Since there is nothing for the Conventional Denture to latch onto, this type of appliance generally has more retentive issues as compared to an implant-retained denture. The latter is held in place by strategic placement of dental implants that are embedded into the patient’s jaw, providing greater stability and strength. The increased stability also means optimum comfort and functionality of the new prosthetic teeth. Go to our webpage Dentures Brisbane CBD for further reading on Full Dentures.
CONOVER, NORTH CAROLINA -- This place is as crooked as it gets. I went over with the dentist several times the teeth I wanted extracted and he still pulled a perfectly good tooth. The business is so crappy that the owner won't even talk to me or look at the big cavity in the tooth beside the good one he pulled. It had a hole in it about as big around as a cigarette. I was told I would have to pay again to have it removed period. I think it was done just out of greed to make more money. I'll never go there again and I would suggest you don't go either.
Getting dentures can be an intimidating process. The American College of Prosthodontists (ACP) answers the most popular questions regarding denture costs. Read more about denture adhesives here.How much do dentures cost?Answer: That is a really good question that has a range of answers. The cost of dentures is dependent upon the conditions within your mouth, the types of materials being used, the techniques used by the dentist or prosthodontist, as well as the location and general operating costs of the dental office. Denture care is an ongoing service to maintain a healthy mouth. What many patients don't realize is that there is a service aspect connected to complete denture care, which includes modification of dentures over time to eliminate "sore spots" or to improve how the teeth fit for chewing, and correcting the look of or adjusting the dentures to make them more comfortable and stable. The conditions of your mouth make your treatment easier or harder and therefore may result in different costs. If cost is your primary concern, you might want to locate a dental school in your community for treatment. Keep in mind, low-cost treatment is of limited value if you have to have the treatment done over again in a short time. To locate a prosthodontist near you,visit www.gotoapro.org. Read more about denture adhesive creams here. Response provided by the American College of Prosthodontists. Back to top
When you are missing one or more teeth, the bite pressures shift in your mouth. Other teeth may begin to move to compensate for the “gap” in your bite, and you may experience shrinking of both the soft tissues and the supporting bone near your missing teeth. This can alter your physical appearance and can lead to subsequent problems with your other teeth. A partial denture keeps the underlying structures of your mouth – your gums, jawbone, facial muscles, etc. – active and engaged. It helps prevent further shifting of the other teeth in your mouth, while giving you the confidence of having a beautiful, complete smile.
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Another consideration is to travel overseas to countries where the cost of professional treatments like this are a lot lower. Often known as health tourism, India, Turkey, Poland, Costa Rica and Mexico are all options. However, there are risks attached to this and you should complete detailed research before taking such trips. In many circumstances thousands can be saved on the most complex dental treatments.
"I have been so impressed with Arkansas Family Dental with every employee contributing to the excellent care received. I feel Cassandra, my dental hygienist, and Dr. Mascagni strive to provide the best care with the most-up-to-date procedures and that's what I look for when selecting a provider-someone who has the patient's best interest and health."
You can’t put a price on your health, and you can’t put a price on the convenience and confidence dentures provide. That said, take any relevant issues into account as you are making your decision to invest in dentures. If you can avoid doing so, skip the cheap dentures, and spend your time looking for affordable dentures prices from dentists in your area.
Throughout your lifetime, dentures will need to be replaced and adjusted which can become time consuming and expensive. It is a simple fact that dentures start to become loose and can break through normal activities such as talking, eating, etc. If a denture arch breaks, it may be possible to repair but in some cases it will need to be replaced entirely.
At the time of my visit, I had eight teeth remaining, with only the two upper teeth to be extracted. I had been wearing partials and bridges for 17 years. The price schedule the assistant put in my lap showed extractions at $75 each. I was charged $105 for each one, and not told of the inflated price until after surgery. Dr. ** made the dollar amount out of whole cloth. This is bait and switch.
HORRIBLE!! My husband sat and waited 5 HOURS only for them to turn him away. He has suffered for… HORRIBLE!! My husband sat and waited 5 HOURS only for them to turn him away. He has suffered for years with horrible teeth and came to the decision, it would be best for him to get dentures instead of suffering. The doctor told him he "needs to keep the teeth God has given him"....They were not willing to listen to him or do what HE wanted them to! Pull the 10 teeth that he had left and get a pair of dentures! Thanks for absolutely NOTHING! Read more
While we strive to offer the highest quality of care possible, we know that a person who can’t afford treatment is not going to come in, regardless of how great a job we do. That is why we work with our patients as much as we possibly can. We want to make sure that they get the care they need and that they get it a price they can afford. To that end, we offer significant discounts over other care providers. Additionally, we are always happy to help set up a flexible financing program with our clients.
