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.
Some patients who believe they have 'bad teeth' may consider having all of them extracted and replaced with complete dentures. However, statistics show that most patients who receive this treatment wind up regretting it. This is because complete dentures have only 10% of the chewing power of natural teeth, and it is difficult to get them fitted satisfactorily, particularly in the mandibular arch. Even if a patient retains one tooth there, that one tooth contributes significantly to the stability of the denture. However, retention of just one or two teeth in the upper jaw does not contribute much to the overall stability of a denture, since an upper complete denture tends to be very stable, in contrast to a lower complete denture. It is thus advised that patients keep their natural teeth as long as possible, especially in the case of lower teeth.
A mid-priced (and better quality) heat cured denture typically costs $500–$1,500 per denture or $1,000-$3,000 for a complete set. The teeth look much more natural and are much longer lasting than cold cured or temporary dentures. In many cases, they may be tried out before they are finished to ensure that all the teeth occlude (meet) properly and look esthetically pleasing. These usually come with a 90-day to two-year warranty and in some cases a money-back guarantee if the customer is not satisfied. In some cases, the cost of subsequent adjustments to the dentures is included.
Regardless of whether a patient gets partial or full dentures, the transition may feel uncomfortable and awkward at first. It may take a little while for the patient to get used to eating and speaking with the dentures and it takes roughly the same amount of time for the cheeks and the tongue to learn how to naturally hold your dentures in place. During the initial period, it is not uncommon for the patient to experience an excessive production of saliva, irritations stemming from feeling like the space inside the mouth has become cramped and like the lips are being pushed forward, and some level of soreness. If the irritation escalates to an unbearable level, do not hesitate to visit your dentist for a check up.
Your dentist or prosthodontist will instruct you as to how long to wear dentures and when to remove them. During the first several days after receiving your denture, you may be asked to wear it all the time, including while you sleep. Although this may be temporarily uncomfortable, it is the quickest way to identify the areas on the denture that may need adjustment. Once adjustments are made, you should remove dentures before going to bed. This allows gum tissues to rest and allows normal stimulation and cleansing by the tongue and saliva. The denture can be put back in the mouth in the morning.
