The first visit was nice enough. The receptionists were polite even if they didn't seem to have a clue what they were doing. The only bad experience I had was a very rude lady who dealt with the mountains of paperwork I was filling out. You could clearly tell that she hated her job. With that being said you run into unpleasant people every day and unless you are incredibly thin skinned it shouldn't bother you. It was the least of my problems.
The process of fabricating a denture usually begins with an initial dental impression of the maxillary and mandibular ridges. Standard impression materials are used during the process. The initial impression is used to create a simple stone model that represents the maxillary and mandibular arches of the patient's mouth. This is not a detailed impression at this stage. Once the initial impression is taken, the stone model is used to create a 'Custom Impression Tray' which is used to take a second and much more detailed and accurate impression of the patient's maxillary and mandibular ridges. Polyvinylsiloxane impression material is one of several very accurate impression materials used when the final impression is taken of the maxillary and mandibular ridges. A wax rim is fabricated to assist the dentist or denturist in establishing the vertical dimension of occlusion. After this, a bite registration is created to marry the position of one arch to the other.
Gum disease is caused by plaque and may result in tooth loss without proper treatment. Symptoms and signs of gum disease (gingivitis or periodontal disease) include receding gums, bad breath and pocket formation between the teeth and gums. Treatment depends upon the stage of the gum disease, how you responded to earlier treatments, and your overall health.
In cases where teeth need to be removed, an immediate denture is typically placed to enable proper healing of the extraction sites and serve as an esthetic replacement for natural teeth. This can be easily modified for changing ridge contours during healing until final dentures can be made. In constructing the immediate dentures, dentists will use a shade and mold chart to choose replacement teeth that will most closely match your natural teeth, minimizing any changes in appearance.
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.
Have your dentist evaluate your needs, as partial dentures are used if there are a larger number of teeth that need to be replaced and if there is a risk of more tooth loss while bridges work best for smaller gaps on the same side of your mouth. Additionally, partial dentures are easier to adjust and repair and are usually less expensive. However, partial dentures can become broken or lost while bridges remain safely fixed to your teeth.
Most new denture issues are caused by gums adjusting to extractions and the placing of artificial teeth. These are not problems particular to me. My gums were ready for permanent partials, yet Affordable Dentures refused to provide them. At one point, Dr. **, in an effort to deflect responsibility for her inferior work, pointed to my natural tooth #22, and said, "It's this one that's causing all the trouble. This tooth gave us FITS!" Tooth #22 had nothing to do with the creation or placement of her shoddy partials. My #22 is perfectly normal and was not in the way of anything. Dr.** simply had to divert attention from her fraud by projecting away from herself.
Cold cured or cold pour dentures, also known as temporary dentures, do not look very natural, are not very durable, tend to be highly porous and are only used as a temporary expedient until a more permanent solution is found. These types of dentures are inferior and tend to cost much less due to their quick production time (usually minutes) and low cost materials. It is not suggested that a patient wear a cold cured denture for a long period of time, for they are prone to cracks and can break rather easily.
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."
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.