Dental implant-supported dentures have become the best treatment option for patients who are missing all or most of their teeth. The treatment boasts a high success rate, particularly when the patient makes a commitment to the maintenance of good oral health and a qualified dentist performs treatment. However, complications may occur. Here is an overview of the complications that may affect the implants, abutments, and dentures.
I like that Lakeview custom coach is a professional full service automobile center similar to a large dealership, but has the feel of a home town small garage. I'm impressed how my mechanic researched the issue with my truck and found it was covered under a factory warranty extension and Kandy the service manager went out of her way to contact the dealer to confirm the coverage. The people are honest, trustworthy friendly and accommodating. I'm convinced Lakeview is the best place to take your vehicle for preventive maintenance and repairs.
Deposits such as microbial plaque, calculus and food debris can accumulate on the dentures, which may lead to issues such as angular stomatitis, denture stomatitis, undesirable odours and tastes as well as staining. The deposits can also quicken the rate at which some of the denture materials wear down.[26] Due to the presence of these deposits, there is an increased risk of the denture wearer and other people around them developing a systemic disease by organisms such as methicillin-resistant Staphylococcus aureus (MRSA),[27] but research shows that denture cleaners are effective against MRSA.[28][29][30] Therefore, denture cleaning is imperative for the overall health of the denture wearers as well as for the health of people they come into contact with.[31]
Price: Dentures tend to be the least costly solution for replacing missing teeth. Alternative treatment options such as dental bridges or implants are generally more expensive and require more extensive treatment. However, dental bridges and implants do offer a better fit, increased comfort, better chewing ability, and a more natural appearance. For these reasons, dentures-wearers may want to ask their dentists about these alternative treatment options. Your dentist can let you know if you are a good candidate for dentures, dental bridges, or implants, and let you know the cost of these options.
Only his assistant - she did his job great. But I didn't pay her. I paid him. He nonchalantly walked down the hall not even stopping to take a look at my jawline that's showing. I love my immediate dentures. But the money I paid. I think I should have a decent dentist that is interested in helping his patient with care. My Medicaid dentist treats me better and he doesn't get paid so much.
Denture adhesives, also called denture adherents, are creams, powders, wafers or strips that are used to hold dentures firmly in place. The adhesive also helps form a seal that keeps food particles from sticking between the dentures and gums. Adhesive is applied to clean dentures, which are then positioned in the mouth and held in place for a few seconds, according to the manufacturer’s instructions.
CONOVER, NORTH CAROLINA -- This place is as crooked as it gets. I went over with the dentist several times the teeth I wanted extracted and he still pulled a perfectly good tooth. The business is so crappy that the owner won't even talk to me or look at the big cavity in the tooth beside the good one he pulled. It had a hole in it about as big around as a cigarette. I was told I would have to pay again to have it removed period. I think it was done just out of greed to make more money. I'll never go there again and I would suggest you don't go either.
Getting 16 teeth pulled is about as pleasant as it sounds. I have had many teeth extracted in the past and this was by far the most unpleasant experience I have had. The most curious thing about this visit was there was NO assistant involved in the actual dental work. The dentist was working alone for the entire time. Maybe this is standard procedure at some places but it felt odd to me. The dentist was VERY rough and borderline careless during the extractions. She had to yank especially hard to remove some of the teeth at the bottom of my mouth. I immediately felt pain despite being numb.
Extractions were the main cost saver ($30 each) but you have to pay for the dentures first ($500). Don't think they would have accepted me if I only wanted extractions. TOOK 5 MONTHS and 6 or 7 visits to get these "immediate" dentures. Look good out of my mouth but when I smile u see all the bottom teeth and hardly any top ones. LOTS of overbite make biting PB&J sandwich impossible.
Removable partial dentures. Although these don't require grinding down adjacent teeth, they are not nearly as stable or comfortable as dental implants and can affect speech and eating. This type of restoration is less expensive but doesn’t look as natural or function as well as an implant-supported crowns. The bone underneath a removable partial denture may deteriorate over time, changing the appearance of your smile and face.
[...] a composition for the purpose of making of artificial teeth either single double or in rows or in complete sets, and also springs for fastening or affixing the same in a more easy and effectual manner than any hitherto discovered which said teeth may be made of any shade or colour, which they will retain for any length of time and will consequently more perfectly resemble the natural teeth.[8]
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In some cases, oral surgery is performed to correct bony ridges that may interfere with the stability of the denture. In other cases, the remaining teeth may need to be extracted before placement. Once your dentist has decided that dentures are right for you, he will make an impression of the gums to identify every ridge and crevice to ensure the best fit possible.
