Whether you've lost one tooth or many, chewing and smiling can become more difficult because of the gaps left behind. Partial dentures are an economical solution to replace the missing teeth and fill in the spaces, improving chewing ability and the confidence to smile. A partial denture in place will also help keep your natural teeth from shifting, lowering the risk of losing those teeth in the future.
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.
Needless to say that I am going to a different dentist. A man who has been in this community for a long time and has a spotless office with people who treat their patients with respect. Charges more, but worth it to be treated right. I have gone to Affordable Dentures for a while because of the pricing but every time I went, new doctor, new office people, but these people at my last time there, they are really nasty. I am also going to contact the board of health because while I was sitting in the dental chair I looked up at the light and it was filthy, nasty with what looked like old spit or blood or whatever it was. It was not clean in my opinion.
Work was done to make the partials smaller, but still do not fit my mouth and are completely unusable. Sores and lesions continue to form on my gums due to the defective workmanship of this garbage for a product. Parts of the upper partial have chipped off during normal wear, leaving a gap between the teeth. I called again ("You can come back anytime!") in early August for repair. The nasty ** told me I could only come on a Tuesday between 1 and 2 o'clock.
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).
Most new denture issues are caused by gums adjusting to extractions and the placing of artificial teeth. These are not problems particular to me. My gums were ready for permanent partials, yet Affordable Dentures refused to provide them. At one point, Dr. **, in an effort to deflect responsibility for her inferior work, pointed to my natural tooth #22, and said, "It's this one that's causing all the trouble. This tooth gave us FITS!" Tooth #22 had nothing to do with the creation or placement of her shoddy partials. My #22 is perfectly normal and was not in the way of anything. Dr.** simply had to divert attention from her fraud by projecting away from herself.
FRANKLIN, INDIANA -- On June 19 and 20, 2013, I visited Affordable Dentures, Franklin, Indiana, to receive same-day partials. From the clinic published offerings, I selected what is termed "The Premium Package," at a cost of $1780. The Package consists of a set of full or partial dentures, with the promise of being allowed to return at any time during the first year of wear for repair and adjustments. A final set is then placed in the patient's mouth. The words "at any time" echo throughout the clinic as the patients are being fitted for teeth, and again, as they leave: "You may come back any time you need to." That promise turns out to be a lie, particularly for purchasers of The Package.
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.).
The office people and assistants must be low wage workers. They have the typical low paid, high stress lack of concern for the patient. The person who did my form did not do it well. That was evidenced in the quality of the temporary denture. The Dentist who did the extractions was the absolute best dentist I have ever seen in my 55+ years. They give you a pill to take an hour before you get there and if needed, one when you arrive. It relaxes you and one was enough for me. I was ready to go to sleep. They took me straight in and the dentist took 20 minutes numbing every tooth with a local anesthetic.
Patients should combine the brushing of their dentures with soaking them in an immersion cleaner from time to time as this combined cleaning strategy has been shown to control denture plaque.[33] Due to microbial invasion, the lack of use of immersion cleaners and inadequate denture plaque control will cause rapid deterioration of the soft linings of the denture.[34]
The office people and assistants must be low wage workers. They have the typical low paid, high stress lack of concern for the patient. The person who did my form did not do it well. That was evidenced in the quality of the temporary denture. The Dentist who did the extractions was the absolute best dentist I have ever seen in my 55+ years. They give you a pill to take an hour before you get there and if needed, one when you arrive. It relaxes you and one was enough for me. I was ready to go to sleep. They took me straight in and the dentist took 20 minutes numbing every tooth with a local anesthetic. <<<<
