Whether you've lost one tooth or many, chewing and smiling can become more difficult because of the gaps left behind. Partial dentures are an economical solution to replace the missing teeth and fill in the spaces, improving chewing ability and the confidence to smile. A partial denture in place will also help keep your natural teeth from shifting, lowering the risk of losing those teeth in the future.
Removable partial dentures are for patients who are missing some of their teeth on a particular arch. Fixed partial dentures, also known as "crown and bridge" dentures, are made from crowns that are fitted on the remaining teeth. They act as abutments and pontics and are made from materials resembling the missing teeth. Fixed bridges are more expensive than removable appliances but are more stable.
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Removable partial dentures usually consist of replacement teeth attached to pink or gum-colored plastic bases, which are connected by metal framework. Removable partial dentures attach to your natural teeth with metal clasps or devices called precision attachments. Precision attachments are generally more aesthetic than metal clasps and they are nearly invisible. Crowns on your natural teeth may improve the fit of a removable partial denture and they are usually required with attachments. Dentures with precision attachments generally cost more than those with metal clasps.
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).
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.
Most partial dentures contain a thin metal framework that is designed to rest close to your gums and allow for a smooth, non-bulky feel. The framework is supported by your natural teeth to provide a reliable, secure appliance that is easy to use. Where teeth are missing, natural-looking replacement teeth are attached to the frame, and gum-colored acrylic is used to make the appliance blend with your mouth. Again, your mouth and your needs are unique, and Dr. Yonan, Scott, Quigley, Fairbanks & Bushnell work with skilled technicians to create a solution that is comfortable and esthetic.
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.
