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.
I will be having Dr. Athari do my 7th dental implant. I have had 6 implants done at various locations ... family dentist, oral surgeon, and local dental school over the past 7 years. I was impressed with the clean modern office, friendly professional staff, and the price. Dr. Athari and his assistant made me feel relaxed and comfortable. They presented and explained to me a couple of treatment plans along with the pros and cons of each ... I chose to have another implant. I am confident that Dr. Athari and his staff will make my tooth beautiful and functional again.
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
For many years, partial dentures have been used to replace groups of teeth or a few teeth scattered across the lower or upper jaw. There are a variety of removable partial dentures available to patients and each one comes with its own set of benefits and disadvantages. All partial dentures attach to remaining teeth and have a gum–colored portion meant to blend into the existing gum, with prosthetic teeth to replace the missing teeth.
Problems with dentures may arise because patients are not used to having something in their mouth that is not food. The brain senses the appliance and interprets it as 'food', sending messages to the salivary glands to produce more saliva and to secrete it at a higher rate. This usually only happens in the first 12 to 24 hours, after which the salivary glands return to their normal output. New dentures can also be the cause of sore spots as they compress the denture-bearing soft tissues (mucosa). A few denture adjustments in the days following insertion of the dentures can take care of this problem. Gagging is another problem encountered by a minority of patients. At times, this may be due to a denture that is too loose, too thick or extended too far posteriorly onto the soft palate. At times, gagging may also be attributed to psychological denial of the denture. Psychological gagging is the most difficult to treat since it is out of the dentist's control. In such cases, an implant-supported palateless denture may have to be constructed. Sometimes there could be a gingivitis infection under the completed dentures, caused by the accumulation of dental plaque. One of the most common problems for wearers of new upper complete denture is a loss of taste sensations.
The fabrication of a set of complete dentures is a challenge for any dentist/denturist. There are many axioms in the production of dentures that must be understood; ignorance of one axiom can lead to failure of the denture. In the vast majority of cases, complete dentures should be comfortable soon after insertion, although almost always at least two adjustment visits are necessary to remove the cause of sore spots. One of the most critical aspects of dentures is that the impression of the denture must be perfectly made and used with perfect technique to make an accurate model of the patient's edentulous (toothless) gums. The dentist or denturist must use a process called border molding to ensure that the denture flanges are properly extended. An array of problems may occur if the final impression of the denture is not made properly. It takes considerable patience and experience for a dentist to know how to make a denture, and for this reason it may be in the patient's best interest to seek a specialist, either a prosthodontist or denturist, to make the denture. A denturist is a trained and licensed professional who sees patients in need of dentures, partials, relines or repairs. A denturist not only takes the impression, but makes the entire denture in his or her own laboratory. The denturist then schedules a date for the delivery of the finished dentures to the patient. A general dentist may do a good job making dentures, but only if he or she is meticulous and experienced. Many dentists no longer make dentures themselves. but instead take an impression of the patients' mouth and then either send the impressions to a dental laboratory, which could be anywhere in the world, or send the patient to a denturist. Once the laboratory receives dental impressions of the patient's mouth, the laboratory creates plaster molds from them. The laboratory uses the molds to create the wax rims used to register the patient's bite. These wax rims are returned to the dentist, who uses them to register the patient's bite. The dentist may assist the patient in choosing the correct size of teeth for the dentures, or simply make the selection himself. Once bite registration is completed and the teeth are selected for the dentures, the wax rim is usually returned to the dental laboratory in order to have the denture teeth set into the wax. Once the teeth are set into the wax rim, the result is a prefinished denture that looks almost like the finished product. This prefinished denture is usually returned to the dentist's office and the patient usually has a chance to approve the setup (for immediate or standard dentures) or to try the denture before it is finished. After approval by the patient, the dentist returns the pre-denture to the laboratory for final processing. The finished denture is then returned to the dentist's office for delivery to the patient.
You always have a choice when it comes to your health. If you are missing teeth and wondering what your options are, talk to your dentist about Ultaire™ AKP removable partial dentures. Metal partials can be uncomfortable and can wreak havoc on the oral environment. Plus, who wants metal ruining their smile? The shiny metal clasps can be distracting and have been known to cause damage to remaining teeth, and possibly further tooth loss. Now you have another option: Ultaire™ AKP.
Although dentures have helped millions of people around the world in regaining the ability to eat the foods they want, there are several disadvantages associated with the dental appliance. Some of the drawbacks of dentures disappear once the patients get used to wearing the device. Other problems with dentures may become an issue for the patient and lead them to seek alternative treatments for missing teeth.
Went in today for some x-rays and a cleaning and Dr Athari & the staff were great! Dr Athari did a great job & I left feeling my teeth were cleaner & healthier! Also, glad that he motivated me to start flossing more so I can maintain my healthy teeth and gums! I knew that flossing was important but did you know that increased your life by 6 years!!It helped that he was very outgoing and had a great personality, I will definitely be back and I will be referring people to come here! Very honest, very fast and efficient!!
Periodontitis is defined as an inflammatory lesion mediated by hot-parasite interaction that results in the loss of connective tissue fibre attachment to the root surface and ultimately to the alveolar bone. It is the loss of connective tissue to the root surface that leads to teeth falling out. The hormones associated with pregnancy increases the risk of Gingivitis and vomiting.
An overdenture is a removable dental prosthesis that covers and rests on one or more remaining tooth roots. A removable partial denture is a dental prosthesis that replaces some teeth and is built around existing natural teeth. Both the overdenture and the removable partial denture may be connected to the remaining tooth roots or remaining natural teeth with anchors made of metal or plastic. These connections improve stability and the retention of both prostheses.
