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.
The process of fabricating a denture usually begins with an initial dental impression of the maxillary and mandibular ridges. Standard impression materials are used during the process. The initial impression is used to create a simple stone model that represents the maxillary and mandibular arches of the patient's mouth. This is not a detailed impression at this stage. Once the initial impression is taken, the stone model is used to create a 'Custom Impression Tray' which is used to take a second and much more detailed and accurate impression of the patient's maxillary and mandibular ridges. Polyvinylsiloxane impression material is one of several very accurate impression materials used when the final impression is taken of the maxillary and mandibular ridges. A wax rim is fabricated to assist the dentist or denturist in establishing the vertical dimension of occlusion. After this, a bite registration is created to marry the position of one arch to the other.
This Dr Baumgarden smelled like alchohol and was very rude to me as a patient and the way he talked to the assistants was uncalled for. I have spent over 30 years in the customer service business and if I treated customers as he does I would not have a job. I do realize that everyone has a bad day but this is my second time here and he was like this both times!
Extractions -- If this is your first set of dentures, you may need to see an oral surgeon to have your teeth extracted before your denture dentist can fit you for dentures. If you choose to see a prosthodontist - a dental specialist who has undergone three years of additional training in replacing missing teeth and restoring damaged teeth – you will likely pay more money to get your dentures than you would working with a general or cosmetic dentist.
Removable complete denture. This denture sits on top of the gums where the missing teeth were. It can be uncomfortable, affect your ability to experience the full taste of food, cause sore gums, and shift and click in your mouth when you speak, eat, smile, yawn or cough. While the initial costs are low, they only last an average of 7 to 15 years, and the replacement costs can be significant over the long term. They need to be removed regularly for cleaning, which can be a time-consuming hassle. Also, as with a partial denture, the natural bone underneath a complete denture may deteriorate over time, permanently changing the appearance of your smile and face.
The gums, tongue and palate should be brushed with a soft bristle brush every evening when the dentures are removed, and each day before you insert them to stimulate the gums and remove plaque accumulation. When removing dentures at night, brush them carefully to remove any loose debris and plaque then soak them in a cleansing solution. Your dentist will be able to recommend one. Some people keep theirs in an ultrasonic cleaner, but keep in mind that an ultrasonic cleaner doesn’t replace brushing. When cleaning your dentures, place a towel beneath them or clean them over a sink filled with water to avoid breakage.
