There are several types of partial and full dentures. Complete dentures, also called full dentures, may be recommended when all teeth in the upper or lower jaw are missing. There are two options for complete dentures: immediate and conventional. Immediate dentures are made before the patient's teeth are removed and can be inserted as soon as the tooth removal surgery is complete.
In either case, as you are making the decision between dentures versus bridges, it is very important to speak with your dental professional. Contact Arkansas Family Dental if you have questions about dentures or bridges. You can also schedule an appointment with either Dr. Nichols or Dr. Mascagni for help deciding between your tooth replacement options.
Review: My first trip to natural dentures was a visit just short of panic. I had worked with another place before and had my estimate from them, but wasn’t really looking forward to going back. They made me feel just like a paycheck. The people at natural dentures made me feel very comfortable. They were friendly, informative, and welcoming. I was running out of insurance Tim so I had a rather close schedule. And they went out of their way to make it happen. Nels worked very hard at making me happy and doing a outstanding job. I will indeed go back there when I need to and recommend them to anyone that is looking.
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).
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.
As far as back office goes, Carlos the assistant has the patience of a saint. Seriously. We had to do a full series of x-rays because my mom couldn't stand up for the pano. My mom had trouble holding still and repeatedly failed to follow instructions. Carlos never stopped smiling and encouraging her. He had a lot of positive energy and kept joking with her throughout, which I know went a long way to making her feel good about the office. He did the same during the other visits, but the x-rays I'm sure were the biggest challenge.
So I wound up with my partial getting a tooth put in it as I thought they would pull my tooth but when the doctor's fax came, it still was not good enough for them. I believe that he just did not want to service me by pulling my tooth. I have a partial I cannot wear because the tooth put in there it will not fit in my mouth. I have to say that never in my life and I'm 59 now, have I ever been treated so badly by a doctor. The way he spoke to me in front of everyone in the office and people in the waiting room. I was so taken off guard by that.
The front office staff does not greet you or ask how they can help you when you come it they look at you and watch you stand at an empty desk until a patient sitting in the lobby advises the customer where to go. The staff in the back are excellent they keep you informed and will try to assist any way they can. The Dr was great helping me as a patient however the patient does not need to hear or see him reprimand the assistant when they mess up or do something wrong. I don't need to know something is incorrectly done. Now as for as my service I had a horrible experience I arrived on time but because they didnt have my paper work told me I would have to wait an hour and half til the office who had the info open I told them I can go home and get my copy before the office opens. My upper denture was fitted a nice fit but when I returned my upper were crooked and the left side looked like baby teeth ere used then adult teeth on the right side ...and angle is very obvious. The whole process time it took to make it was something that could not be correct the same day because a whole new denture need to be made. In the meantime I can wear the crooked one until my next appointment woke up this morning my more is so sore from eating and the rubbing of the new denture on my gum line A very unpleasant experience
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.
Medically, the consequences of not replacing missing teeth include unwanted and unhealthy nutritional changes. There are also potential risks of diabetes, obesity, heart disease, depression, and an increase in the likelihood of developing cancer. These are all prominent health risks that are avoidable by providing a dental structure with partial dentures or another quality tooth replacement option.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Some patients who believe they have 'bad teeth' may consider having all of them extracted and replaced with complete dentures. However, statistics show that most patients who receive this treatment wind up regretting it. This is because complete dentures have only 10% of the chewing power of natural teeth, and it is difficult to get them fitted satisfactorily, particularly in the mandibular arch. Even if a patient retains one tooth there, that one tooth contributes significantly to the stability of the denture. However, retention of just one or two teeth in the upper jaw does not contribute much to the overall stability of a denture, since an upper complete denture tends to be very stable, in contrast to a lower complete denture. It is thus advised that patients keep their natural teeth as long as possible, especially in the case of lower teeth.
Yes. Good oral health is still important – even if you have a few missing teeth. In addition to caring for your new dental prosthetic, you’ll also need to brush your gums and tongue twice daily to stimulate circulation and remove bacteria that could cause gum disease. Continue seeing your dentist twice yearly for exams and cleanings, and be sure to bring your partial dentures along to each visit. After a few years, you may find that your partial needs to be rebased to better fit the changes to the bone structure in your mouth.
New dentures may feel awkward for a few weeks until you become accustomed to them. The dentures may feel loose while the muscles of your cheek and tongue learn to keep them in place. It is not unusual to experience minor irritation or soreness. You may find that saliva flow temporarily increases. As your mouth becomes accustomed to the dentures, these problems should go away. Follow-up appointments with the dentist are generally needed after a denture is inserted so the fit can be checked and adjusted. If any problem persists, particularly irritation or soreness, be sure to consult your dentist.
