Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
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.
As you may know, dentures are removable substitutes for missing teeth. Full dentures provide value when a person is missing all of their natural teeth while partial dentures replace only individual missing teeth to eliminate gaps and improve chewing. Denture treatment is customized specifically to each patient, and Dr. Yonan, Scott, Bushnell, Fairbanks & Quigley can help you decide which option works best for you.
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.
When dentures no longer fit well, the correct action is to seek follow-up care. Denture adhesive is recommended for dentures, even well fitting ones. Adhesives improve retention, seal the borders to prevent food from slipping under, and cusion the soft tissues from the rigid acrylic. Using denture adhesive may improve the fit, but it tends to work best when only a small amount is used. Covering the entire denture fitting surface in adhesive makes it stay in less well. Adhesives may compensate for gradual loosening of a denture, but it is only a temporary solution; it does not solve the problem. Fortunately, dentures can often be relined with relining materials to improve the fit, and this process costs less than creation of new dentures. Overall, a well-made denture could last about 5 years (or more), but this is different for every patient.
A complete denture can be either “conventional” or “immediate.” A conventional type is made after the teeth have been removed and the gum tissue has healed (usually takes 4 to 6 weeks). During this time, the patient will go without teeth. Immediate dentures are made in advance and immediately placed after the teeth are removed, thus preventing the patient from having to be without teeth during the healing process. Once the tissues shrink and heal, adjustments will have to be made.
It can be all too easy to forget the important role that your teeth play in your quality of life. However, when teeth are lost or severely compromised due to trauma or decay, it becomes painfully clear that a complete and healthy smile is absolutely essential in order to enjoy your favorite foods, make positive impressions on others, and speak with clarity and confidence. Read Full Article
Your dentist or prosthodontist will instruct you as to how long to wear dentures and when to remove them. During the first several days after receiving your denture, you may be asked to wear it all the time, including while you sleep. Although this may be temporarily uncomfortable, it is the quickest way to identify the areas on the denture that may need adjustment. Once adjustments are made, you should remove dentures before going to bed. This allows gum tissues to rest and allows normal stimulation and cleansing by the tongue and saliva. The denture can be put back in the mouth in the morning.
Two to six dental implants that support a removable denture plate can cost $3,500-$30,000 or more depending on the number and type of implants (mini-implants are less expensive), denture materials (in some cases an existing denture plate can be adapted for use with implants) and any other procedures needed. A full set (upper and lower) of implants and dentures can cost $7,000-$90,000 or more.
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.
Eating with new dentures will take a little practice and may be uncomfortable for some wearers for a few weeks. To get used to the new denture, start with soft foods cut into small pieces. Chew slowly using both sides of your mouth. As you get used to new dentures, add other foods until you return to a normal diet. Be cautious with hot or hard foods and sharp-edged bones or shells. And, avoid foods that are extremely sticky or hard. You should also avoid chewing gum while you wear the denture. Also, don't use toothpicks while wearing dentures.
Work was done to make the partials smaller, but still do not fit my mouth and are completely unusable. Sores and lesions continue to form on my gums due to the defective workmanship of this garbage for a product. Parts of the upper partial have chipped off during normal wear, leaving a gap between the teeth. I called again ("You can come back anytime!") in early August for repair. The nasty ** told me I could only come on a Tuesday between 1 and 2 o'clock.
The care I received at this dentist office was outstanding! Everyone in the office was very friendly and professional, and explained everything to me including what I would have to pay after insurance, they left no question unanswered. The dentist that performed the procedure did so with speed and care, I was in an out and recovered quickly with little pain. I even recommend this office to a coworker that is looking for a dentist. My visit was so pleasant I look forward to coming back. Thank you for your excellent service!
Paste application. Apply this denture adhesive to a dry or preferably wet denture. Avoid placing adhesive close to the denture borders. If the adhesive oozes, use less of the product. For dentures on the upper jaw, apply three short strips of adhesive -- or a series of small dots -- along the ridge area and one down the center. For dentures on the lower jaw, apply three short strips of adhesive -- or a series of small dots -- in the center of the ridge area.
