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.
Getting 16 teeth pulled is about as pleasant as it sounds. I have had many teeth extracted in the past and this was by far the most unpleasant experience I have had. The most curious thing about this visit was there was NO assistant involved in the actual dental work. The dentist was working alone for the entire time. Maybe this is standard procedure at some places but it felt odd to me. The dentist was VERY rough and borderline careless during the extractions. She had to yank especially hard to remove some of the teeth at the bottom of my mouth. I immediately felt pain despite being numb.
Apppointment was at 10 am got here at 9 am. Then we finally got back there at 12 pm, and then the people say come back at 3pm and we will bring you straight to the back. Then we got back around 2pm and then we are still waiting, and they just said it would be another hour. This is by far the worst dentist office I have ever been to... Very disappointing.
Bridges: A bridge replaces missing teeth by placing crowns on the teeth next to the space and attaching a fake tooth to both of the crowns. Bridges are made from gold, porcelain fused to gold, all porcelain, or zirconium. Bridges can only replace about two to three missing teeth in a row, depending on the location. Since bridges are cemented in place, they are considered a "fixed, or permanent denture."
CEDAR RAPIDS, IOWA -- I had a great experience there, and I'd recommend them to anyone. I had 22 teeth extracted and immediate dentures placed all in the same day. The dentist there is a fireball and I really liked her. I liked all the staff really. In the morning they took the impressions and then sent me out to lunch with prescriptions to fill. A mild sedative, pain pills, and antibiotics. They told me to come back at 2 pm, take the sedative in the waiting room, and wait to be called. When I went back there, they had me take the first pain pill and then numbed me up and began the process. Wow.
Christopher Athari, DMD, FICOI, FAAIP, is a general dentist and is the practice owner of this Affordable Dentures & Implants-affiliated practice in Mesa, AZ. Dr. Athari and his staff look forward to fulfilling the denture and dental implant needs of patients who travel from Mesa, Tempe, Gilbert, Chandler, Scottsdale, Maricopa, Sun Lakes, Apache Junction, Fountain Hills, Florence, Superior and surrounding communities.
