Dentures

For patients with missing teeth or those who are about to lose their teeth, dentures are often the most straightforward solution. Unlike dental implants, dentures are (usually) removable appliances that can replace missing teeth. In the short-term dentures cost less than implants and chairside time is also reduced. What’s more, being fitted for a denture requires less surgery. So if you’re a patient who’s squeamish about dental implants, or if you are elderly and are concerned about the health risks of more involved surgery, dentures might be the ideal solution.

So, Dentures...?

Depending on patient needs dentures are known as “full” or “partial.” A full denture is an artificial appliance that completes an entire arch. A partial denture, as the name suggests, is for patients who have lost a few teeth and need several more extracted. Partial dentures make sense compared to other tooth replacement methods when the surrounding natural teeth are not strong enough to support dental bridges, or when more than one or two teeth are missing.

Historically dentures were crafted from porcelain or plastic. Today a hard resin is more commonly used. Unlike dentures that can last for decades, dentures are not made from as strong material and can chip easily. They can be broken if dropped and even under ideal circumstances (i.e. excellent home care and a selective diet) require replacement approximately every five years.

Immediate Dentures and Overdentures

Immediate dentures are another subset of dental procedures. Immediate dentures are molded from your existing teeth before extraction. That means they can be used immediately after your teeth are removed and are essential to the healing process. After about six months your gums will be fully healed and swelling will be reduced. Then you’ll be fitted for your permanent denture.

Overdentures are a tooth-supported denture option. Instead of using adhesives to fix dentures in place a patient’s remaining healthy teeth are the preferred anchor. In the last few years implant-retained overdentures has gained increasing popularity. But this will be reviewed in greater depth in the next section.

Implant Dentures

Implant dentures are another best of both world options. The technique combines the structural stability and chewing functionality with the cost effectiveness and relative simplicity of dentures. By taking advantage of this approach patients enjoy several key advantages:

  • Improved digestion – It may seem obvious, but chewing your food is important. Not only for good manners, but for digestion. The more you chew your food the easier it is for your stomach to break down what you’ve eaten and convert that food into the energy you need. Because dentures aren’t as strong as implants or natural teeth there is a tendency for denture patients to not fully chew their food.
  • Reduced bone loss – When a tooth is lost or extracted your body begins recycling what it doesn’t need. And it does so fast. The downside to this efficiency is twofold: continued bone loss can make future dental treatments more challenging (requiring the need to graft bone onto the site and harvest it from elsewhere.) Bone loss can also impact the stability of adjacent teeth, worsening a localized problem.
  • Retains facial features – In the same manner as the previous bullet, long-term bone loss doesn’t only affect the edentulous space or surrounding teeth. Over time continued resorption can cause the distance between your nose and your chine to decrease. This gives the appearance of a “sunken in” look more common in the elderly. If this look begins to develop in one’s youth or middle adult years, it could make your face appear older than it is. Sometimes by decades.
  • Improved denture comfort – When dealing with dental prosthetics a good fit is the key to comfort. Less mobility means less slippage and zero chance a denture will fall out of position due to a failed adhesive. Stability reduces the risk of sores and other swelling associated with a poorly fitting denture.

Denture Process

The first step toward successfully fitting a denture begins with a regular checkup by your dentist. At the Centers for Dental Implants we strive to make this part of the experience as easy and as stress-free as possible. The process begins with X-rays and the overall health of your teeth will be reviewed.

Next, it’s likely that several teeth will be extracted in preparation for your denture. At this point we will allow your mouth to heal from the swelling. At your next appointment our laboratory will manufacture a set of dentures based on impressions taken of your mouth. Since dentistry is often at the intersection of science and art, we want you to feel engaged and part of the process as together we select tooth shape, size and color. Remember, a too-white look might appear fake. Or at least the effect will be so dissimilar to your natural teeth that people will ask questions. This is the type of observation you don’t want. Once your dentures are manufactured you will have a try-on visit and you will wear them home. A final appointment will evaluate how comfortable you felt they were and any final adjustments will be made.

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