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.
Paste application. Apply this denture adhesive to a dry or preferably wet denture. Avoid placing adhesive close to the denture borders. If the adhesive oozes, use less of the product. For dentures on the upper jaw, apply three short strips of adhesive -- or a series of small dots -- along the ridge area and one down the center. For dentures on the lower jaw, apply three short strips of adhesive -- or a series of small dots -- in the center of the ridge area.
Yes. Good oral health is still important – even if you have a few missing teeth. In addition to caring for your new dental prosthetic, you’ll also need to brush your gums and tongue twice daily to stimulate circulation and remove bacteria that could cause gum disease. Continue seeing your dentist twice yearly for exams and cleanings, and be sure to bring your partial dentures along to each visit. After a few years, you may find that your partial needs to be rebased to better fit the changes to the bone structure in your mouth.
New dentures may feel awkward or uncomfortable for the first few weeks or even months. Eating and speaking with dentures might take a little practice. A bulky or loose feeling is not uncommon, while the muscles of your cheeks and tongue learn to hold your dentures in place. Excessive saliva flow, a feeling that the tongue does not have adequate room, and minor irritation or soreness are also not unusual. If you experience irritation, see your dentist.
Retention is the principle that describes how well the denture is prevented from moving vertically in the opposite direction of insertion. The better the topographical mimicry of the intaglio (interior) surface of the denture base to the surface of the underlying mucosa, the better the retention will be (in removable partial dentures, the clasps are a major provider of retention), as surface tension, suction and friction will aid in keeping the denture base from breaking intimate contact with the mucosal surface. It is important to note that the most critical element in the retentive design of a maxillary complete denture is a complete and total border seal (complete peripheral seal) in order to achieve 'suction'. The border seal is composed of the edges of the anterior and lateral aspects and the posterior palatal seal. The posterior palatal seal design is accomplished by covering the entire hard palate and extending not beyond the soft palate and ending 1–2 mm from the vibrating line.
Resin-bonded bridge. Also called Maryland Bridge, this is sometimes considered for replacing front teeth that don't endure the biting and chewing demands of back teeth. It has wings on each side to attach to healthy, adjacent teeth but usually doesn't involve preparing, or grinding down, other teeth. A resin-bonded bridge looks and functions better than a removable denture but isn't as strong as fixed bridgework and typically doesn’t function or last nearly as long as dental implants.
PORT SAINT LUCIE, FLORIDA -- I called my heart doctor to see how long I needed to stay off my blood thinner to be able to have a tooth pulled. My heart doctor said that I could not go off meds but could get tooth pulled. I called Affordable Dentures in Port Saint Lucie, FL and spoke to lady on phone and told her my condition which she said that they needed a letter from my heart doctor. I asked what was the fax number and doctor name to have my letter faxed to and she gave me that information. Later this woman called and told me that they had received fax and gave me an appointment for April 13th at 9:30.
While wearing removable dentures, patients should not chew gum or use toothpicks. In addition, patients need to be careful when eating food that is hot or hard, as well as anything with bones or shells. It may take a while to get used to chewing with dentures, so Dallas Laser Dentistry suggests patients start with softer foods that are cut into small pieces. Chewing slowly and using both sides of the mouth may also help some patients.
Full or partial dentures consist of a gum-colored base made of plastic resin, which fits over the remaining alveolar (bone) ridge that formerly held the teeth. The prosthetic teeth projecting from the base are designed to look and function just like your natural teeth. Dentures are held in place primarily by the suctioning effect of their close fit against the alveolar ridges — that's why it's so important that they are fitted properly. The upper denture also gets extra support from the large surface area of the roof of the mouth (palate), which generally makes it extremely stable.
Once the actual extractions were over they stitched my mouth up and inserted my temporary denture. Now I consider myself a very tolerant person. I was willing to look past the sales pitches, the potentially broken jaw, and the incompetent receptionists. What really set me off is when the denture itself was so poorly made that it would not even stay in my mouth. I knew something was up when the lady who inserted the denture told me that I would need to wear "a lot" of adhesive to get the denture to stay in. Despite the fact that my mouth was swollen and that my gums had not yet receded at all.
Generally speaking partial dentures tend to be held in place by the presence of the remaining natural teeth and complete dentures tend to rely on muscular co-ordination and limited suction to stay in place. The maxilla very commonly has more favorable denture bearing anatomy as the ridge tends to be well formed and there is a larger area on the palate for suction to retain the denture. Conversely, the mandible tends to make lower dentures much less retentive due to the displacing presence of the tongue and the higher rate of resorption, frequently leading to significantly resorbed lower ridges. Disto-lingual regions tend to offer retention even in highly resorbed mandibles, and extension of the flange into these regions tends to produce a more retentive lower denture. An implant supported lower denture is another option for improving retention.
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.