Once the numbness wore off I could not open my mouth fully for days. It took a full week before I was out of severe pain. It honestly felt like she had broken my jaw. I decided to tough it out as I have a phobia of dentists. Once the severe pain was over my jaw was sore for the next two months. I'm fairly certain that isn't the norm for routine extractions.
I informed the front desk of needing to get to work. I let the young woman in back know as well. I understood having to wait an hour for the test fitting of the impression. Well without any concern for my time the mold apparently was not handled properly and was broken. Now I have to wait until 2 pm? I was to be at work by noon after informing them I'd be late. Never at Mesquite location again! We have used three other locations without any issues now this and my son had similar treatment!
Our process allows most patients to arrive early in the morning to make impressions for your denture, have your extractions done during the day, and receive your dentures by the end of the day. With our DDS All-In-One Solution, you could have an all-new smile in the same day, thanks to our state-of-the-art 3D X-ray technology. This set of teeth, although temporary, locks into place, meaning you can immediately begin the transition from eating softer foods, to eating the foods you want again.
According to Statista: The Statistics Portal and the U.S. Census Data and Simmons National Consumer Survey (NHCS), in 2017 0.66 million Americans are using dentures. A 2012 survey states that 40 % of Americans lack dental insurance which further hinders them from getting the dental care that they need as it is deemed unaffordable which would make the likelihood of poor oral health higher.
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.
I hate my dentures!!! I paid over $2000 for the ultimate denture, at the wax try in everything was fine. I had no problem with the dentures and I was told the gum on the denture would be a little dark as the wax was a bright pink color. I picked my permanent denture up a week later and the gums on the denture are black! I don't know if they feel all black people have black gums however, my real gums are not dark to start with. I asked what the cost would be to get the gums on the denture lightened and I was told they would have to be re-made. I paid over $2000 and now it sounds like the only way to get the dentures done right I would have to purchase a new pair. THIS IS VERY DISAPPOINTING! I cannot believe I recommended this place to people. I feel like I flushed $2000 down the toilet! I am currently wearing my immediate dentures (cheap economy dentures) I received after surgery and they look better than my permanent dentures (expensive ultimate dentures). My advise to everyone is to not sign anything until you know for certain what the end result is. They only focus on how short or long you want the teeth, no one says anything about how the gums attached to the teeth are going to look. I feel if you pay that kind of money they should be done right!
The shoddy work of Drs. ** and ** resulted in blisters, lesions, sores and bleeding in my mouth. All caused by Affordable Dentures' defective product. The lowers would not allow my mouth to rotate or chew. And I was expected to be tortured like this for no less than one year and up to two years! Subsequently, I was examined in an emergency room and by a dentist in federal practice, all advising me to contact Dr. ** for adjustment.
BEWARE: I have purchased the most expensive denture offered called the "Ultimate Fit Package". Upper denture only at $1200.00. This is my experience in this office. I went in for my first visit at Affordable Dentures in Shelbyville, with Dr. Marvo **, in October 2017. My upper teeth had already been extracted 2 months earlier at a local dentist office in Lewisburg. I spent a lot of time researching all of the available options online at Affordable Dentures in Shelbyville, TN., before contacting them to set up an appointment. I purposely chose the "Ultimate Fit Denture" because it was supposed to fit every contour of my mouth, the oral topography was touted as being "second-to-none" plus it comes with a 7 year warranty.
If dentures are medically necessary, insurance might pay 15%-50% of the costs (up to the plan's annual limit, if there is one). A basic denture starts at about $300-$500 per plate, or $600-$1,000 for a full set of upper and lower teeth. These typically have limited warranties, don't last as long as more expensive models, tend to look artificial and may be adapted from a standard size instead of a customized fit.
Deposits such as microbial plaque, calculus and food debris can accumulate on the dentures, which may lead to issues such as angular stomatitis, denture stomatitis, undesirable odours and tastes as well as staining. The deposits can also quicken the rate at which some of the denture materials wear down.[26] Due to the presence of these deposits, there is an increased risk of the denture wearer and other people around them developing a systemic disease by organisms such as methicillin-resistant Staphylococcus aureus (MRSA),[27] but research shows that denture cleaners are effective against MRSA.[28][29][30] Therefore, denture cleaning is imperative for the overall health of the denture wearers as well as for the health of people they come into contact with.[31]
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.
