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.
Removable partial dentures are for patients who are missing some of their teeth on a particular arch. Fixed partial dentures, also known as "crown and bridge" dentures, are made from crowns that are fitted on the remaining teeth. They act as abutments and pontics and are made from materials resembling the missing teeth. Fixed bridges are more expensive than removable appliances but are more stable.
Generally speaking partial dentures tend to be held in place by the presence of the remaining natural teeth and complete dentures tend to rely on muscular co-ordination and limited suction to stay in place. The maxilla very commonly has more favorable denture bearing anatomy as the ridge tends to be well formed and there is a larger area on the palate for suction to retain the denture. Conversely, the mandible tends to make lower dentures much less retentive due to the displacing presence of the tongue and the higher rate of resorption, frequently leading to significantly resorbed lower ridges. Disto-lingual regions tend to offer retention even in highly resorbed mandibles, and extension of the flange into these regions tends to produce a more retentive lower denture. An implant supported lower denture is another option for improving retention.
DENTURES DO NOT FIT! DO NOT USE AFFORDABLE! #BOYCOTTAFFORDABLEDENTURES. My father went in for dentures, they are so loose he cannot eat healthy. The first time he went back they put a liner in the uppers to make them tighter, he is using a lot of Poligrip on both the uppers and lowers. He had teeth removed from the bottom and they waited for the gums to heal before measuring for dentures. It has been about 3 months and the dentures, especially the bottom are so loose it hurts him to eat because food gets stuck under the dentures. It is funny because on his first visit the Affordable dentist made fun of how loose his upper dentures were (he has had them for 4 years), they were done by a different dentist. On his first visit he was told by the dentist that the Affordable dentures would fit tight, they don't!
In need of a professional dentist.I live in Northwest Ohio. Had my left leg amputated some years back. Then I came down with mrsa., so now I'm in need of dental help. After the Drs removed my leg then after year, they had come back and take off 2 more inches. I was fitted with a prosthetic and it never fit. Then I spend 2 1/2 years in a nursing home that sucks. I'm afraid of getting ripped off with getting false teeth.If anyone can recommend a dentist that does this kind of work in Northwest Ohio please email me. THANKS IN ADVANCE I just want to smile again.
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.
If I had to find one negative about the office, it would be the wait times. On our first visit, one woman in the waiting room said she'd been waiting 30+ minutes. It took a day to get a call back to schedule. We waited a little while in the office too. However, when you consider that they're working with people like the person I brought in, and that it's totally impossible to predict the needs and behaviors of some of the patients who go in there, it's totally understandable. I have no doubt they took a little longer because they were treating someone else exactly as they treated us- with patience and understanding. That's worth waiting for. So, if you do go, be prepared for some short delays, but also know why those delays happen. Overall, they work like a well-oiled machine. We got to meet the whole team, including their on-site lab techs. Every single person met us with a smile and kind words. I cannot thank Dr. Athari enough for creating an environment like this.
I told him that if I hurt someone's feelings that I did not intend for that to be and while I was telling him that, he told me that I was not listening to him and he did not have to service me. I tried to tell him that I was saying sorry. When everyone walked away but one of the receptionist, that person told me that she hated working there because the women there were very mean.
I went back a few months later, in excruciating pain. The front office girl, Renee, proceeded to tell me "the mouth exaggerates" and asked if I had a regular dentist. The reason for my visit was related to my dentures and Dr. ** advertises as a general dentist. Renee then went on to say I need to wear my denture sparingly... so while I'm at work and no one is in my office I should remove them. What??!! Is this normal?? Trina did a liner that looked like donkey teeth. Thanks, Trina. Took them out as soon as I got home.
Over a period of time, your denture will need to be relined, remade, or rebased due to normal wear. Rebasing means making a new base while keeping the existing denture teeth. Also, as you age, your mouth naturally changes. These changes cause your dentures to loosen, making chewing difficult and irritating your gums. At a minimum, you should see your dentist annually for a checkup.
A denturist or prosthodontist should be able to fit you with comfortable and affordable dentures to match your needs and budget. Prosthodontists receive three to four years of additional training after dental school, and specialize in cosmetic restoration and teeth replacement. Denturists, meanwhile, can take impressions of oral tissue, construct prosthetics and deliver them to patients.
Patients can become entirely edentulous (without teeth) for many reasons, the most prevalent being removal due to dental disease typically relating to oral flora control, i.e., periodontal disease and tooth decay. Other reasons include pregnancy, tooth developmental defects caused by severe malnutrition, genetic defects such as dentinogenesis imperfecta, trauma, or drug use.
The initial appointment started with a consultation. I didn't actually have anything done that day. The dentist and an assistant came in and gave me the costs as well as explained the process. They were fairly thorough and had no problems answering my questions. At this point I figured that I had maybe dodged a bullet. I was very hopeful that I was going to be one of the lucky ones.
I will be having Dr. Athari do my 7th dental implant. I have had 6 implants done at various locations ... family dentist, oral surgeon, and local dental school over the past 7 years. I was impressed with the clean modern office, friendly professional staff, and the price. Dr. Athari and his assistant made me feel relaxed and comfortable. They presented and explained to me a couple of treatment plans along with the pros and cons of each ... I chose to have another implant. I am confident that Dr. Athari and his staff will make my tooth beautiful and functional again.
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.
Having a complete set of bright and well-aligned teeth can give you a beautiful smile. When a person loses his or her teeth to disease, injury, accidents or age, the gaps in the smile are usually enough reasons to warrant a dental solution. Of course, the reasons for treating missing teeth goes beyond aesthetic reasons and extends into the realms of health, such as personal well-being and simply feeling good about oneself.
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.
