridged. A false tooth (or teeth) called a pontic is attached to the crowns and replaces your missing tooth (or teeth).Depending on your oral health care needs, you can choose partial dentures that are removable, but bridges are permanently cemented into place. There are three main types of bridges to suit a variety of dental restoration situations:Traditional: This style involves placing crowns on the teeth that border the missing teeth.Cantilever: This style is used if you only have teeth on one side of the missing tooth or teeth.Maryland bonded: This type of bridge consists of a porcelain tooth (or teeth) in a metal framework, with wings to attach it to existing teeth.Keeping the surrounding, supporting teeth healthy is essential to get the maximum benefit from a dental bridge, so be sure to follow a regular oral care routine of twice-daily tooth brushing and daily flossing. If you practice good oral hygiene and see a dentist regularly, partial dentures can last from 5 to 15 years.
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.
Implant-Supported Overdentures: To increase the stability of a lower or upper denture, it's possible for it to be securely anchored using two or more dental implants. The upper jaw requires more implants (generally three or more) than the lower jaw due to a lesser bone density. Many people find this option offers a great balance of comfort, functionality and value.
Bridges: A bridge replaces missing teeth by placing crowns on the teeth next to the space and attaching a fake tooth to both of the crowns. Bridges are made from gold, porcelain fused to gold, all porcelain, or zirconium. Bridges can only replace about two to three missing teeth in a row, depending on the location. Since bridges are cemented in place, they are considered a "fixed, or permanent denture."
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.
Full arch dentures take up more space in the mouth than your normal teeth. Because of this, there is an adjustment period of time where you may notice difficulty in pronouncing certain words or talking in general. As dentures get re-adjusted and re-fitted, you may notice a difference in pronunciation and will have to make minor speech adjustments again.
After graduating from the University of Connecticut Dental School in 2014, Dr. Secola underwent a general practice residency before relocating to Dallas. She enjoys providing high-quality dental care to all patients. Dr. Secola's residency training was at the same facility where Dr. Damon and Dr. Blankenship were residents as well. This program is through the VA hospital system and only allows for 2 residents per year.
Eating with new dentures will take a little practice and may be uncomfortable for some wearers for a few weeks. To get used to the new denture, start with soft foods cut into small pieces. Chew slowly using both sides of your mouth. As you get used to new dentures, add other foods until you return to a normal diet. Be cautious with hot or hard foods and sharp-edged bones or shells. And, avoid foods that are extremely sticky or hard. You should also avoid chewing gum while you wear the denture. Also, don't use toothpicks while wearing dentures.
