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).
Patients can become entirely edentulous (without teeth) for many reasons, the most prevalent being removal due to dental disease typically relating to oral flora control, i.e., periodontal disease and tooth decay. Other reasons include pregnancy, tooth developmental defects caused by severe malnutrition, genetic defects such as dentinogenesis imperfecta, trauma, or drug use.
After deciding on having the extractions and the full plate, I decided on the "Premium" denture. You can see 3 different types of dentures. Economy, Good and Premium. It's pretty easy, if you want the longest lasting, then get the premium. Economy dentures often break after a couple years... I had to pay the full amount right then, before they would go any further. They want all the money in advance or they don't do the dentures. Be prepared to pay up front in full, before you go, or don't go.
I started getting bone protruding hurting so I called to see about going in and was told he couldn't see me till Monday. So I asked for my pain medicine to be refilled since I had to get through Friday till Monday. And the receptionist politely told me "no", that he wasn't in and told me just to rinse with warm salt water. I did what I was told and suffered through my weekend. By the time I was finally to be seen my dentist didn't even come in to see his handiwork.
On my 3rd visit back to readjust my partial...I was going to a wedding and the Dr. wanted me to come back in to make sure it fit. The girl who took care of me (short curly auburn/reddish hair said the partial could not be adjust. I told her the Dr. adjusted it last week for me. Then she said: "well, you are just going to have to learn to adjust it yourself at home in a mean, stern voice.
Extractions -- If this is your first set of dentures, you may need to see an oral surgeon to have your teeth extracted before your denture dentist can fit you for dentures. If you choose to see a prosthodontist - a dental specialist who has undergone three years of additional training in replacing missing teeth and restoring damaged teeth – you will likely pay more money to get your dentures than you would working with a general or cosmetic dentist.
Other denture cleaning methods include enzymes, ultrasonic cleansers and microwave exposure.[32] A Cochrane Review found that there is weak evidence to support soaking dentures in effervescent tablets or in enzymatic solutions and while the most effective method for eliminating plaque is not clear, the review shows that brushing with paste eliminates microbial plaque better than inactive methods. There is a need for studies to provide reports about the cost of materials and the negative effects that may be associated with their use as these factors could affect the acceptability of such materials by patients which will in turn affect their effectiveness in a daily setting in the long term. Additionally putting dentures into a dishwasher overnight can be a hndy short cut when away from home. Additionally, further studies comparing the different methods of cleaning dentures are needed.[39]
Once the numbness wore off I could not open my mouth fully for days. It took a full week before I was out of severe pain. It honestly felt like she had broken my jaw. I decided to tough it out as I have a phobia of dentists. Once the severe pain was over my jaw was sore for the next two months. I'm fairly certain that isn't the norm for routine extractions.