When are Dentures Necessary?What are Temporary Partial Dentures?If you’ve had teeth removed due to decay or gum disease and will be receiving permanent dentures, your dentist may suggest temporary or “immediate” dentures. These are dentures you can wear for the first two to three months immediately after tooth removal. They can be especially helpful for someone with a history of sensitive teeth and gums, since the patient does not have to be without teeth while the area heals, and any remaining sensitive teeth are subject to less pressure from chewing food.The creation of temporary dentures may require four to five dental visits prior to tooth extraction. Temporary dentures are made using basically the same technique as a permanent denture, but because they are made in advance of any surgery, you can’t tell exactly how your mouth will look after teeth are removed. By contrast, the molds for conventional dentures are made once the gum tissues have healed following any tooth extractions, which takes about six to eight weeks. During this time, the gum tissues will shrink and so the fit of temporary dentures will change.Temporary Dentures CostThere is an added cost associated with immediate dentures, but when you’re trying to determine what dentures cost and how to pay for them, remember that you have several options.Most dentists take major credit cards and some offer financing plans that let patients pay for major procedures, such as tooth removal and dentures, over time with low monthly payments. Ask your dentist about financing. Also, if you know in advance that you want to get dentures, you may be able to set aside money in a flexible spending account or health care savings account to help cover the cost of dentures.Immediate dentures cost more than conventional dentures because more time goes into preparing them. There are several advantages that may make them worth the cost. The main advantage of immediate dentures is that you don’t have to go out in public without teeth following tooth removal. An immediate denture is placed at the same visit as your tooth removal, so they serve as a bandage to control bleeding and protect gum tissue. Also, if you have immediate dentures you can start adjusting your speech to wearing the denture immediately.Not everyone is a good candidate for immediate dentures. Cost can be a prohibiting factor, or your dentist may advise against immediate dentures depending on your general health and oral health.What are Permanent Dentures?Dentists will work with you to preserve your natural teeth if at all possible, rather than extract them, but sometimes permanent dentures are the only way to provide the appearance of teeth and facilitate eating and speaking.Permanent Dentures ProcedureGetting permanent, full dentures takes about three to six weeks. The denture-making process involves several dental appointments and follows these steps:Impressions: Your dentist takes several impressions of your jaw and measures the space in your mouth.Models: Your dentist makes a mold of wax or plastic in the exact shape of the denture so you can try it and make any adjustments to the color, shape, and fit before the permanent dentures are made.Cast: The final dentures are cast, and then adjusted as necessary.When you first receive your permanent dentures, your dentist may recommend that you wear them 24 hours a day, even while sleeping, because this is the easiest and quickest way to determine whether there are any spots that need adjustment. It’s important to ensure a good fit right away, because poorly fitting dentures can be irritating to the gums.Once you have adjusted to the dentures, you can remove them at night to allow normal stimulation of the gum tissues by the tongue and saliva, which helps keep your gum tissue healthy.Temporary Dentures vs. Permanent Dentures Pros and ConsOne main disadvantage of temporary dentures is that, because they’re made in advance and placed as soon as the damaged or decayed teeth are removed, the fit will not be exact. So they may require more frequent adjustments to get a good fit. Consequently, they should only be considered a temporary solution until the permanent dentures are ready.You may find that both temporary and permanent dentures take some getting used to. Don’t worry if the dentures feel loose at first—your cheek and tongue muscles will need to adjust to them. And don’t worry if you notice more saliva in your mouth than usual, or if you notice minor soreness or irritation. These problems usually resolve on their own. But if you experience major discomfort that doesn’t seem to improve, see your dentist to have the dentures adjusted.You may also opt to have your temporary dentures realigned for a better fit so you can use them as permanent dentures. Or, you can keep them as a spare set so you won’t find yourself without teeth if your permanent dentures should get lost or become damaged. If your dentures need repair or realignment, they will have to be sent to a laboratory and probably kept overnight.When are Dentures Necessary?Not everyone needs a full set of permanent dentures. A dental bridge fills a gap created by one or more missing teeth. Removable partial dentures are another option for replacing missing teeth. There are several reasons to consider removable partial dentures. Not only can partial dentures improve your appearance, they can improve your oral health by keeping your remaining teeth in place. If you opt for a dental bridge, your dentist will fit customized crowns to the teeth on either side of the gap to be bridged. A false tooth (or teeth) called a pontic is attached to the crowns and replaces your missing tooth (or teeth).Depending on your oral health care needs, you can choose partial dentures that are removable, but bridges are permanently cemented into place. There are three main types of bridges to suit a variety of dental restoration situations:Traditional: This style involves placing crowns on the teeth that border the missing teeth.Cantilever: This style is used if you only have teeth on one side of the missing tooth or teeth.Maryland bonded: This type of bridge consists of a porcelain tooth (or teeth) in a metal framework, with wings to attach it to existing teeth.Keeping the surrounding, supporting teeth healthy is essential to get the maximum benefit from a dental bridge, so be sure to follow a regular oral care routine of twice-daily tooth brushing and daily flossing. If you practice good oral hygiene and see a dentist regularly, partial dentures can last from 5 to 15 years.
Removable partial dentures usually consist of replacement teeth attached to pink or gum-colored plastic bases, which are connected by metal framework. Removable partial dentures attach to your natural teeth with metal clasps or devices called precision attachments. Precision attachments are generally more aesthetic than metal clasps and they are nearly invisible. Crowns on your natural teeth may improve the fit of a removable partial denture and they are usually required with attachments. Dentures with precision attachments generally cost more than those with metal clasps.
Most patients need a few weeks to get used to the feel and use of their new dentures. Until the muscles of the cheeks and tongue adjust to the new dentures and learn to keep them in place, they may feel a little loose. It will also take time before you are comfortable putting your dentures in place and removing them. Since the mouth increases the amount of saliva produced in reaction to the new dentures, patients should expect to have mild sores and irritations in their mouth.
Occasionally, denture wearers may use adhesives. Adhesives come in many forms: creams, powders, pads/wafers, strips or liquids. If you use one of these products, read the instructions, and use them exactly as directed. Your dentist can recommend appropriate cleansers and adhesives; look for products with the ADA Seal of Acceptance. Products with the ADA Seal have been evaluated for safety and effectiveness.
