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 had a really great experience with Affordable Dentures and Implants. My mom has always been afraid of dentists and didn't take care of her teeth. She also had a stroke a few years back which has created a few more barriers to treatment. It's difficult to explain to anyone who doesn't personally know a stroke survivor, but she gets antsy pretty quickly and can be a bit difficult to work with at times. She's also physically handicapped and can't use her left side, plus is having trouble transferring from her wheelchair to other seats, getting into a helpful position, and following directions, so it's a bit of a unique situation. She underwent major oral surgery in this office- multiple extractions and bone augmentation- in order to get dentures. This is something we've seen a couple different dentists for, but she has always refused treatment because she didn't like something about the office or wanted to be put to sleep in a hospital, which was out of our budget. Given her limitations and dental anxiety, I wasn't sure what to expect this time around, but I couldn't have been happier with how this office behaved. The front office has been great in terms of explaining processes, scheduling, and billing. I've also had to coordinate paratransit to get my mom to the office, and they've worked with me on times to make sure everything lines up right. Something you can probably only appreciate if you've been in a similar situation. They've also worked with us on fixing issues and missed appointments due to unforeseeable circumstances. Not only did they not scold us for missing an appointment, but they worked with me to resolve the problem that caused it- my mom's assisted living facility biffed it and didn't give her pain medicine after her surgery. :/ But, like I said, this office came through and helped- always making her care the top priority. As far as back office goes, Carlos the assistant has the patience of a saint. Seriously. We had to do a full series of x-rays because my mom couldn't stand up for the pano. My mom had trouble holding still and repeatedly failed to follow instructions. Carlos never stopped smiling and encouraging her. He had a lot of positive energy and kept joking with her throughout, which I know went a long way to making her feel good about the office. He did the same during the other visits, but the x-rays I'm sure were the biggest challenge. Jennifer assisted with the surgery. She was incredibly kind, gentle, and thoughtful. She was always doing what she could to keep my mom comfortable and looking out for her. She even went and grabbed my mom a pillow to make sure she was comfortable. Dr. Athari has an amazing sense of calm about him. He walked us through everything and talked to us throughout the procedure. My mom needed frequent breaks during the surgery and he always gave her the time she needed to regroup. He was very gentle and mindful with her throughout the procedure, and I'm certain that's what got my mom through it without issue. I cannot stress how difficult this process could have been considering the amount of care needed and the limitations of the patient. However, these folks rolled with everything we threw at them and never missed a beat. Always helpful, knowledgeable, kind, and gentle. If I had to find one negative about the office, it would be the wait times. On our first visit, one woman in the waiting room said she'd been waiting 30+ minutes. It took a day to get a call back to schedule. We waited a little while in the office too. However, when you consider that they're working with people like the person I brought in, and that it's totally impossible to predict the needs and behaviors of some of the patients who go in there, it's totally understandable. I have no doubt they took a little longer because they were treating someone else exactly as they treated us- with patience and understanding. That's worth waiting for. So, if you do go, be prepared for some short delays, but also know why those delays happen. Overall, they work like a well-oiled machine. We got to meet the whole team, including their on-site lab techs. Every single person met us with a smile and kind words. I cannot thank Dr. Athari enough for creating an environment like this. Before I close, I'd like to add a word on fees as well. I almost hesitate to call this an affordable dental office, simply because they obviously put care first. All dental offices should do what this office does and provide options, but few do. It's that commitment to patient care and letting you choose what's right for you that makes them more affordable, versus the offices that cut corners to save you a buck. That's a major difference worth noting. They also have an on-site lab, which saves costs as well. Anyway, again, sending a huge thank-you to Dr. Athari and his staff. You guys are beyond awesome.
A mid-priced (and better quality) heat cured denture typically costs $500–$1,500 per denture or $1,000-$3,000 for a complete set. The teeth look much more natural and are much longer lasting than cold cured or temporary dentures. In many cases, they may be tried out before they are finished to ensure that all the teeth occlude (meet) properly and look esthetically pleasing. These usually come with a 90-day to two-year warranty and in some cases a money-back guarantee if the customer is not satisfied. In some cases, the cost of subsequent adjustments to the dentures is included.
Dr. Athari has an amazing sense of calm about him. He walked us through everything and talked to us throughout the procedure. My mom needed frequent breaks during the surgery and he always gave her the time she needed to regroup. He was very gentle and mindful with her throughout the procedure, and I'm certain that's what got my mom through it without issue.
I do not know where to begin. If you are looking for a quality Dentist with excellent staff then this is the place. Dr. Searby is great at what he does. He is very straight to the point and he talks you through the process. I appreciated the fact that he listened to me during the almost painless procedure. His staff is the best set of professionals that I have ever encountered in the dental field. I have and will continue to refer anyone that I know. I love this place.
Removable complete denture. This denture sits on top of the gums where the missing teeth were. It can be uncomfortable, affect your ability to experience the full taste of food, cause sore gums, and shift and click in your mouth when you speak, eat, smile, yawn or cough. While the initial costs are low, they only last an average of 7 to 15 years, and the replacement costs can be significant over the long term. They need to be removed regularly for cleaning, which can be a time-consuming hassle. Also, as with a partial denture, the natural bone underneath a complete denture may deteriorate over time, permanently changing the appearance of your smile and face.
