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.
A film of saliva typically helps hold dentures in place. Denture adhesives may be used if the salivary glands do not produce a sufficient amount of saliva. Denture adhesives are not, however, a remedy for ill-fitting dentures. A denture that fits poorly (i.e., feels loose or causes discomfort) may need to be relined or replaced as it can contribute to the development of mouth sores.
"Terrel Myers is without doubt one of the best dentists - anywhere! He is friendly and compassionate but most of all he is extremely knowledgeable and experienced as a dentist. He doesn't automatically take the easiest (sometimes more convenient and expensive route) that others tend to do (in my experience elsewhere) but instead - if at all possible, will give you suggestions and options on remedying a problem. This guy knows what he's doing and does it well. I highly recommend him for anything from the simplest problem to the most complex."
Most partial dentures contain a thin metal framework that is designed to rest close to your gums and allow for a smooth, non-bulky feel. The framework is supported by your natural teeth to provide a reliable, secure appliance that is easy to use. Where teeth are missing, natural-looking replacement teeth are attached to the frame, and gum-colored acrylic is used to make the appliance blend with your mouth. Again, your mouth and your needs are unique, and Dr. Yonan, Scott, Quigley, Fairbanks & Bushnell work with skilled technicians to create a solution that is comfortable and esthetic.
According to the Kaiser Family Foundation report, Oral Health in the US: Key Facts, 15% of the US population lives in dental Health Professional Shortage Areas. Forty percent of Americans have no dental insurance, according to US News and World Report, even though enrollment in a dental plan is the primary indicator of a patient’s ability (and likelihood) to get proper dental care.
I wasted 4 hours of my time today to be denied service I requested. Apparently the dentist is too worried about being sued (a statement she made to me about her not wanting to be sued if I changed my mind after the fact - you'd think they'd have some kind of legal waiver for patients like me) to consider the fact that I'm in extreme pain, have limited resources, have spent 30 years and tens of thousands of dollars to fix the teeth that she wants kept in my mouth and I want removed. The impact of my current condition is both physical and emotional. However, to her credit she said it was in my best interest not to get dentures and was not charged for the visit. I'm irritated that my opinion didn't count at all and was flat out denied service I wanted.
According to the Kaiser Family Foundation report, Oral Health in the US: Key Facts, 15% of the US population lives in dental Health Professional Shortage Areas. Forty percent of Americans have no dental insurance, according to US News and World Report, even though enrollment in a dental plan is the primary indicator of a patient’s ability (and likelihood) to get proper dental care.
The front office staff does not greet you or ask how they can help you when you come it they look at you and watch you stand at an empty desk until a patient sitting in the lobby advises the customer where to go. The staff in the back are excellent they keep you informed and will try to assist any way they can. The Dr was great helping me as a patient however the patient does not need to hear or see him reprimand the assistant when they mess up or do something wrong. I don't need to know something is incorrectly done. Now as for as my service I had a horrible experience I arrived on time but because they didnt have my paper work told me I would have to wait an hour and half til the office who had the info open I told them I can go home and get my copy before the office opens. My upper denture was fitted a nice fit but when I returned my upper were crooked and the left side looked like baby teeth ere used then adult teeth on the right side ...and angle is very obvious. The whole process time it took to make it was something that could not be correct the same day because a whole new denture need to be made. In the meantime I can wear the crooked one until my next appointment woke up this morning my more is so sore from eating and the rubbing of the new denture on my gum line A very unpleasant experience
The denture itself is not very good. Again, I fault this due to a low paid lab worker, who is probably texting while he makes the denture. It clearly did not fit properly, too much in one area, too little in another. I am glad that I have had a partial for years and an upper for years, as I know what can be done to alleviate the pressure points. I had to remove material in several spots on the lower edges of the denture, to keep it from bruising my gums.
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.
Typically, a removable partial denture is made of a metal framework with pink plastic to replace the gum tissue and plastic or resin denture teeth. The number of missing teeth and their location will affect the comfort and stability of the removable partial denture. The use of dental implants may increase the stability of a removable partial denture, or dental implants may be the best solution for replacing the missing teeth.
