There are three main ways to replace missing teeth. The first is with a removable false tooth (or teeth) - called a partial denture. The second is with a fixed bridge. A bridge is usually used when there are fewer teeth to replace, or when the missing teeth are only on one side of the mouth. The third way is by the use of dental ‘implants'. This is where an artificial root is placed into the bone of the jaw and a crown or bridge placed on top of this. See our leaflet ‘Tell me about: dental implants'.
After receiving dentures, the patient should brush them often with soap, water and a soft nylon tooth brush which has a small head, as this will enable the brush to reach into all the areas of the denture surface. The bristles need to be soft in order for them to easily conform to the contours of the dentures for adequate cleaning, whereas stiff bristles will not be able to conform very well and are likely to cause abrasion of the denture acrylic resin. If a patient finds it difficult to utilise a toothbrush e.g. patients with arthritis, a brush with easy grip modifications can be used.[32]
After a laboratory has constructed the denture out of realistic-looking nylon material, your dentist can easily insert the piece into your mouth. Typically, the dentist won’t need to alter any of your natural teeth. And after the procedure, most patients become accustomed to their replacement very quickly, thanks to the thinness and comfort of the denture.
Some patients who believe they have 'bad teeth' may consider having all of them extracted and replaced with complete dentures. However, statistics show that most patients who receive this treatment wind up regretting it. This is because complete dentures have only 10% of the chewing power of natural teeth, and it is difficult to get them fitted satisfactorily, particularly in the mandibular arch. Even if a patient retains one tooth there, that one tooth contributes significantly to the stability of the denture. However, retention of just one or two teeth in the upper jaw does not contribute much to the overall stability of a denture, since an upper complete denture tends to be very stable, in contrast to a lower complete denture. It is thus advised that patients keep their natural teeth as long as possible, especially in the case of lower teeth.
Later that afternoon I came back to have 16 teeth extracted. I got to the office and waited about 30 minutes before I was seen. I got to the back and began injections. After this I went to a full blown panic attack and came close to passing out. The one positive is the dentist who was working on me took it in stride. I wasn't treated disrespectfully and after about 30 minutes the panic subsided and she was able to finish my injections and begin pulling teeth.
