Stability is the principle that describes how well the denture base is prevented from moving in a horizontal plane, and thus sliding from side to side or front to back. The more the denture base (pink material) is in smooth and continuous contact with the edentulous ridge (the hill upon which the teeth used to reside, but now only residual alveolar bone with overlying mucosa), the better the stability. Of course, the higher and broader the ridge, the better the stability will be, but this is usually a result of patient anatomy, barring surgical intervention (bone grafts, etc.).
No consensus has been reached regarding the best occlusal scheme for making complete dentures. Thus, the purpose of this systematic review was to compare bilateral balanced occlusion (BBO) with other occlusal schemes (canine guidance, lingualised occlusion and zero degree) in complete dentures. The schemes were compared in terms of quality of life/satisfaction and masticatory performance. Two independent reviewers performed a comprehensive search of studies published in or before October 2017 using the PubMed/MEDLINE, Scopus and Cochrane Library databases. The search was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The focused question was: "In conventional complete denture, is BBO better than lingualised occlusion, canine guidance and zero degree in terms of quality of life, patient satisfaction and masticatory performance/muscle activity?" Seventeen studies were selected for analysis. In total, there were 492 patients with a mean age of 64.78 years and a mean follow-up duration of 2.96 months (range: 1-6 months). All studies compared BBO with the other occlusal schemes. Eleven studies evaluated the influence of the occlusal scheme designs on quality of life and satisfaction, and 8 studies evaluated masticatory performance and muscle activity between BBO and the other occlusion schemes. The present systematic review indicated that BBO does not confer better quality of life/satisfaction or masticatory performance and muscle activity. Thus, lingualised occlusion can be considered a predictable occlusal scheme for complete dentures in terms of quality of life/satisfaction and masticatory performance, while canine guidance can be used to reduce muscular activity.
Treatment for lost teeth can be hard to find even in a metropolitan city like Dallas. Denture treatment and fitting needs to be done by a clinic with the highest level of skill and professionalism, like Dallas Dentures & Implants. Because we strive for a relaxing, comfortable environment and we treat our patients with a gentle care that is personalized to each individual, it is easy to forget that we also utilize cutting edge technology and the latest in prosthetic tooth replacement procedures. Add to that our 30 years of experience in medicine and it is easy to see why we are a leader in our field.
Premium heat cured dentures can cost $2,000-$4,000 per denture, or $4,000-$8,000 or more for a set. Dentures in this price range are usually completely customized and personalized, use high-end materials to simulate the lifelike look of gums and teeth as closely as possible, last a long time and are warranted against chipping and cracking for 5–10 years or longer. Often the price includes several follow-up visits to fine-tune the fit.
The office people and assistants must be low wage workers. They have the typical low paid, high stress lack of concern for the patient. The person who did my form did not do it well. That was evidenced in the quality of the temporary denture. The Dentist who did the extractions was the absolute best dentist I have ever seen in my 55+ years. They give you a pill to take an hour before you get there and if needed, one when you arrive. It relaxes you and one was enough for me. I was ready to go to sleep. They took me straight in and the dentist took 20 minutes numbing every tooth with a local anesthetic. <<<<
