In some cases, oral surgery is performed to correct bony ridges that may interfere with the stability of the denture. In other cases, the remaining teeth may need to be extracted before placement. Once your dentist has decided that dentures are right for you, he will make an impression of the gums to identify every ridge and crevice to ensure the best fit possible.
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.
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.
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.
New dentures may feel awkward or uncomfortable for the first few weeks or even months. Eating and speaking with dentures might take a little practice. A bulky or loose feeling is not uncommon, while the muscles of your cheeks and tongue learn to hold your dentures in place. Excessive saliva flow, a feeling that the tongue does not have adequate room, and minor irritation or soreness are also not unusual. If you experience irritation, see your dentist.
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.
I started getting bone protruding hurting so I called to see about going in and was told he couldn't see me till Monday. So I asked for my pain medicine to be refilled since I had to get through Friday till Monday. And the receptionist politely told me "no", that he wasn't in and told me just to rinse with warm salt water. I did what I was told and suffered through my weekend. By the time I was finally to be seen my dentist didn't even come in to see his handiwork.
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.