This is long,but I writting this to hopefully save someone else from going through this,self pay people are at the mercy of blood sucking dentist.Well,I carefully compared several NC Affordable Dentures,I read reviews from many sources.The one near me is pretty bad,went many years ago and the currant reviews are down right scary,couple with a serious fear of dentist,did not want to put myself through that again. Soooo the search was on,after being quoted 632.00$??? at DentalWorks!! Who the he'll can afford that out of pocket,so after reading the reviews for this location I called asked questions,asked what I needed to bring along with time to be there.Then I read website to make sure everything was a go.Had x-rays sent over along with bringing a copy myself incase something went wrong.Website&Receptionist both confirmed needing to arrive by 7:30am.Okay,I cancelled one of my accounts (means I lost money),woke up at 4:30am then drove hour n half to A.D. Apex Highway Location.Stood in line,filled out forms,handed over X-Rays,took a seat.After watching people come in at 10 am be seen before me,denture customers get teeth pulled come back sit down in lobby again,then be called back for fittings or whatever of course started to get anxious.I just needed one extraction.There was a very loud girl there who had to have one tooth pulled as well.At the four hour mark,she asked them what was going on.Receptionist tells her denture people should all be done being treated by 3pm.So she may or may not be treated sooner.What?????Been waiting 4hours,drove almost two to get there with less then 5 hours sleep to make sure I'd be on time and it's going to be another 4hour wait??? and then that's not guaranteed.So I asked receptionist if this was the case,told her my issue,she just looked at me blankly"yep"..This information is no where on website,I told her on phone what I needed asked if there was anything I needed to know.She even said for treatments had to be there at 7:30am.NO WHERE DOES IT STATE JUST EXTRACTIONS WILL BE DONE AFTER EVERYTHING ELSE.The whole ordeal was just inexcusable.I got my x-rays and left,I am now sitting with a abscessed tooth waiting to make an appointment on Monday at one of them blood sucking offices,got small loan because the price of extractions is inexcusable too.You know what though,I Will expect it,I will also be treated better,will not automatically assume I have no other options but them so they can treat me however an if they mess up oh well.How would these ppl like to be treated this way,this issue may sound insufficient but the fact is I lost a day of my personal time along with a days work and still need to see a dentist because of thier mistake not mine. You slap the word affordable on a business,make em line up,play by your rules or else,because you know they cannot afford it anywhere else,its borderline cruel.I'm positive there has got to be a hundred other poor souls that will go through something similar to me,I if I can help one person avoid it,good!!..
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).
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.
Went in and spent all day got a new upper denture and ask if it could be tighter dentist told assistance to let me get back in and get a soft liner on them so this was on sat when I called back on Monday the man that works behind the desk told me they don’t see people around 4 but he said I will ask the dr and call you back tomorrow and let you know, so I called in today on Saturday hoping to catch him in my dentures don’t line up and I cannot chew food with them and they are spots that have rub my gums sore and next week this coming Monday I will call bbb and will put a review on the internet that they will not like for business.
I went in for my finals and just like last time everyone was great everything went fast I was… I went in for my finals and just like last time everyone was great everything went fast I was treated like a queen and like I said before I highly recommend affordable dentures for dentures implants what ever they do they are awesome my smile is awesome I feel awesome I Christopher Atari and his staff from the bottom of my heart thank you thank you thank you and God bless I highly highly recommend affordable dentures sincerely Toni Barajas Read more
It was our impression from viewing the video that this technique is very dependent on the dentist's skill in performing the needed steps (more so than with conventional construction, primarily due to time constraints needed to accomplish certain steps, and accomplish them the first time, properly, before the denture materials set). So in that regard, likely the dentist who fabricated your mother's denture is due as much credit as the system itself.
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.
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.
