Retention is the principle that describes how well the denture is prevented from moving vertically in the opposite direction of insertion. The better the topographical mimicry of the intaglio (interior) surface of the denture base to the surface of the underlying mucosa, the better the retention will be (in removable partial dentures, the clasps are a major provider of retention), as surface tension, suction and friction will aid in keeping the denture base from breaking intimate contact with the mucosal surface. It is important to note that the most critical element in the retentive design of a maxillary complete denture is a complete and total border seal (complete peripheral seal) in order to achieve 'suction'. The border seal is composed of the edges of the anterior and lateral aspects and the posterior palatal seal. The posterior palatal seal design is accomplished by covering the entire hard palate and extending not beyond the soft palate and ending 1–2 mm from the vibrating line.
Typically, a removable partial denture is made of a metal framework with pink plastic to replace the gum tissue and plastic or resin denture teeth. The number of missing teeth and their location will affect the comfort and stability of the removable partial denture. The use of dental implants may increase the stability of a removable partial denture, or dental implants may be the best solution for replacing the missing teeth.
There are several types of partial and full dentures. Complete dentures, also called full dentures, may be recommended when all teeth in the upper or lower jaw are missing. There are two options for complete dentures: immediate and conventional. Immediate dentures are made before the patient's teeth are removed and can be inserted as soon as the tooth removal surgery is complete.
Cheap dentures, on the other hand, refer to both the quality and the cost of the dentures. Usually, when you go for the cheap dentures, the dentures themselves carry a small price tag but they end up costing you more in the long run for maintenance and frequent relining (refitting). Add to that the fact that you will probably have days and weeks of discomfort to endure.
In any case, implant-supported dentures have several advantages over conventional dentures. They offer improved comfort due to less irritation of the gums, confidence due to less risk of slipping out, and appearance due to less plastic required for retention purposes. Patients with implant-supported dentures have increased chewing efficacy and can speak more clearly.
Patients that want a more stable and comfortable denture alternative may be interested in talking to their dentists about dental implants and dental bridges. Although both of these treatments tend to be more expensive than dentures, they generally offer a more precise fit and better chewing ability than dentures. Patients can also have a tooth-colored ceramic or porcelain bridge or implant restoration placed for a more natural looking appearance.
When I arrived for my appointment, they said I did not have an appointment and they had no fax from a doctor. They did tell me that they would fit me in but later they acted as though I was telling them a lie, or that I called a different office which according to my cellphone, I had the correct place. The dentist talked to me like I was dirt. I was just trying to tell him that I had this conversation with the lady at that office and then I heard the woman's voice and recognized it as the lady that I spoke with on the phone. I did point at her and say that it was her that I had talked to and she yelled at me not to point at her.
When you are missing one or more teeth, the bite pressures shift in your mouth. Other teeth may begin to move to compensate for the “gap” in your bite, and you may experience shrinking of both the soft tissues and the supporting bone near your missing teeth. This can alter your physical appearance and can lead to subsequent problems with your other teeth. A partial denture keeps the underlying structures of your mouth – your gums, jawbone, facial muscles, etc. – active and engaged. It helps prevent further shifting of the other teeth in your mouth, while giving you the confidence of having a beautiful, complete smile.
This was one of the best and most helpful Dentists that I have been to in my life. I came in for a free x-ray and consultation appointment only with hopes of getting work done soon. Unfortunately I developed an abscess the day before my appointment. Well when I got there (Moyock, NC) they noticed I was in pain and decided I needed help ASAP so after the xray they offered to take care of the abscess and tooth! They worked very quickly and gave me a denture, all for a really awesome price. Highly recommended to anyone in need of any extraction or denture.
Throughout your lifetime, dentures will need to be replaced and adjusted which can become time consuming and expensive. It is a simple fact that dentures start to become loose and can break through normal activities such as talking, eating, etc. If a denture arch breaks, it may be possible to repair but in some cases it will need to be replaced entirely.
After receiving dentures, the patient should brush them often with soap, water and a soft nylon tooth brush which has a small head, as this will enable the brush to reach into all the areas of the denture surface. The bristles need to be soft in order for them to easily conform to the contours of the dentures for adequate cleaning, whereas stiff bristles will not be able to conform very well and are likely to cause abrasion of the denture acrylic resin. If a patient finds it difficult to utilise a toothbrush e.g. patients with arthritis, a brush with easy grip modifications can be used.[32]
Dental implant-supported dentures have become the best treatment option for patients who are missing all or most of their teeth. The treatment boasts a high success rate, particularly when the patient makes a commitment to the maintenance of good oral health and a qualified dentist performs treatment. However, complications may occur. Here is an overview of the complications that may affect the implants, abutments, and dentures.
When dentures no longer fit well, the correct action is to seek follow-up care. Denture adhesive is recommended for dentures, even well fitting ones. Adhesives improve retention, seal the borders to prevent food from slipping under, and cusion the soft tissues from the rigid acrylic. Using denture adhesive may improve the fit, but it tends to work best when only a small amount is used. Covering the entire denture fitting surface in adhesive makes it stay in less well. Adhesives may compensate for gradual loosening of a denture, but it is only a temporary solution; it does not solve the problem. Fortunately, dentures can often be relined with relining materials to improve the fit, and this process costs less than creation of new dentures. Overall, a well-made denture could last about 5 years (or more), but this is different for every patient.
Canker sores are a common complaint, and are small ulcers on the inside of the mouth. Canker sores aren't contagious (as opposed to cold sores), and typically last for 10-14 days usually healing without scarring. A variety of things cause canker sores, for example, medications (aspirin, beta-blockers, NSAIDs, high blood pressure medication, and antibiotics); injury to the mouth from dental work, braces, or sports accidents; acidic foods; allergies; and diseases or conditions like celiac disease, Crohn's disease, and lupus. Canker sores can be cure with home remedies, and prescription and OTC topical and oral medication.
Getting 16 teeth pulled is about as pleasant as it sounds. I have had many teeth extracted in the past and this was by far the most unpleasant experience I have had. The most curious thing about this visit was there was NO assistant involved in the actual dental work. The dentist was working alone for the entire time. Maybe this is standard procedure at some places but it felt odd to me. The dentist was VERY rough and borderline careless during the extractions. She had to yank especially hard to remove some of the teeth at the bottom of my mouth. I immediately felt pain despite being numb.
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.
The process starts by taking a series of impressions or molds of the oral tissues that will support the denture. A dental lab will use these impressions to make models of the patient's mouth. The dentist and laboratory technician will then slowly start building the dentures on these models and transferring them to the patient's mouth at each step to ensure proper fit, establish a proper bite, and ensure that the appearance and esthetics of the denture are desirable. The patient will generally need to be seen by the dentist once per week for about 4 to 5 weeks until the denture is complete. The patient will then need to return occasionally during the first month after the denture is delivered to have adjustments made.
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.
