Partial dentures, or partials, are dentures that replace only a few missing teeth in the patient’s mouth. Partials rest on a metal framework that will be latched onto the patient’s natural teeth for support. If the patient’s existing teeth are insufficient, dental crowns are usually used to augment the natural teeth and serve as more stable anchors for the partial dentures.
Work was done to make the partials smaller, but still do not fit my mouth and are completely unusable. Sores and lesions continue to form on my gums due to the defective workmanship of this garbage for a product. Parts of the upper partial have chipped off during normal wear, leaving a gap between the teeth. I called again ("You can come back anytime!") in early August for repair. The nasty ** told me I could only come on a Tuesday between 1 and 2 o'clock.
Generally speaking partial dentures tend to be held in place by the presence of the remaining natural teeth and complete dentures tend to rely on muscular co-ordination and limited suction to stay in place. The maxilla very commonly has more favorable denture bearing anatomy as the ridge tends to be well formed and there is a larger area on the palate for suction to retain the denture. Conversely, the mandible tends to make lower dentures much less retentive due to the displacing presence of the tongue and the higher rate of resorption, frequently leading to significantly resorbed lower ridges. Disto-lingual regions tend to offer retention even in highly resorbed mandibles, and extension of the flange into these regions tends to produce a more retentive lower denture. An implant supported lower denture is another option for improving retention.
Dentures that fit well during the first few years after creation will not necessarily fit well for the rest of the wearer's lifetime. This is because the bone and mucosa of the mouth are living tissues, which are dynamic over decades. Bone remodeling never stops in living bone. Edentulous jaw ridges tend to resorb progressively over the years, especially the alveolar ridge of the lower jaw. Mucosa reacts to being chronically rubbed by the dentures. Poorly fitting dentures hasten both of those processes compared to the rates with well-fitting dentures. Poor fitting dentures may also lead to the development of conditions such as epulis fissuratum. In addition, the occlusion (chewing surfaces of the teeth) tends to wear away over time, which reduces chewing efficacy and decreases the vertical dimension of occlusion, (the "open-ness" of the jaws and mouth).
You may need new dentures if they are discolored, severely deteriorated or uncomfortable. Yellow or brown stains are the most common types of discoloration. Meanwhile, deteriorating dentures won't tear or grind food properly when you bite into something or chew. Dentures that don't fit properly can cause pain. If you're unsure how dentures should fit or feel, talk to your dentist.
I wasted 4 hours of my time today to be denied service I requested. Apparently the dentist is too worried about being sued (a statement she made to me about her not wanting to be sued if I changed my mind after the fact - you'd think they'd have some kind of legal waiver for patients like me) to consider the fact that I'm in extreme pain, have limited resources, have spent 30 years and tens of thousands of dollars to fix the teeth that she wants kept in my mouth and I want removed. The impact of my current condition is both physical and emotional. However, to her credit she said it was in my best interest not to get dentures and was not charged for the visit. I'm irritated that my opinion didn't count at all and was flat out denied service I wanted.
The front office has been great in terms of explaining processes, scheduling, and billing. I've also had to coordinate paratransit to get my mom to the office, and they've worked with me on times to make sure everything lines up right. Something you can probably only appreciate if you've been in a similar situation. They've also worked with us on fixing issues and missed appointments due to unforeseeable circumstances. Not only did they not scold us for missing an appointment, but they worked with me to resolve the problem that caused it- my mom's assisted living facility biffed it and didn't give her pain medicine after her surgery. :/ But, like I said, this office came through and helped- always making her care the top priority.
