Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
CEDAR RAPIDS, IOWA -- I had a great experience there, and I'd recommend them to anyone. I had 22 teeth extracted and immediate dentures placed all in the same day. The dentist there is a fireball and I really liked her. I liked all the staff really. In the morning they took the impressions and then sent me out to lunch with prescriptions to fill. A mild sedative, pain pills, and antibiotics. They told me to come back at 2 pm, take the sedative in the waiting room, and wait to be called. When I went back there, they had me take the first pain pill and then numbed me up and began the process. Wow.
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Support is the principle that describes how well the underlying mucosa (oral tissues, including gums) keeps the denture from moving vertically towards the arch in question during chewing, and thus being excessively depressed and moving deeper into the arch. For the mandibular arch, this function is provided primarily by the buccal shelf, a region extending laterally from the back or posterior ridges, and by the pear-shaped pad (the most posterior area of keratinized gingival formed by the scaling down of the retro-molar papilla after the extraction of the last molar tooth). Secondary support for the complete mandibular denture is provided by the alveolar ridge crest. The maxillary arch receives primary support from the horizontal hard palate and the posterior alveolar ridge crest. The larger the denture flanges (that part of the denture that extends into the vestibule), the better the stability (another parameter to assess fit of a complete denture). Long flanges beyond the functional depth of the sulcus are a common error in denture construction, often (but not always) leading to movement in function, and ulcerations (denture sore spots).
The office people and assistants must be low wage workers. They have the typical low paid, high stress lack of concern for the patient. The person who did my form did not do it well. That was evidenced in the quality of the temporary denture. The Dentist who did the extractions was the absolute best dentist I have ever seen in my 55+ years. They give you a pill to take an hour before you get there and if needed, one when you arrive. It relaxes you and one was enough for me. I was ready to go to sleep. They took me straight in and the dentist took 20 minutes numbing every tooth with a local anesthetic. <<<<
