When you are missing one or more teeth, the bite pressures shift in your mouth. Other teeth may begin to move to compensate for the “gap” in your bite, and you may experience shrinking of both the soft tissues and the supporting bone near your missing teeth. This can alter your physical appearance and can lead to subsequent problems with your other teeth. A partial denture keeps the underlying structures of your mouth – your gums, jawbone, facial muscles, etc. – active and engaged. It helps prevent further shifting of the other teeth in your mouth, while giving you the confidence of having a beautiful, complete smile.
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.
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.
Removable partial dentures start at $300 -$500, average around $700-$1,800,and can cost $2,000-$4,000 or more in gold (instead of acrylic or another metal). Partial dentures use a metal framework to hold artificial teeth in place, and can be attached to natural teeth with metal clasps or with precision attachments that are nearly invisible but require crowns on the real teeth.
The main alternatives are a fixed bridge or a dental implant. A dental bridge is made by putting crowns on the teeth at either side of the gap, and then joining these two crowns together by placing a false tooth in the space. This is all made in the laboratory and then the pieces are cemented into place with special adhesives. The bridge can't be removed.
Natural Looking Cosmetic Dentures: Instead of traditional plastic prosthetic teeth, natural looking cosmetic dentures are made with modern ceramic porcelain teeth. The dentures are usually individually crafted, and look more like real teeth than the plastic variety. Cosmetic dentures also have a more natural looking support structure, and though they may cost a bit more than conventional dentures, they are truly difficult to distinguish from real teeth.
Our practice owner is Cameron Blair, DDS, MICOI, MAAIP, a general dentist and member of the Academy of General Dentistry, the Dallas Dental Society, the American Dental Association, and the Texas Dental Association. He�s a graduate of the University of North Carolina at Chapel Hill School of Dentistry and a Master in the International Congress of Oral Implantologists. Using industry-leading technology in his practice, he�s able to provide patients with a wide range of denture and implant solutions.
They do not use insurance, so don't ask. It's cash or credit card up front. I paid $1,330.00 for 7 extractions, a temporary denture till I heal and a permanent denture within a year. I know first hand that going the other way with a super good dentist, would have resulted in an Oral Surgeon, a Dentist and an expensive Denture Lab. It would have cost me over $5,000 if I had gone the best way... I made an appointment for a week later, to have the teeth removed and before that I went one morning to have my form made, so the temporary denture could be ready for the extraction day... The following lines are my thoughts about the people there...
Remember: You can do serious harm to your denture and to your health by trying to adjust or repair your denture. Using a do-it-yourself kit can damage the appliance beyond repair. Glues sold over-the-counter often contain harmful chemicals and should not be used on a denture. If your denture breaks, cracks or chips, or if one of the teeth becomes loose, call your dentist immediately. In many cases, dentists can make necessary adjustments or repairs, often on the same day. Complicated repairs may require that the denture be sent to a special dental laboratory.
In addition to the complications that are specific to the implant, abutments, and dentures, there are various oral health problems that can occur in patients with dentures. Patients should keep their teeth and gums clean, and visit the dentist every six months so problems, if they exist, can be identified and treated. The types of oral health problems that commonly affect patients with dentures include:
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."
I had a really great experience with Affordable Dentures and Implants. My mom has always been afraid of dentists and didn't take care of her teeth. She also had a stroke a few years back which has created a few more barriers to treatment. It's difficult to explain to anyone who doesn't personally know a stroke survivor, but she gets antsy pretty quickly and can be a bit difficult to work with at times. She's also physically handicapped and can't use her left side, plus is having trouble transferring from her wheelchair to other seats, getting into a helpful position, and following directions, so it's a bit of a unique situation. She underwent major oral surgery in this office- multiple extractions and bone augmentation- in order to get dentures. This is something we've seen a couple different dentists for, but she has always refused treatment because she didn't like something about the office or wanted to be put to sleep in a hospital, which was out of our budget. Given her limitations and dental anxiety, I wasn't sure what to expect this time around, but I couldn't have been happier with how this office behaved. The front office has been great in terms of explaining processes, scheduling, and billing. I've also had to coordinate paratransit to get my mom to the office, and they've worked with me on times to make sure everything lines up right. Something you can probably only appreciate if you've been in a similar situation. They've also worked with us on fixing issues and missed appointments due to unforeseeable circumstances. Not only did they not scold us for missing an appointment, but they worked with me to resolve the problem that caused it- my mom's assisted living facility biffed it and didn't give her pain medicine after her surgery. :/ But, like I said, this office came through and helped- always making her care the top priority. 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. Jennifer assisted with the surgery. She was incredibly kind, gentle, and thoughtful. She was always doing what she could to keep my mom comfortable and looking out for her. She even went and grabbed my mom a pillow to make sure she was comfortable. Dr. Athari has an amazing sense of calm about him. He walked us through everything and talked to us throughout the procedure. My mom needed frequent breaks during the surgery and he always gave her the time she needed to regroup. He was very gentle and mindful with her throughout the procedure, and I'm certain that's what got my mom through it without issue. I cannot stress how difficult this process could have been considering the amount of care needed and the limitations of the patient. However, these folks rolled with everything we threw at them and never missed a beat. Always helpful, knowledgeable, kind, and gentle. If I had to find one negative about the office, it would be the wait times. On our first visit, one woman in the waiting room said she'd been waiting 30+ minutes. It took a day to get a call back to schedule. We waited a little while in the office too. However, when you consider that they're working with people like the person I brought in, and that it's totally impossible to predict the needs and behaviors of some of the patients who go in there, it's totally understandable. I have no doubt they took a little longer because they were treating someone else exactly as they treated us- with patience and understanding. That's worth waiting for. So, if you do go, be prepared for some short delays, but also know why those delays happen. Overall, they work like a well-oiled machine. We got to meet the whole team, including their on-site lab techs. Every single person met us with a smile and kind words. I cannot thank Dr. Athari enough for creating an environment like this. 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. Anyway, again, sending a huge thank-you to Dr. Athari and his staff. You guys are beyond awesome.
Your dental health directly impacts your overall health. Having your natural teeth removed to prevent more major health issues can be a hard decision, but often turns out to be the best course of action. Most dental patients who have had multiple extractions will choose to get dentures to protect not just their health, but their smiles, speech, and ability to properly chew their food. The problem is that finding affordable dentures isn’t always easy.
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).
Dentures can restore or even enhance a person's appearance and be virtually undetectable. It takes some time to find the best way to insert and take out the dentures, and the gums will be a little sore in places at first. It is very important to return to the dentist often during the first few weeks to adjust the parts of the denture that are irritating the oral tissues.
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.
