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.
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.
Making quality dentures is a blend of science and art. First, an accurate impression (mold) is made of the alveolar ridges on the top and bottom of your mouth. The base of the denture is made from this mold in a dental laboratory. Working together, the dentist and lab technician choose from among many different sizes and shapes of prosthetic teeth to re-create a natural-looking smile. When everyone is satisfied with the result, the temporary dentures are made in permanent form.
If cared for properly, dentures should last a minimum of 5 years. Over time, the bone shrinks and causes the denture to become loose. The rate that this happens varies with each individual, but can be controlled by visiting a dentist regularly to ensure that the denture is fitting properly. An ill-fitting denture causes the bone to shrink more rapidly. To prolong the life of a denture, a dentist will often use a denture liner to refit the internal surface of the denture to the oral tissues.
Dental bridges, sometimes called fixed partial dentures, act as a restorative bridge across a gap made by missing teeth. They are made to be permanent by cementing or bonding an artificial tooth (called a pontic) to natural teeth, teeth prepared with crowns, or implants next to the space. The teeth prepared on either side will act as supports for the false teeth between them. Depending on what your dentist suggests, the artificial teeth can be created using gold, alloys, or porcelain.
Sulphamic acid is a type of acid cleanser that is used to prevent the formation of calculus on dentures. Suphlamic acid has a very good compatibility with many denture materials, including the metals used in denture construction.[32] 5% hydrochloric acid is another type of acid cleanser. In this case, the denture is immersed in the hydrochloric cleanser to soften the calculus so that it can be brushed away. The acid can cause damage to clothes if accidentally spilt and could cause corrosion of cobalt-chromium or stainless steel if immersed in the acid often and over long periods of time.[32]
We are very disappointed today. I hate putting our dirty laundry on Facebook but if it can help someone else then it is worth it. A little over 1 yr old Evan started his journey to a beautiful smile at Affordable Dentures in Cedar Rapids. His teeth were bad and made him very self-conscious. We went in and were presented a set of packages, we choose the second least expensive, Economy Plus. In buying this package we had $3800 tied up in teeth. This had to be paid in advance before they would do any work at all. This paid for teeth extraction, a set of temporary teeth to wear while the swelling went completely down (1 yr) and then he would receive his permanent teeth after 1 yr. Everything had to be paid for upfront.
The fabrication of a set of complete dentures is a challenge for any dentist/denturist. There are many axioms in the production of dentures that must be understood; ignorance of one axiom can lead to failure of the denture. In the vast majority of cases, complete dentures should be comfortable soon after insertion, although almost always at least two adjustment visits are necessary to remove the cause of sore spots. One of the most critical aspects of dentures is that the impression of the denture must be perfectly made and used with perfect technique to make an accurate model of the patient's edentulous (toothless) gums. The dentist or denturist must use a process called border molding to ensure that the denture flanges are properly extended. An array of problems may occur if the final impression of the denture is not made properly. It takes considerable patience and experience for a dentist to know how to make a denture, and for this reason it may be in the patient's best interest to seek a specialist, either a prosthodontist or denturist, to make the denture. A denturist is a trained and licensed professional who sees patients in need of dentures, partials, relines or repairs. A denturist not only takes the impression, but makes the entire denture in his or her own laboratory. The denturist then schedules a date for the delivery of the finished dentures to the patient. A general dentist may do a good job making dentures, but only if he or she is meticulous and experienced. Many dentists no longer make dentures themselves. but instead take an impression of the patients' mouth and then either send the impressions to a dental laboratory, which could be anywhere in the world, or send the patient to a denturist. Once the laboratory receives dental impressions of the patient's mouth, the laboratory creates plaster molds from them. The laboratory uses the molds to create the wax rims used to register the patient's bite. These wax rims are returned to the dentist, who uses them to register the patient's bite. The dentist may assist the patient in choosing the correct size of teeth for the dentures, or simply make the selection himself. Once bite registration is completed and the teeth are selected for the dentures, the wax rim is usually returned to the dental laboratory in order to have the denture teeth set into the wax. Once the teeth are set into the wax rim, the result is a prefinished denture that looks almost like the finished product. This prefinished denture is usually returned to the dentist's office and the patient usually has a chance to approve the setup (for immediate or standard dentures) or to try the denture before it is finished. After approval by the patient, the dentist returns the pre-denture to the laboratory for final processing. The finished denture is then returned to the dentist's office for delivery to the patient.
Whether you are considering getting dentures, already have them, or know someone with them, it’s very likely that you may have some questions about them. What follows is information on what dentures really are, what kind of care they require, and how dentures can improve your oral health. We hope to help you find the answers to all your denture queries and to find out, if necessary, whether dentures might be right for you.
If needed, patients can get a full set of upper or lower dentures, but many patients get partial removable dentures and keep as many of their natural teeth as possible. Partial dentures can replace one or more teeth in the upper or lower set, allowing spaces for natural teeth. In other words, the teeth in partial dentures do not need to be next to each other.
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.
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
