The fabrication of a set of complete dentures is a challenge for any dentist/denturist. There are many axioms in the production of dentures that must be understood; ignorance of one axiom can lead to failure of the denture. In the vast majority of cases, complete dentures should be comfortable soon after insertion, although almost always at least two adjustment visits are necessary to remove the cause of sore spots. One of the most critical aspects of dentures is that the impression of the denture must be perfectly made and used with perfect technique to make an accurate model of the patient's edentulous (toothless) gums. The dentist or denturist must use a process called border molding to ensure that the denture flanges are properly extended. An array of problems may occur if the final impression of the denture is not made properly. It takes considerable patience and experience for a dentist to know how to make a denture, and for this reason it may be in the patient's best interest to seek a specialist, either a prosthodontist or denturist, to make the denture. A denturist is a trained and licensed professional who sees patients in need of dentures, partials, relines or repairs. A denturist not only takes the impression, but makes the entire denture in his or her own laboratory. The denturist then schedules a date for the delivery of the finished dentures to the patient. A general dentist may do a good job making dentures, but only if he or she is meticulous and experienced. Many dentists no longer make dentures themselves. but instead take an impression of the patients' mouth and then either send the impressions to a dental laboratory, which could be anywhere in the world, or send the patient to a denturist. Once the laboratory receives dental impressions of the patient's mouth, the laboratory creates plaster molds from them. The laboratory uses the molds to create the wax rims used to register the patient's bite. These wax rims are returned to the dentist, who uses them to register the patient's bite. The dentist may assist the patient in choosing the correct size of teeth for the dentures, or simply make the selection himself. Once bite registration is completed and the teeth are selected for the dentures, the wax rim is usually returned to the dental laboratory in order to have the denture teeth set into the wax. Once the teeth are set into the wax rim, the result is a prefinished denture that looks almost like the finished product. This prefinished denture is usually returned to the dentist's office and the patient usually has a chance to approve the setup (for immediate or standard dentures) or to try the denture before it is finished. After approval by the patient, the dentist returns the pre-denture to the laboratory for final processing. The finished denture is then returned to the dentist's office for delivery to the patient.
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.
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.
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 safe, healthy choice is to not sleep with your partial denture in place. Sleeping with partial dentures is not recommended for a number of reasons. Partial dentures are designed to be cleaned outside the mouth – which also provides the opportunity to ensure no food particles are lodged under or around the partial. Proper oral care and keeping you partial denture clean is vital for the overall health of your gums. From a physical standpoint, your gums will benefit from the opportunity to rest and recover. Also, some patients may clench their teeth in their sleep. This pressure can cause damage to both natural teeth as well as dentures.
Dentures must be handled with great care and placed in a container of water or denture cleaner when not being worn. They should never be placed in hot water, for they can be damaged or warped. They must be cleaned daily using a soft toothbrush with soap and water. The mouth should be rinsed daily without the dentures in place to clean off any plaque and reduce the risk of infection like candidiasis.
So I wound up with my partial getting a tooth put in it as I thought they would pull my tooth but when the doctor's fax came, it still was not good enough for them. I believe that he just did not want to service me by pulling my tooth. I have a partial I cannot wear because the tooth put in there it will not fit in my mouth. I have to say that never in my life and I'm 59 now, have I ever been treated so badly by a doctor. The way he spoke to me in front of everyone in the office and people in the waiting room. I was so taken off guard by that.
Removable dentures may be used in patients who are waiting for their permanent dental implants to be made or patients who choose removable dentures over dental implants. Removable dentures can replace as many missing teeth as needed, from all to just a few. Removal dentures tend to cost less, but they look less natural than dental implants and require special cleaning. Dr. Swift or Dr. Myers will discuss your options and help you make your best choice.
Removable complete denture. This denture sits on top of the gums where the missing teeth were. It can be uncomfortable, affect your ability to experience the full taste of food, cause sore gums, and shift and click in your mouth when you speak, eat, smile, yawn or cough. While the initial costs are low, they only last an average of 7 to 15 years, and the replacement costs can be significant over the long term. They need to be removed regularly for cleaning, which can be a time-consuming hassle. Also, as with a partial denture, the natural bone underneath a complete denture may deteriorate over time, permanently changing the appearance of your smile and face.
