Dental implant-supported dentures have become the best treatment option for patients who are missing all or most of their teeth. The treatment boasts a high success rate, particularly when the patient makes a commitment to the maintenance of good oral health and a qualified dentist performs treatment. However, complications may occur. Here is an overview of the complications that may affect the implants, abutments, and dentures.
It is extremely important to practice healthy dental hygiene when wearing dentures. There is an increased risk of developing a more serious medical condition should oral irritation result from improper dental hygiene. These conditions include, but are not limited to, periodontal disease, leukoplakia (thickened white, potentially precancerous patches on the mucous membranes, also called smoker’s tongue) and fungal (denture stomatitis) infections.
Your dentist or prosthodontist will instruct you as to how long to wear dentures and when to remove them. During the first several days after receiving your denture, you may be asked to wear it all the time, including while you sleep. Although this may be temporarily uncomfortable, it is the quickest way to identify the areas on the denture that may need adjustment. Once adjustments are made, you should remove dentures before going to bed. This allows gum tissues to rest and allows normal stimulation and cleansing by the tongue and saliva. The denture can be put back in the mouth in the morning.
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.
The denture itself is not very good. Again, I fault this due to a low paid lab worker, who is probably texting while he makes the denture. It clearly did not fit properly, too much in one area, too little in another. I am glad that I have had a partial for years and an upper for years, as I know what can be done to alleviate the pressure points. I had to remove material in several spots on the lower edges of the denture, to keep it from bruising my gums.
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] .
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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).
This is long,but I writting this to hopefully save someone else from going through this,self pay people are at the mercy of blood sucking dentist.Well,I carefully compared several NC Affordable Dentures,I read reviews from many sources.The one near me is pretty bad,went many years ago and the currant reviews are down right scary,couple with a serious fear of dentist,did not want to put myself through that again. Soooo the search was on,after being quoted 632.00$??? at DentalWorks!! Who the he'll can afford that out of pocket,so after reading the reviews for this location I called asked questions,asked what I needed to bring along with time to be there.Then I read website to make sure everything was a go.Had x-rays sent over along with bringing a copy myself incase something went wrong.Website&Receptionist both confirmed needing to arrive by 7:30am.Okay,I cancelled one of my accounts (means I lost money),woke up at 4:30am then drove hour n half to A.D. Apex Highway Location.Stood in line,filled out forms,handed over X-Rays,took a seat.After watching people come in at 10 am be seen before me,denture customers get teeth pulled come back sit down in lobby again,then be called back for fittings or whatever of course started to get anxious.I just needed one extraction.There was a very loud girl there who had to have one tooth pulled as well.At the four hour mark,she asked them what was going on.Receptionist tells her denture people should all be done being treated by 3pm.So she may or may not be treated sooner.What?????Been waiting 4hours,drove almost two to get there with less then 5 hours sleep to make sure I'd be on time and it's going to be another 4hour wait??? and then that's not guaranteed.So I asked receptionist if this was the case,told her my issue,she just looked at me blankly"yep"..This information is no where on website,I told her on phone what I needed asked if there was anything I needed to know.She even said for treatments had to be there at 7:30am.NO WHERE DOES IT STATE JUST EXTRACTIONS WILL BE DONE AFTER EVERYTHING ELSE.The whole ordeal was just inexcusable.I got my x-rays and left,I am now sitting with a abscessed tooth waiting to make an appointment on Monday at one of them blood sucking offices,got small loan because the price of extractions is inexcusable too.You know what though,I Will expect it,I will also be treated better,will not automatically assume I have no other options but them so they can treat me however an if they mess up oh well.How would these ppl like to be treated this way,this issue may sound insufficient but the fact is I lost a day of my personal time along with a days work and still need to see a dentist because of thier mistake not mine. You slap the word affordable on a business,make em line up,play by your rules or else,because you know they cannot afford it anywhere else,its borderline cruel.I'm positive there has got to be a hundred other poor souls that will go through something similar to me,I if I can help one person avoid it,good!!..
Custom-made porcelain dentures are crafted to look like your natural teeth (or an improved version of your natural teeth). Great care is taken to design and fabricate a set of teeth that not only look natural, but also complement the size and shape of your mouth. Dentists may first create wax versions of the dentures so patients can try on their new teeth on before the final dentures are made; this process allows for design modifications and fit adjustments that can be applied to the final set of dentures.
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.
