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.
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.
Two to six dental implants that support a removable denture plate can cost $3,500-$30,000 or more depending on the number and type of implants (mini-implants are less expensive), denture materials (in some cases an existing denture plate can be adapted for use with implants) and any other procedures needed. A full set (upper and lower) of implants and dentures can cost $7,000-$90,000 or more.
Dentures that fit well during the first few years after creation will not necessarily fit well for the rest of the wearer's lifetime. This is because the bone and mucosa of the mouth are living tissues, which are dynamic over decades. Bone remodeling never stops in living bone. Edentulous jaw ridges tend to resorb progressively over the years, especially the alveolar ridge of the lower jaw. Mucosa reacts to being chronically rubbed by the dentures. Poorly fitting dentures hasten both of those processes compared to the rates with well-fitting dentures. Poor fitting dentures may also lead to the development of conditions such as epulis fissuratum. In addition, the occlusion (chewing surfaces of the teeth) tends to wear away over time, which reduces chewing efficacy and decreases the vertical dimension of occlusion, (the "open-ness" of the jaws and mouth).
Partial dentures are an appropriate solution when the other teeth in your mouth are healthy. It is always preferable to keep your natural teeth, however, if this is not an option, a full denture may be the right solution for you. DDS Dentures + Implant Solutions also offers the All-In-One dental implant solution – a more permanent, implant-based solution that “fixes” your dentures in place. Learn more about the All-In-One Solution.
Regardless of whether a patient gets partial or full dentures, the transition may feel uncomfortable and awkward at first. It may take a little while for the patient to get used to eating and speaking with the dentures and it takes roughly the same amount of time for the cheeks and the tongue to learn how to naturally hold your dentures in place. During the initial period, it is not uncommon for the patient to experience an excessive production of saliva, irritations stemming from feeling like the space inside the mouth has become cramped and like the lips are being pushed forward, and some level of soreness. If the irritation escalates to an unbearable level, do not hesitate to visit your dentist for a check up.
Your dental health directly impacts your overall health. Having your natural teeth removed to prevent more major health issues can be a hard decision, but often turns out to be the best course of action. Most dental patients who have had multiple extractions will choose to get dentures to protect not just their health, but their smiles, speech, and ability to properly chew their food. The problem is that finding affordable dentures isn’t always easy.
I also am so afraid that my heart doctor may be upset because I was so desperate to have my tooth pulled that I put the dental assistant on my cellphone with my doctor's nurse and she talked really nasty to her. She told my doctor "No dentist worth his weight would accept that fax". Then the dentist told me that he has never had a problem with a heart doctor giving him the note he needed and that they were just after money because they said I would have to have a cardiac evaluation. I told him that I really liked my heart doctor.
This Dr Baumgarden smelled like alchohol and was very rude to me as a patient and the way he talked to the assistants was uncalled for. I have spent over 30 years in the customer service business and if I treated customers as he does I would not have a job. I do realize that everyone has a bad day but this is my second time here and he was like this both times!
Most partial dentures contain a thin metal framework that is designed to rest close to your gums and allow for a smooth, non-bulky feel. The framework is supported by your natural teeth to provide a reliable, secure appliance that is easy to use. Where teeth are missing, natural-looking replacement teeth are attached to the frame, and gum-colored acrylic is used to make the appliance blend with your mouth. Again, your mouth and your needs are unique, and Dr. Yonan, Scott, Quigley, Fairbanks & Bushnell work with skilled technicians to create a solution that is comfortable and esthetic.
Dentures are removable appliances that can replace missing teeth and help restore your smile. If you’ve lost all of your natural teeth, whether from gum disease, tooth decay or injury, replacing missing teeth will benefit your appearance and your health. That’s because dentures make it easier to eat and speak better than you could without teeth—things that people often take for granted.
