Dentures are removable appliances that can replace missing teeth and help restore your smile. If you’ve lost all of your natural teeth, whether from gum disease, tooth decay or injury, replacing missing teeth will benefit your appearance and your health. That’s because dentures make it easier to eat and speak better than you could without teeth—things that people often take for granted.
Stuart admired the sculpture of Washington by French artist Jean-Antoine Houdon, probably because it was based on a life mask and therefore extremely accurate. Stuart explained, "When I painted him, he had just had a set of false teeth inserted, which accounts for the constrained expression so noticeable about the mouth and lower part of the face. Houdon's bust does not suffer from this defect. I wanted him as he looked at that time." Stuart preferred the Athenaeum pose and, except for the gaze, used the same pose for the Lansdowne painting.[20]
Can be made for either partial but mainly complete denture patients. These dentures require less visits to make and usually are made for older patients, patients who would have difficulty adjusting to new dentures, would like a spare pair of dentures or like the aesthetics of their dentures already. This requires taking an impression of the patients current denture and remaking them.[2]
Acrylic partial dentures are more affordable, but they tend to feel more bulky. This partial has an acrylic base into which the denture teeth are set and is attached to your natural teeth with small metal clasps. The acrylic partial may be available with more durable, natural-looking teeth. The practice staff can inform you of availability in each office.
Over a period of time, your denture will need to be relined, remade, or rebased due to normal wear. Rebasing means making a new base while keeping the existing denture teeth. Also, as you age, your mouth naturally changes. These changes cause your dentures to loosen, making chewing difficult and irritating your gums. At a minimum, you should see your dentist annually for a checkup.
Problems with dentures may arise because patients are not used to having something in their mouth that is not food. The brain senses the appliance and interprets it as 'food', sending messages to the salivary glands to produce more saliva and to secrete it at a higher rate. This usually only happens in the first 12 to 24 hours, after which the salivary glands return to their normal output. New dentures can also be the cause of sore spots as they compress the denture-bearing soft tissues (mucosa). A few denture adjustments in the days following insertion of the dentures can take care of this problem. Gagging is another problem encountered by a minority of patients. At times, this may be due to a denture that is too loose, too thick or extended too far posteriorly onto the soft palate. At times, gagging may also be attributed to psychological denial of the denture. Psychological gagging is the most difficult to treat since it is out of the dentist's control. In such cases, an implant-supported palateless denture may have to be constructed. Sometimes there could be a gingivitis infection under the completed dentures, caused by the accumulation of dental plaque. One of the most common problems for wearers of new upper complete denture is a loss of taste sensations.
Dentures are generally worn during the day and taken out at night to give the oral tissues time to relax. During the first few days after receiving the denture, however, it needs to remain in the mouth even when sleeping to best identify areas that need to be adjusted. This is especially important after receiving an immediate denture, for the gum tissues will swell after the teeth are extracted or lost and then may not permit the denture to be reinserted if taken out.
Powder application. Sprinkle a thin, uniform layer throughout the tissue-bearing surface of the denture. Shake off excess powder and press the denture into place. Powders may be preferred over pastes because they are easier to clean off the denture and tissue. In addition, they don't have the same tendency as pastes do to "shim" (keep the denture away from the tissue).
Most patients need a few weeks to get used to the feel and use of their new dentures. Until the muscles of the cheeks and tongue adjust to the new dentures and learn to keep them in place, they may feel a little loose. It will also take time before you are comfortable putting your dentures in place and removing them. Since the mouth increases the amount of saliva produced in reaction to the new dentures, patients should expect to have mild sores and irritations in their mouth.
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.
