Conventional dentures are installed after the last teeth are removed, to allow for healing (typically six to eight weeks). There are typically separate appointments for impressions and measurements; checking a "try-in" model for fit; inserting and adjusting the final denture; and follow-up appointments to check comfort and function. Immediate (same-day) dentures are made in advance and inserted when the teeth are pulled. The University of Iowa provides an overview of immediate dentures[2] and a California dentist has a immediate denture video[3] .
Teeth can fall out for a number of reasons, ranging from genetics to drug abuse. Most commonly, teeth are removed or fall out on their own due to severe tooth decay. Neglect to upkeep oral hygiene or not seeking proper treatment for damaged teeth, can lead to the onset of decay which in turn leads to loss of teeth. Visiting you dentist in 6 month intervals is a good preventive measure to spot any early signs of decay.
Removable partial dentures. Although these don't require grinding down adjacent teeth, they are not nearly as stable or comfortable as dental implants and can affect speech and eating. This type of restoration is less expensive but doesn’t look as natural or function as well as an implant-supported crowns. The bone underneath a removable partial denture may deteriorate over time, changing the appearance of your smile and face.
FRANKLIN, INDIANA -- On June 19 and 20, 2013, I visited Affordable Dentures, Franklin, Indiana, to receive same-day partials. From the clinic published offerings, I selected what is termed "The Premium Package," at a cost of $1780. The Package consists of a set of full or partial dentures, with the promise of being allowed to return at any time during the first year of wear for repair and adjustments. A final set is then placed in the patient's mouth. The words "at any time" echo throughout the clinic as the patients are being fitted for teeth, and again, as they leave: "You may come back any time you need to." That promise turns out to be a lie, particularly for purchasers of The Package.
Whether you've lost one tooth or many, chewing and smiling can become more difficult because of the gaps left behind. Partial dentures are an economical solution to replace the missing teeth and fill in the spaces, improving chewing ability and the confidence to smile. A partial denture in place will also help keep your natural teeth from shifting, lowering the risk of losing those teeth in the future.
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.
In 1820, Samuel Stockton, a goldsmith by trade, began manufacturing high-quality porcelain dentures mounted on 18-carat gold plates. Later dentures from the 1850s on were made of Vulcanite, a form of hardened rubber into which porcelain teeth were set. In the 20th century, acrylic resin and other plastics were used.[12] In Britain, sequential Adult Dental Health Surveys revealed that in 1968 79% of those aged 65–74 had no natural teeth; by 1998, this proportion had fallen to 36%.[13]
Resin-bonded bridge. Also called Maryland Bridge, this is sometimes considered for replacing front teeth that don't endure the biting and chewing demands of back teeth. It has wings on each side to attach to healthy, adjacent teeth but usually doesn't involve preparing, or grinding down, other teeth. A resin-bonded bridge looks and functions better than a removable denture but isn't as strong as fixed bridgework and typically doesn’t function or last nearly as long as dental implants.
A removable partial denture or bridge usually consists of replacement teeth attached to a pink or gum-colored plastic base, which is sometimes connected by metal framework that holds the denture in place in the mouth. Partial dentures are used when one or more natural teeth remain in the upper or lower jaw. A fixed bridge replaces one or more teeth by placing crowns on the teeth on either side of the space and attaching artificial teeth to them. This "bridge" is then cemented into place. Not only does a partial denture fill in the spaces created by missing teeth, it prevents other teeth from changing position. A precision partial denture is removable and has internal attachments rather than clasps that attach to the adjacent crowns. This is a more natural-looking appliance.
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).
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.