On my 3rd visit back to readjust my partial...I was going to a wedding and the Dr. wanted me to come back in to make sure it fit. The girl who took care of me (short curly auburn/reddish hair said the partial could not be adjust. I told her the Dr. adjusted it last week for me. Then she said: "well, you are just going to have to learn to adjust it yourself at home in a mean, stern voice.
We are very disappointed today. I hate putting our dirty laundry on Facebook but if it can help someone else then it is worth it. A little over 1 yr old Evan started his journey to a beautiful smile at Affordable Dentures in Cedar Rapids. His teeth were bad and made him very self-conscious. We went in and were presented a set of packages, we choose the second least expensive, Economy Plus. In buying this package we had $3800 tied up in teeth. This had to be paid in advance before they would do any work at all. This paid for teeth extraction, a set of temporary teeth to wear while the swelling went completely down (1 yr) and then he would receive his permanent teeth after 1 yr. Everything had to be paid for upfront.
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!
Dr. Steve Horne began his career at Brigham Young University obtaining his BA in English. He earned his doctorate of dental surgery in 2007 from the University of Southern California where his pursuit for academic excellence landed him on the dean's list. He was recognized for his superior clinical skills and invited to help teach other dental students in courses on restorative dentistry, prosthodontics, and tooth anatomy. During dental school, he provided dental care for underserved populations of Los Angeles and Orange County, Mexico, and Costa Rica with the international volunteer organization AYUDA. After graduation from USC, Dr. Horne entered active duty with the U.S. Army and practiced dentistry at Fort Knox, Kentucky, for four years. During this time, in 2010, he was deployed as part of a medical unit to Baghdad, Iraq, to provide dental and triage support to military and civilian workers who were involved in the effort there. During his military service, he received multiple Army Achievement Medals, the Army Commendation Medal, and served as company commander. After leaving the Army in 2011, Dr. Horne joined a private practice in La Jolla, Calif., and became credentialed with Scripps Memorial Hospital La Jolla as a dental consultant. Health and education are of paramount importance to Dr. Horne, and since 2012, he has been writing dental articles for MedicineNet and WebMD to provide accurate information about oral health to the public. He is a member of the American Dental Association (ADA), Academy of General Dentistry (AGD), California Dental Association (CDA), and the San Diego County Dental Society and American Academy of Cosmetic Dentistry (AACD). He is a preferred provider with Invisalign and spends countless hours each year pursuing continuing education in order to maintain a standard of excellence in dentistry. Dr. Horne has been married for 15 years to his wife, Christy. They have 3-year-old twins, Camille and Trent, and very recently welcomed their third child, Colette Elise, on July 6! The heart and soul of the family is Roscoe, their chocolate Labrador.
To clean your dentures, take them out of your mouth and run clean water over them to dislodge any food particles that may be stuck between teeth, along the gum line, or underneath the structure. Then brush the dentures all over with a denture brush or very soft toothbrush using a mild soap or denture cleaner. Be sure not to use any other cleaners, regular toothpaste, or electric toothbrushes as these are all too abrasive and can damage and wear away the denture materials. After cleaning, make sure to rinse them well.
A full arch denture is a removable tooth replacement option for those who need all their teeth replaced. They can be crafted to provide the characteristics (tooth shape and color) the patient desires. Advances have been made in the materials used for dentures and in the way they are designed. If you already have dentures (partial or full arch) you may be experiencing a loose fit or denture slipping. This can lead to gum sores, can affect your chewing and your speech and decrease your confidence when speaking and/or laughing with others. We can help restore your dentures to the correct fit.
Dental adhesives are safe as long as they are used as directed. If the denture is well-fitting and the adhesive is only used to give added stability, there should be no ill effects. If adhesives are used excessively to fill voids for an ill-fitting denture, they can be harmful to the underlying soft and hard tissues. Occasionally, in these cases, inflammation of the soft tissues can result. In addition, because of its movement on the soft tissue and underlying bone, an ill-fitting denture can cause bone loss.
