If needed, patients can get a full set of upper or lower dentures, but many patients get partial removable dentures and keep as many of their natural teeth as possible. Partial dentures can replace one or more teeth in the upper or lower set, allowing spaces for natural teeth. In other words, the teeth in partial dentures do not need to be next to each other.
Dental bridges, sometimes called fixed partial dentures, act as a restorative bridge across a gap made by missing teeth. They are made to be permanent by cementing or bonding an artificial tooth (called a pontic) to natural teeth, teeth prepared with crowns, or implants next to the space. The teeth prepared on either side will act as supports for the false teeth between them. Depending on what your dentist suggests, the artificial teeth can be created using gold, alloys, or porcelain.
High-end dentures usually involve a great measure of dental artistry and utilize materials which simulate the natural look and color of teeth and gums to the highest degree possible. The teeth, normally made from composite acrylic resins, are designed to last a long time and often include a warranty against wear and tear, such as chipping and cracking. These life-like dentures can cost anywhere from $1,000 to $5,000 for a full set (upper and lower jaw).
Unlike conventional dentures, immediate dentures are made in advance and can be positioned as soon as the teeth are removed. As a result, the wearer does not have to be without teeth during the healing period. However, bones and gums shrink over time, especially during the healing period following tooth removal. Therefore a disadvantage of immediate dentures compared with conventional dentures is that they require more adjustments to fit properly during the healing process and generally should only be considered a temporary solution until conventional dentures can be made.
Dentures provide several cosmetic benefits. They fill in gaps left by missing teeth so a person can feel more confident about his or her appearance. Dentures also prevent further shifting of the remaining teeth and improve facial structure. They offer a range of functional benefits, which include helping the patients chew food more easily and improving speech.
Over fifty patients were seen on the day I was. They were herded through the clinic, with their dentures made as fast as credit cards can be swiped, and regardless of quality. When mine were placed in my mouth, a definite elevation on the upper right was noticeable; the length of the right side teeth was pronouncedly shorter than the other side. I noticed this after I went to my car and called in the message. The hateful assistant **, left a recorded reply, "Your teeth were made the way they are supposed to be, so I don't know what your problem is." No mention of "We'll fix it any time." Certainly, no consideration for the pain of the patient was forthcoming.
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.
