Dentures are generally worn during the day and taken out at night to give the oral tissues time to relax. During the first few days after receiving the denture, however, it needs to remain in the mouth even when sleeping to best identify areas that need to be adjusted. This is especially important after receiving an immediate denture, for the gum tissues will swell after the teeth are extracted or lost and then may not permit the denture to be reinserted if taken out.
Your dentist or prosthodontist will instruct you as to how long to wear dentures and when to remove them. During the first several days after receiving your denture, you may be asked to wear it all the time, including while you sleep. Although this may be temporarily uncomfortable, it is the quickest way to identify the areas on the denture that may need adjustment. Once adjustments are made, you should remove dentures before going to bed. This allows gum tissues to rest and allows normal stimulation and cleansing by the tongue and saliva. The denture can be put back in the mouth in the morning.
Complete Dentures: Complete dentures are made of a plastic base that is colored in order to replicate gum tissue and supports a full set of plastic or porcelain teeth. The traditional full denture is held in the mouth by forming a seal with the gums. They can also be held in place by attaching to dental implants that are surgically placed in the bone of the jaws. This treatment is much more expensive than the traditional complete denture.
The different types of complete dentures include Conventional, Immediate and Implant-retained. Conventional Dentures which are applied after the teeth are extracted and the gums are allowed to heal – takes around 8-12 weeks. Prior to the fitting of the Conventional Dentures and the interim healing period, the dentist would normally place a pre-fabricated Immediate Denture over the gums to protect the area while the patient waits for the Full Denture to be made at a dental lab.
Once the relative position of each arch to the other is known, the wax rim can be used as a base to place the selected denture teeth in correct position. This arrangement of teeth is tested in the mouth so that adjustments can be made to the occlusion. After the occlusion has been verified by the dentist or denturist and the patient, and all phonetic requirements are met, the denture is processed.
Tooth extraction and restoration: If tooth decay or gum disease is so severe that a tooth can't be saved, it will need to be extracted. Your dentist will examine the remaining teeth in your mouth and determine if they should be removed or restored with tooth-colored fillings, inlays, onlays, or dental crowns. After the teeth have been extracted, the gums need at least two to three months to heal before an implant can be placed or an impression taken.
If you are considering dentures as a solution to missing teeth, the first step is to consult your dentist to determine the type of dentures you need and how much they will cost. Next, you may wish to ask your dentist what financing options he or she offers. In addition to offering financing plans specific to his or her office, your dentist may be affiliated with Compassionate Finance®. Compassionate Finance® operates much like a credit card. Once your application is approved, you may receive a credit line to help pay for the cost of your dental treatment. A Compassionate Finance® card offers you the freedom to select the type of dentures that suit your individual needs, and you don't have to feel restricted by what your insurance plan does and does not cover. Visit the Compassionate Finance® form or your dentist's office to learn more about Compassionate Finance® or to fill out an application.
Some partial dentures are made almost entirely of acrylic – but just like metal framework dentures, acrylic dentures have wire clasps that attach to any remaining natural teeth. These are generally used as a cost-effective alternative to metal-based partial dentures. They can also be used for transitional dentures when you’re expected to have additional prosthetic treatments, such as implants, in the future.
The denture itself is not very good. Again, I fault this due to a low paid lab worker, who is probably texting while he makes the denture. It clearly did not fit properly, too much in one area, too little in another. I am glad that I have had a partial for years and an upper for years, as I know what can be done to alleviate the pressure points. I had to remove material in several spots on the lower edges of the denture, to keep it from bruising my gums.
The gums, tongue and palate should be brushed with a soft bristle brush every evening when the dentures are removed, and each day before you insert them to stimulate the gums and remove plaque accumulation. When removing dentures at night, brush them carefully to remove any loose debris and plaque then soak them in a cleansing solution. Your dentist will be able to recommend one. Some people keep theirs in an ultrasonic cleaner, but keep in mind that an ultrasonic cleaner doesn’t replace brushing. When cleaning your dentures, place a towel beneath them or clean them over a sink filled with water to avoid breakage.
This type of denture is made to be placed in the mouth immediately after you have all your natural teeth extracted. This allows you to leave the office without the embarrassment of having no teeth while the gums heal from the extraction. The denture is made to conform to your mouth at the moment impressions were taken. Your gums will change drastically over the next few months and it is possible that the dentures will rub against the gums causing some soreness until the denture is adjusted. Most patients will require a realignment of their denture within the first few months due to the gums shrinking from the extraction of teeth. Another benefit of immediate dentures is the fact that the dentures act as a bandage to the extraction sites which covers the tooth sockets and prevents them from becoming irritated. Just remember, never remove the denture yourself, even for a brief moment unless your dentist has instructed you to. The gums have a tendency to swell when uncovered at first; and if you are without your dentures for a little while, they may never go back in.
As of now I essentially have no teeth and won't until at least 2-3 months later when I am supposed to return for my "permanent denture". It is incredibly humiliating having to go out in public with no teeth. I returned to ask what they could do and they wanted around 300 bucks for a reline but recommended I just get a new denture made (which they of course wanted to charge me around 600 bucks for). I couldn't believe what I was hearing. They made an awful denture and refused to fix it. Suddenly all of the nightmare stories began to make sense. I kindly told them to screw off and that I would just wait a few months.
Implants: An implant is a metal post that is inserted into the bone of the upper or lower jaw. This post is then used to replace a single tooth by attaching a crown to it, or multiple teeth by attaching a bridge to multiple implants. Implants are the most expensive option for tooth replacement, but implants simulate natural teeth better than any of the other options.
A low-cost denture starts at about $300–$500 per denture, or $600–$1,000 for a complete set of upper and lower dentures. These tend to be cold cured dentures, which are considered temporary because of the lower quality materials and streamlined processing methods used in their manufacture. In many cases, there is no opportunity to try them on for fit before they are finished. They also tend to look artificial and not as natural as higher quality, higher priced dentures.
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.
An immediate denture can often be made so that the patient has something to wear the same day the teeth are removed. This type of denture is made before the teeth are extracted and is put in place the day the teeth are removed. Sometimes the back teeth are taken out first and the front teeth are left in place until the day the denture is delivered. This type of denture doesn't fit the bone and gum tissue as intimately as a conventional denture, so it requires more adjustments during the healing stage. An immediate denture is best used as a temporary appliance until a conventional denture can be made after all of the gum and bone healing is complete.
On the cheap or “discount denture” end, you get units with premade fits that often look artificial. Less expensive sets are generally made with lower quality materials and their warranties reflect that. In the end, cheap dentures lack the desired lifelike look, are more prone to crack or break outright, may have poor bite alignment, and are typically less comfortable.
Later that afternoon I came back to have 16 teeth extracted. I got to the office and waited about 30 minutes before I was seen. I got to the back and began injections. After this I went to a full blown panic attack and came close to passing out. The one positive is the dentist who was working on me took it in stride. I wasn't treated disrespectfully and after about 30 minutes the panic subsided and she was able to finish my injections and begin pulling teeth.