Recently, I have been breaking and losing my teeth. I had partials, but I have never had dentures, and my husband is encouraging me to finally get them. What is the cost if I have no insurance, and how long does it take for the teeth to be removed and replaced with dentures?Answer: Denture fees vary widely based on location. The best way to determine fees for service is to visit with your dentist or prosthodontist and discuss the care you may need. You may also contact your state or local dental society to find out if the organization has any resources for the public related to the cost of dental services. You may want to seek the care of a prosthodontist, a dentist with three years of training beyond dental school who specializes in the care and maintenance of dentures. To locate a prosthodontist near you, visit www.gotoapro.org. Temporary dentures can be placed the same day as your teeth are removed. Remember that once the teeth are gone, the jaws begin to shrink. Although this shrinkage is dramatic for the first six months and then slows down, you must remember that it is an ongoing, long-term concern for denture wearers and affects the fit of the dentures during the years. Temporary dentures will help your mouth look normal, but after wearing the temporary dentures for six months, they will need to be remade or relined. It is important that you continue to have the fit of your dentures evaluated on a regular basis and remade as needed to maintain their function and appearance.Response provided by the American College of Prosthodontists. Back to top
Dr. Okunuga’s dental center has an on-site dental lab that fabricates new dentures and provides repairs and relines, often with same-day service. Being able to provide dentures in a day is a significant advantage, especially for patients who have traveled far distances. The on-site lab also eliminates the need to use outside commercial labs, which helps keep our fees low.
Remember when I mentioned the people up front being incompetent? The worst part is that they botched the paperwork with my insurance company and now I owe Affordable Dentures 700 bucks (which I really don't have). I implore anyone who is thinking about Affordable Dentures to listen to what I am saying. If possible save your money and wait. Or perhaps see if you have a family member who can help you pay to get the work done at a reputable dentist.
Sulphamic acid is a type of acid cleanser that is used to prevent the formation of calculus on dentures. Suphlamic acid has a very good compatibility with many denture materials, including the metals used in denture construction.[32] 5% hydrochloric acid is another type of acid cleanser. In this case, the denture is immersed in the hydrochloric cleanser to soften the calculus so that it can be brushed away. The acid can cause damage to clothes if accidentally spilt and could cause corrosion of cobalt-chromium or stainless steel if immersed in the acid often and over long periods of time.[32]
Other denture cleaning methods include enzymes, ultrasonic cleansers and microwave exposure.[32] A Cochrane Review found that there is weak evidence to support soaking dentures in effervescent tablets or in enzymatic solutions and while the most effective method for eliminating plaque is not clear, the review shows that brushing with paste eliminates microbial plaque better than inactive methods. There is a need for studies to provide reports about the cost of materials and the negative effects that may be associated with their use as these factors could affect the acceptability of such materials by patients which will in turn affect their effectiveness in a daily setting in the long term. Additionally putting dentures into a dishwasher overnight can be a hndy short cut when away from home. Additionally, further studies comparing the different methods of cleaning dentures are needed.[39]
HORRIBLE!! My husband sat and waited 5 HOURS only for them to turn him away. He has suffered for… HORRIBLE!! My husband sat and waited 5 HOURS only for them to turn him away. He has suffered for years with horrible teeth and came to the decision, it would be best for him to get dentures instead of suffering. The doctor told him he "needs to keep the teeth God has given him"....They were not willing to listen to him or do what HE wanted them to! Pull the 10 teeth that he had left and get a pair of dentures! Thanks for absolutely NOTHING! Read more
The term oral cancer includes cancer of the mouth (oral cavity) and the back of the mouth (oropharynx). Red and white patches inside the mouth, bleeding, loose teeth, pain upon swallowing, a lump in the neck, earache, and a sore on your lip or in your mouth that won't heal are all symptoms of oral cancer. Treatment for oral cancer depends upon the staging of the disease and usually involves surgery, radiation therapy, or chemotherapy.
Terrible place. Had to go back several times because the denture they made tore up my gum. This is after I filed the rough spots off the denture myself at home. They said they could not adjust it anymore and would not make one that fit properly. Now they are even lying about that. Most of the people I talked to while waiting forever also were having problems with their painful dentures made there. Go to a quality dentist even if the cost is a little more, you will save time and pain in the long run. This place doesn't take appointments so expect to waste a day.
Processing a denture is usually performed using a lost-wax technique whereby the form of the final denture, including the acrylic denture teeth, is invested in stone. This investment is then heated, and when it melts the wax is removed through a spruing channel. The remaining cavity is then either filled by forced injection or pouring in the uncured denture acrylic, which is either a heat cured or cold-cured type. During the processing period, heat cured acrylics—also called permanent denture acrylics—go through a process called polymerization, causing the acrylic materials to bond very tightly and taking several hours to complete. After a curing period, the stone investment is removed, the acrylic is polished, and the denture is complete. The end result is a denture that looks much more natural, is much stronger and more durable than a cold cured temporary denture, resists stains and odors, and will last for many years.
