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.
Hormones released during pregnancy softens the cardia muscle ring that keeps food within the stomach. Hydrochloric acid is the acid involved in gastric reflux, also known as morning sickness. This acid, at a pH of 1.5-3.5 coats the enamel on the teeth; at a pH of 6.5 and mainly affect the palatal surfaces of the maxillary teeth, eventually the enamel is softened and easily wears away.
This Dr Baumgarden smelled like alchohol and was very rude to me as a patient and the way he talked to the assistants was uncalled for. I have spent over 30 years in the customer service business and if I treated customers as he does I would not have a job. I do realize that everyone has a bad day but this is my second time here and he was like this both times!
I went for a consultation and it took about 2 hours before seeing the dentist. I was taken in and a full lower x-ray was done, then the dentist came in and looked at it and we discussed my options. My teeth (only 7 left in my mouth) were so bad, that he decided I should go ahead and get a lower plate. He does not recommend a full lower, as there is always trouble with them. A full lower plate is a life changing event. You will not be able to eat any crunchy or hard foods. That's the truth. You will have to eat ground meats and soft foods the rest of your life. They will not tell you that, but I am telling you that.
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).
Daily cleaning of dentures is recommended. Plaque and tartar can build up on false teeth, just as they do on natural teeth.[24] Cleaning can be done using chemical or mechanical denture cleaners. Dentures should not be worn continuously, but rather left out of the mouth during sleep.[25] This is to give the tissues a chance to recover, and wearing dentures at night is likened to sleeping in shoes. The main risk is development of fungal infection, especially denture-related stomatitis. Dentures should also be removed while smoking, as the heat can damage the denture acrylic and overheated acrylic can burn the soft tissues.
Tooth extraction and restoration: If tooth decay or gum disease is so severe that a tooth can't be saved, it will need to be extracted. Your dentist will examine the remaining teeth in your mouth and determine if they should be removed or restored with tooth-colored fillings, inlays, onlays, or dental crowns. After the teeth have been extracted, the gums need at least two to three months to heal before an implant can be placed or an impression taken.
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).
If needed, patients can get a full set of upper or lower dentures, but many patients get partial removable dentures and keep as many of their natural teeth as possible. Partial dentures can replace one or more teeth in the upper or lower set, allowing spaces for natural teeth. In other words, the teeth in partial dentures do not need to be next to each other.
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.
However, like anything, there is a downside. Implant dentures tend to be fairly expensive. A cost of $15,000 to $30,000 for complete upper and lower implant dentures is not uncommon. Most dental insurance plans do not cover the total cost of implant dentures. Possible rejection of the implanted abutment can happen. If there is not enough bone, bone grafting may be required. Minimally invasive surgery may also be required. Treatment time can vary from three to 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.
