is a removable replacement for missing teeth and adjacent tissues.
It is made of acrylic resin, sometimes in combination with various
metals. A denture improves chewing ability and speech, and provides
support for facial muscles. It will greatly enhance the facial
appearance and smile.
for complete dentures are patients who have lost most or all of
their teeth. Complete dentures replace all the teeth, while a
partial denture fills in the spaces created by missing teeth and
prevents other teeth from changing position. Complete dentures are
either "conventional" or "immediate." A
conventional denture is placed in the mouth about a month after all
the teeth are removed to allow for proper healing, whereas an
immediate denture is placed as soon as the teeth are removed. The
drawback behind an immediate denture is that it may require more
adjustments after the healing has taken place. A partial denture is
suitable for those who have some natural teeth remaining.
Upper Jaw : Patient wears Complete Denture
dentist can make a full conventional denture when all teeth have
been lost or all extraction sites have healed (up to eight weeks or
longer.) The process takes about one month and would involve the
following steps. After the initial diagnosis an impression and a wax
bite are made to determine vertical dimensions and proper jaw
position. Then a "try-in" is made and placed to assure
proper colour, shape and fit. Then the final denture is made and
Implants & retaining bar in place
denture wearers need time to get accustomed to their new
"teeth" because even the best fitting dentures will feel
awkward at first. While most patients can begin to speak normally
within a few hours, many patients experience discomfort for several
days to a few weeks. It is often advised to start with soft,
easy-to-chew foods. In addition to the discomfort, denture wearers
often experience slight change in facial appearance, increased
salivary flow, or minor speech difficulty.
Retaining bar with retentive clips,
ready to be transferred to denture
denture is fragile, so it is important to handle it with care.
Remove and brush the denture daily, preferably with a brush designed
specifically for cleaning dentures, using either a denture cleanser
or toothpastes. Never use harsh, abrasive cleansers, including
abrasives toothpastes, because they may scratch the surface of the
denture. Sterilisation with boiling water is also to be avoided,
because it may cause it to become warped. If you wear a partial
denture be sure to remove it before brushing your natural teeth.
When not in use, soak it in a cleanser solution or in water. Get in
the habit of keeping the denture in the same safe and handy place to
reduce the likelihood of misplacement.
you may be advised to wear your denture almost constantly during the
first two weeks- even while you sleep-under normal circumstances it
is considered best to remove it at night. Research has shown that
removing the denture for at least eight hours during either the day
or night allows the gum tissue to rest and allows normal stimulation
and cleansing by the tongue and saliva. This promotes better
long-term health of the gums.
is important to continue having regular dental checkups so that a
dentist can examine oral tissues for signs of disease or cancer. As
of aging, your mouth will continue to change as the bone under your
denture shrinks or recedes. To maintain a proper fit over time, it
may be necessary to adjust your denture or possibly remake your
denture. Never attempt to adjust a denture yourself and do not use
denture adhesives for a prolonged period because it can contribute
to bone loss. When you are in doubt, consult your dentist.
Over Dentures fixed into implants
partial dentures or FPD are tooth replacements that are fixed
permanently in the mouth and cannot be removed for routine cleaning
by the patient. These dentures are made to take support from
adjacent natural teeth. Unfortunately these dentures can replace
only a few missing teeth. When a large number of teeth are missing
one has to go in for a removable partial denture.
Lower implants in place
partial dentures are of various types. They can be made of porcelain
or metallic alloys. The metallic FPD's are made of either gold
alloys or chrome cobalt alloys. Metallic FPDs are fixed partial
dentures that are made of metal alloys such as gold alloy or chrome
cobalt alloy. The metallic FPD's are used mostly in the back teeth,
as they are not esthetic in appearance. In case aesthetics is
important the metal crowns can be given an acrylic or porcelain
facing over the areas that are visible to the exterior so as to make
them esthetically acceptable.
Lower jaw: Fixed denture secured to implants with screws
partial dentures or RPD usually consist of replacement teeth
attached to pink or gum-coloured plastic bases, which are connected
by metal framework. Removable partial dentures attach to your
natural teeth with metal clasps or devices called precision
attachments. Precision attachments are generally more aesthetic than
metal clasps and they are nearly invisible. Crowns on your natural
teeth may improve the fit of a removable partial denture and they
are usually required with attachments. Dentures with precision
attachments generally cost more than those with metal clasps.
Consult with your dentist to find out which type is right for you.
Final implant prosthesis.
Upper jaw: removable "overdenture".
Lower jaw: fixed
Dentures are no longer
the only way to restore a mouth that has little or no non-restorable
teeth. Strategically placed support, or implants, can now be used to
support permanently cemented bridges, eliminating the need for a
denture. The cost tends to be greater, but the implants and bridges
more closely resemble the "feel" of real teeth. Dental
implants are becoming the alternative of choice to dentures, but not
everyone is a candidate for implants.