Retention is the principle that describes how well the denture is prevented from moving vertically in the opposite direction of insertion. The better the topographical mimicry of the intaglio (interior) surface of the denture base to the surface of the underlying mucosa, the better the retention will be (in removable partial dentures, the clasps are a major provider of retention), as surface tension, suction and friction will aid in keeping the denture base from breaking intimate contact with the mucosal surface. It is important to note that the most critical element in the retentive design of a maxillary complete denture is a complete and total border seal (complete peripheral seal) in order to achieve 'suction'. The border seal is composed of the edges of the anterior and lateral aspects and the posterior palatal seal. The posterior palatal seal design is accomplished by covering the entire hard palate and extending not beyond the soft palate and ending 1–2 mm from the vibrating line.
Effervescent cleansers are the most popular immersion cleansers and include alkaline peroxides, perborates and persulphates. Their cleansing action occurs by the formation of small bubbles which displace loosely attached material from the surface of the denture. They are not very effective as cleansers and have a restricted ability to eliminate microbial plaque. Moreover, they are safe for use and do not cause deterioration of the acrylic resin or the metals used in denture construction.[32] Despite this, they are able to cause rapid damage to some short-term soft lining.[36] Discolouration of the acrylic resin to a white denture often occurs, however, this happens because patients do not follow the manufacturer’s instructions and often add very hot water to the cleaning agent.[37][38]
Patients may consider partial or full removable dentures to replace any missing teeth and help them eat, speak, and look better. Full or complete dentures replace all of the teeth and connective gum tissue on the upper and/or lower jaw. Partial dentures, also called a removable bridge, can be used to replace gaps in the natural teeth. Removable dentures at Dallas Laser Dentistry are made with advanced techniques by Dr. Mary Swift and Dr. Terrel Myers for a comfortable fit and to match the shade and color of the natural teeth in partial dentures. At Dallas Laser Dentistry, all restorative dentistry, like removal dentures, are made to suit the patient’s face and look natural, but dazzling.
According to Statista: The Statistics Portal and the U.S. Census Data and Simmons National Consumer Survey (NHCS), in 2017 0.66 million Americans are using dentures. A 2012 survey states that 40 % of Americans lack dental insurance which further hinders them from getting the dental care that they need as it is deemed unaffordable which would make the likelihood of poor oral health higher.
Deposits such as microbial plaque, calculus and food debris can accumulate on the dentures, which may lead to issues such as angular stomatitis, denture stomatitis, undesirable odours and tastes as well as staining. The deposits can also quicken the rate at which some of the denture materials wear down.[26] Due to the presence of these deposits, there is an increased risk of the denture wearer and other people around them developing a systemic disease by organisms such as methicillin-resistant Staphylococcus aureus (MRSA),[27] but research shows that denture cleaners are effective against MRSA.[28][29][30] Therefore, denture cleaning is imperative for the overall health of the denture wearers as well as for the health of people they come into contact with.[31]
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.
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.
Dr. Walton's dental center has an on-site dental lab that fabricates new dentures and provides repairs and relines, often with same-day service. He crafts single-visit crowns using the latest CAD/CAM technology to deliver a custom, natural-looking restoration. Dr. Walton has incorporated the use of Laser Technology in his practice to provide his patients with the leading edge options for surgery and periodontal treatment. Being able to provide dentures and crowns in a day is a significant advantage, especially for patients who have traveled far distances. The on-site lab also eliminates the need to use outside commercial labs, therefore helping to keep costs low.
