"Terrel Myers is without doubt one of the best dentists - anywhere! He is friendly and compassionate but most of all he is extremely knowledgeable and experienced as a dentist. He doesn't automatically take the easiest (sometimes more convenient and expensive route) that others tend to do (in my experience elsewhere) but instead - if at all possible, will give you suggestions and options on remedying a problem. This guy knows what he's doing and does it well. I highly recommend him for anything from the simplest problem to the most complex."
In addition to directing the fabrication of the denture, dentists provide information to patients on the proper care and use of the appliance. Dentures must be cared for properly. For example, placing removable dentures in water or a denture cleanser solution, when they are not being worn, helps the denture retain its shape, remain pliable and keeps it from drying out. Dentures should never be placed in hot water as it could cause them to warp.
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).
Fixed bridges are another tooth replacement option that are typically more durable and a more permanent solution than denture arches. A bridge spans the length of at least three teeth to replace a missing tooth or teeth in between. Bridges are cheaper than dental implants but do not offer all the same benefits when compared to replacing a missing tooth with an implant.
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.
Note: In addition or as an alternative to commercial cleansers, dentures can be cleaned with toothpaste or soap—mild hand soap or dishwashing liquid—warm water and a soft-bristle toothbrush. However, denture wearers should never use bleach or powdered household cleansers, which can be abrasive, for cleaning their appliance as this may damage the denture.
The process of getting dentures requires several appointments, usually over a period of several weeks. Highly accurate impressions (molds) and measurements are taken and used to create your custom denture. Several “try-in” appointments may be necessary to ensure proper shape, color, and fit. At the final appointment, your dentist will precisely adjust and place the completed denture, ensuring a natural and comfortable fit.
CONOVER, NORTH CAROLINA -- This place is as crooked as it gets. I went over with the dentist several times the teeth I wanted extracted and he still pulled a perfectly good tooth. The business is so crappy that the owner won't even talk to me or look at the big cavity in the tooth beside the good one he pulled. It had a hole in it about as big around as a cigarette. I was told I would have to pay again to have it removed period. I think it was done just out of greed to make more money. I'll never go there again and I would suggest you don't go either.
Getting dentures can be an intimidating process. The American College of Prosthodontists (ACP) answers the most popular questions regarding denture costs. Read more about denture adhesives here.How much do dentures cost?Answer: That is a really good question that has a range of answers. The cost of dentures is dependent upon the conditions within your mouth, the types of materials being used, the techniques used by the dentist or prosthodontist, as well as the location and general operating costs of the dental office. Denture care is an ongoing service to maintain a healthy mouth. What many patients don't realize is that there is a service aspect connected to complete denture care, which includes modification of dentures over time to eliminate "sore spots" or to improve how the teeth fit for chewing, and correcting the look of or adjusting the dentures to make them more comfortable and stable. The conditions of your mouth make your treatment easier or harder and therefore may result in different costs. If cost is your primary concern, you might want to locate a dental school in your community for treatment. Keep in mind, low-cost treatment is of limited value if you have to have the treatment done over again in a short time. To locate a prosthodontist near you,visit www.gotoapro.org. Read more about denture adhesive creams here. Response provided by the American College of Prosthodontists. Back to top
