Dental Bridges: A dental bridge refers to a single false tooth or span of up to three prosthetic teeth that are attached to adjacent natural teeth with metal and plastic connectors or dental crowns. Bridges help to preserve some of the mouth's structural integrity by leaving as many natural teeth in place as possible. However, patients that are missing the majority of their teeth are typically not good candidates for dental bridges. Good candidates for dental bridges must have healthy gums and some healthy natural teeth that can act as anchors.
She stormed out of the room shouting at me, "I'M NOT GOING TO DO IT. I DON'T HAVE TO DO IT." I told ** that Dr. ** had better do it. ** grabbed my arm (I was still sitting in the exam chair) and shook me, saying, "You don't talk to US like that." In a few minutes, Dr. ** returned and added length to my teeth, so that miraculously, after 61 years, I no longer looked like Elvis! And then she said, "We added lots and lots to your teeth!" The same teeth that minutes before didn't have anything wrong with them, according to her. One month later, her crummy addition to the partial is now crumbling off, and I again have lopsided teeth.
In cases where teeth need to be removed, an immediate denture is typically placed to enable proper healing of the extraction sites and serve as an esthetic replacement for natural teeth. This can be easily modified for changing ridge contours during healing until final dentures can be made. In constructing the immediate dentures, dentists will use a shade and mold chart to choose replacement teeth that will most closely match your natural teeth, minimizing any changes in appearance.
Dr. Okunuga’s dental center has an on-site dental lab that fabricates new dentures and provides repairs and relines, often with same-day service. Being able to provide dentures in a day is a significant advantage, especially for patients who have traveled far distances. The on-site lab also eliminates the need to use outside commercial labs, which helps keep our fees low.
Processing a denture is usually performed using a lost-wax technique whereby the form of the final denture, including the acrylic denture teeth, is invested in stone. This investment is then heated, and when it melts the wax is removed through a spruing channel. The remaining cavity is then either filled by forced injection or pouring in the uncured denture acrylic, which is either a heat cured or cold-cured type. During the processing period, heat cured acrylics—also called permanent denture acrylics—go through a process called polymerization, causing the acrylic materials to bond very tightly and taking several hours to complete. After a curing period, the stone investment is removed, the acrylic is polished, and the denture is complete. The end result is a denture that looks much more natural, is much stronger and more durable than a cold cured temporary denture, resists stains and odors, and will last for many years.
Some patients who believe they have 'bad teeth' may consider having all of them extracted and replaced with complete dentures. However, statistics show that most patients who receive this treatment wind up regretting it. This is because complete dentures have only 10% of the chewing power of natural teeth, and it is difficult to get them fitted satisfactorily, particularly in the mandibular arch. Even if a patient retains one tooth there, that one tooth contributes significantly to the stability of the denture. However, retention of just one or two teeth in the upper jaw does not contribute much to the overall stability of a denture, since an upper complete denture tends to be very stable, in contrast to a lower complete denture. It is thus advised that patients keep their natural teeth as long as possible, especially in the case of lower teeth.
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.
