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).
Stability is the principle that describes how well the denture base is prevented from moving in a horizontal plane, and thus sliding from side to side or front to back. The more the denture base (pink material) is in smooth and continuous contact with the edentulous ridge (the hill upon which the teeth used to reside, but now only residual alveolar bone with overlying mucosa), the better the stability. Of course, the higher and broader the ridge, the better the stability will be, but this is usually a result of patient anatomy, barring surgical intervention (bone grafts, etc.).
My teeth are never secure and have to reapply adhesive several times a day. Is this normal?? Think I'll find somewhere else for my lowers... get what you pay for. I was having severe pain in some of my lower teeth on that last visit, also. I asked for a Rx for antibiotics but Renee told me I did not need them. I now have an abscess and look like a squirrel. Thanks, Renee!! By the way, Renee, the mouth does NOT exaggerate!! Thanks for your great patient care!!!
Tooth-supported fixed bridge. The most common alternative to dental implants for a single tooth, fixed bridges involve grinding away – in other words, intentionally damaging – healthy adjacent teeth that are used to attach and support the bridge. The tooth-supported bridge does not stimulate natural bone growth beneath it, so the bone may deteriorate over time. Bridges generally fail after 5-10 years because patient have difficulty flossing them, which makes the root surfaces below and around the bridgework highly susceptible to decay.
Some partial dentures are made almost entirely of acrylic – but just like metal framework dentures, acrylic dentures have wire clasps that attach to any remaining natural teeth. These are generally used as a cost-effective alternative to metal-based partial dentures. They can also be used for transitional dentures when you’re expected to have additional prosthetic treatments, such as implants, in the future.
While dentures boast a long history of successful use, modern technology offers better options to enhance the way they fit and the way you look. In many cases, dentures can be secured more firmly to your jaw with the use of dental implants, placed in the jaw and connected under the base of the denture. This connection can be designed to create permanent fixation of the denture or to allow for its removal at times. In addition to having greater retention and a more natural look, implant-supported dentures tend to last longer. Dr. Yonan, Scott,Bushnell, Fairbanks & Quigley can discuss these options and help you understand the ways they can improve your experience with dentures.
Dentures that fit well during the first few years after creation will not necessarily fit well for the rest of the wearer's lifetime. This is because the bone and mucosa of the mouth are living tissues, which are dynamic over decades. Bone remodeling never stops in living bone. Edentulous jaw ridges tend to resorb progressively over the years, especially the alveolar ridge of the lower jaw. Mucosa reacts to being chronically rubbed by the dentures. Poorly fitting dentures hasten both of those processes compared to the rates with well-fitting dentures. Poor fitting dentures may also lead to the development of conditions such as epulis fissuratum. In addition, the occlusion (chewing surfaces of the teeth) tends to wear away over time, which reduces chewing efficacy and decreases the vertical dimension of occlusion, (the "open-ness" of the jaws and mouth).
A complete denture consists of a thin acrylic base that rests on the gum tissue and is the same color as your gums. Porcelain or acrylic replacement teeth built into the base give the appearance of natural teeth emerging from the gums. We know that your smile is unique, and Dr. Yonan, Scott, Bushnell, Fairbanks & Quigley have the experience to help you select the teeth that appear most natural and harmonious in your smile. This gives you the option to customize the way you look, whether you want a "new" smile or just want to restore the one you had.
dr recommended immediate dentures. what I read on immediate dentures was that they are generally temporary. apparently per this dentist not so. now wants to charge 380 for reline knowing the bone was receded a lot and would have to reline right away. given all I know now, I would never go to this dentist again. ask more questions, get more estimates from other dentists. upper plate only has 12 teeth in it. inside of teeth do not touch lower permanent teeth, gap of at least 1/8 " between gm and inside of plate, gum does not touch bottom of gums at all.
Downsides to this office are the wait times. They are busy and take patients who are going to take longer first, especially on extraction day. If you can be realistic about this then you won't be disappointed. I've read the reviews about bad experiences with Affordable Dentures but it seems to depend on the location and in Cedar Rapids, they are professionals.
Immediate Dentures: Immediate dentures, as the name implies, are placed as soon as the natural teeth are removed. With immediate dentures, the patient need not face the world without teeth, can eat normally much sooner than with conventional dentures, and does not have the speech problems associated with the normal denture process. However, since healing of the gums and jaw will change the fit of immediate dentures, the patient will typically need a new set in about six months.
Denture adhesive is a paste or glue that helps the denture adhere to the supporting tissues instead of relying on suction or clasps. Sometimes the adhesive is called denture cream. A small amount of denture adhesive can be applied evenly to the clean surface of a denture to enhance stability and retention. It shouldn't be used to compensate for a poor-fitting denture or as an alternative to visiting the dentist for regular checkups.
You should see your dentist 24 hours after delivery of your new dentures. It is not unusual to experience some initial discomfort. Minor adjustments can increase comfort and eliminate problems before they become more serious. Initially, a new denture may feel unusual in the mouth. The cheeks, lips, and tongue are very sensitive areas that require time to adjust. It is not uncommon to bite one’s cheek or tongue while acclimating to the new restoration. However, persistent soreness or irritation should be reported to your dentist.
Custom-made porcelain dentures are crafted to look like your natural teeth (or an improved version of your natural teeth). Great care is taken to design and fabricate a set of teeth that not only look natural, but also complement the size and shape of your mouth. Dentists may first create wax versions of the dentures so patients can try on their new teeth on before the final dentures are made; this process allows for design modifications and fit adjustments that can be applied to the final set of dentures.
A removable partial denture or bridge usually consists of replacement teeth attached to a pink or gum-colored plastic base, which is sometimes connected by metal framework that holds the denture in place in the mouth. Partial dentures are used when one or more natural teeth remain in the upper or lower jaw. A fixed bridge replaces one or more teeth by placing crowns on the teeth on either side of the space and attaching artificial teeth to them. This "bridge" is then cemented into place. Not only does a partial denture fill in the spaces created by missing teeth, it prevents other teeth from changing position. A precision partial denture is removable and has internal attachments rather than clasps that attach to the adjacent crowns. This is a more natural-looking appliance.
