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).
Cosmetic Benefits: The cosmetic benefits of dentures are obvious. They fill in gaps left by missing teeth so patients feel more confident about their appearance. Dentures can replace missing teeth or teeth that were in poor condition, prevent further shifting of remaining teeth, support facial structure and integrity, and increase patients' self confidence.
Overdentures are an alternative that can be used if traditional dentures prove to be extremely uncomfortable or if you have a few natural teeth left. Overdentures are fitted over the roots of natural teeth and either rest on these or on dental implants, if there are no natural teeth to fit over. Some find this type of denture more comfortable and they are also easily removable.
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.
Implant placement: The dental implants, which resemble small screws made of titanium, are surgically placed in the jawbone. In effect, a dental implant replaces the tooth's natural root. Each implant is inserted into the gums and jawbone through a small incision. One of the advantages of implant-supported dentures is that fewer implants can be placed than teeth. For complete upper dentures, between six and eight implants are placed. For complete lower dentures, four to five implants are placed. After the implants have been placed, the gums and bone will take three to six months to grown in around the implant, a process called osseointegration.
Often more affordable than dental implants, dentures are removable dental appliances meant to look and function like natural teeth. Many patients who have experienced tooth loss and are concerned about the loss of both functionality and aesthetics turn to dentures to meet their needs. The cost of dentures varies considerably, according to geographical location, the dentist, and type of dentures.
When we say we’re changing the face of dentistry, we mean it in every sense. Wait until you see the difference that same-day service makes. It differentiates AD&I affiliated practices and Affordable Care and, most important of all, transforms the lives of patients. So you can expect to see smiles and to hear how you and your teammates have impacted their lives. And isn’t that why you do what you do?
I began to get suspicious when they refused to pull my teeth unless I agreed to buy their most expensive package. Being in a dire financial situation I really didn't have much a choice. The most expensive package isn't what I wanted but it was still far cheaper than getting work done elsewhere. I agreed and signed the necessary paperwork. My next appointment was going to be about a week later.
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.
Removable complete denture. This denture sits on top of the gums where the missing teeth were. It can be uncomfortable, affect your ability to experience the full taste of food, cause sore gums, and shift and click in your mouth when you speak, eat, smile, yawn or cough. While the initial costs are low, they only last an average of 7 to 15 years, and the replacement costs can be significant over the long term. They need to be removed regularly for cleaning, which can be a time-consuming hassle. Also, as with a partial denture, the natural bone underneath a complete denture may deteriorate over time, permanently changing the appearance of your smile and face.