DENTURES DO NOT FIT! DO NOT USE AFFORDABLE! #BOYCOTTAFFORDABLEDENTURES. My father went in for dentures, they are so loose he cannot eat healthy. The first time he went back they put a liner in the uppers to make them tighter, he is using a lot of Poligrip on both the uppers and lowers. He had teeth removed from the bottom and they waited for the gums to heal before measuring for dentures. It has been about 3 months and the dentures, especially the bottom are so loose it hurts him to eat because food gets stuck under the dentures. It is funny because on his first visit the Affordable dentist made fun of how loose his upper dentures were (he has had them for 4 years), they were done by a different dentist. On his first visit he was told by the dentist that the Affordable dentures would fit tight, they don't!
Denture cleanser tablets are dropped into warm water to create an effervescent solution. Dentures are removed from the mouth and placed in the solution. Soaking dentures in the cleaning solution helps kill germs that can cause odor. The amount of time dentures should be soaked—from a few minutes to overnight—depends on the manufacturer’s instructions.
According to Statista: The Statistics Portal and the U.S. Census Data and Simmons National Consumer Survey (NHCS), in 2017 0.66 million Americans are using dentures. A 2012 survey states that 40 % of Americans lack dental insurance which further hinders them from getting the dental care that they need as it is deemed unaffordable which would make the likelihood of poor oral health higher.
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.
Can be made for either partial but mainly complete denture patients. These dentures require less visits to make and usually are made for older patients, patients who would have difficulty adjusting to new dentures, would like a spare pair of dentures or like the aesthetics of their dentures already. This requires taking an impression of the patients current denture and remaking them.[2]
Since then, the affiliated network of Affordable Dentures & Implants affiliated practices has steadily grown from coast to coast - delivering "A Smile For Everyone" through consistent, knowledgeable care in extractions, dentures and implants at competitive prices. We continue to support people in need of dental treatment through Mission of Mercy events and other charitable efforts.
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!!!
In countries where denturism is legally performed by denturists it is typically the denturist association that publishes the fee guide. In countries where it is performed by dentists, it is typically the dental association that publishes the fee guide. Some governments also provide additional coverage for the purchase of dentures by seniors.[22] Typically, only standard low-cost dentures are covered by insurance and because many individuals would prefer to have a premium cosmetic denture or a premium precision denture they rely on consumer dental patient financing options.
Full-mouth restoration is exactly what it sounds like, restoring natural-looking teeth to both arches. Upper and lower teeth are supported by multiple dental implants — usually four implants per arch — spread evenly across the jawlines. Patients can expect to get their old smile back and a much more natural chewing and eating scenario compared to regular traditional dentures.
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.
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.
They hurt my mom and the whole thing was a rip off we went in to get dentures and shave my moms now and when the swelling went down the dentures didn't fit my mother spent over thousand dollars and Theywould not replace the dentures so it was a very bad experience they should be responsible for those dentures after 30 days they should replace the dentures I shouldn't even put them in their mouth they don't fit
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.
My lower dentures broke in half. What is the cost to repair my dentures?Answer: Dental procedures and costs vary widely based on many factors such as difficulty and the condition of your dentures as well as your bone and gums. The best way to determine fees for service is to visit with your dentist or prosthodontist and discuss the care you may need. The best solution is to return to the dentist or prosthodontist who made your dentures and have the broken denture repaired professionally. It may seem easy to fix, but it is important that the repair is done correctly to prevent problems with chewing and to avoid any sore spots. The doctor also needs to check the denture and adjust it after it’s repaired. There is also a chance that the denture is too old and no longer fit closely to your gums, and you may need a new one. To find a dentist who is a specialist who has extra training in making dentures, visit www.gotoapro.org.Response provided by the American College of Prosthodontists. Back to top
Dentures are mainly made from acrylic due to the ease of material manipulation and likeness to intra-oral tissues, ie. gums. Most dentures made are fabricated from heat-cured acrylic polymethyl methacrylate and rubber-reinforced polymethyl methacrylate.[3] Coloring agents and synthetic fibers are added to obtain the tissue-like shade, and to mimic the small capillaries of the oral mucosa, respectively.[4] However, dentures made from acrylic can be fragile and fracture easily if the patient has trouble adapting neuromuscular control. This can be overcome by reinforcing the denture base with cobalt chromium (Co-Cr). They are often thinner (therefore more comfortable) and stronger (to prevent repeating fractures).
