Dentures resemble natural teeth. They can enhance both the function and aesthetic appearance of your smile
A denture is a removable dental device that can be used to replace missing teeth. It also replaces some of the surrounding oral tissues. They consist of replacement prosthetic teeth. These are attached to a gum colored plastic base. These are is held in place by a metal frame. Dentures are a highly viable treatment option for those with a few remaining natural teeth. This is because the denture prevents these teeth from changing position.
Dentures are available in two forms:
- Complete or full dentures are used when all of a patient’s teeth are missing.
- Partial dentures are used when some natural teeth remain.
Regain your smile with dentures
There are a number of benefits when receiving dentures. This dental device can help you:
- Regain your ability to chew
- Restore your smile
- Correct the effects of tooth loss
- Prevent losing the integrity of your facial bone structure
There may be a slight adjustment period when you first have dentures. You may have minor discomfort, increased saliva, difficulty eating and impaired speech. In a few weeks, you should be fully acclimatized to wearing dentures. After which, you should not have any discomfort or negative side effects.
Dentures are a custom made dental device. They use a gum coloured acrylic or chrome base, fitted with prosthetic teeth. This device should mimic your natural smile in both its function and appearance. A detailed hygiene routine is required following treatment. This is to keep your new smile healthy and clean.
Caring for you dentures
Patients who receive dentures must ensure that they remove their dentures at night. By removing your dentures you can safeguard their shape and function. You can also maintain your gums. Dentures should be brushed like your normal teeth, as well as flossed. Patients who receive dentures must also ensure they protect their gums and keep them clean.
Adjusting to your new smile
Patients often take a minor period to adjust to their dentures. Within this adjustment period our patients can experience:
- An increased production of saliva
- Slight tenderness through the gums and mouth
- Minor discomfort as your mouth adjusts to your dentures. Especially felt as your jaw muscles learn to keep the dentures in their correct positioning
- Initial difficulty talking and smiling
- Strain when first learning to eat with the new device
The framework of a removable partial denture is made of a metal alloy for strength. The teeth are made of Tooth Colored acrylic or porcelain. The teeth are attached to the metal framework by pink acrylic which stimulates gums.
What materials are in a Complete Denture?
The base of a complete denture is made of pink acrylic. The teeth are made of Tooth Colored acrylic or porcelain which attach into the base.
- Both the Milled Bar and the implants it is attached to are made of titanium.
- Locator Attachments are plastic and the implants they attach to are titanium.
What are the benefits of a Removable Partial Denture? An RPD restores function and appearance to a broken down mouth. It is usually the most cost effective way of replacing teeth, especially in a mouth where many teeth are missing. An RPD can also provide important support to facial structures such as the lips; helping to in maintaining a more youthful appearance.
Locator Attachments greatly improve retention and stability of an RPD. As well, they improve esthetics by reducing or eliminating the need for unsightly metal clasps
What are the benefits of a Complete or full Denture? A complete denture restores function and appearance to a jaw with no teeth. It is the most cost effective way of replacing all the teeth in one jaw. A complete or full denture can also provide important support to facial structures such as the lips, helping to in maintain a more youthful appearance.
A Complete Denture with a Milled Bar Attachment is the most stable of implant retained dentures. It greatly improves retention, stability and chewing ability over a traditional Complete Denture with or without Locator Attachments. Patients who have a dry mouth and/ or fragile tissue may have difficulty with retention and comfort of a traditional Complete Denture and benefit from a Milled Bar Attachment. Lip support is better compared to an Implant Retained Fixed Restoration. A removable appliance is more easily repaired. Oral hygiene is also easier. A Milled Bar Attachment allows an Upper Complete Denture to be made without covering the roof of the mouth. The angulation of the implants is not an issue.
Locator attachments greatly improve the retention and chewing ability of a Complete Denture. Patients who have a dry mouth and/ or fragile tissue may have difficulty with retention and comfort of a traditional Complete Denture and benefit from locator attachments. Lip support is better compared to an Implant Retained Fixed Restoration. A removable appliance is more easily repaired. Oral Hygiene is also easier.
What are the risks of a Removable Partial Denture?
RPD’s, even under the best of circumstances, DO NOT have the same chewing efficiency as natural teeth. The ability to chew food depends on the stability and retention of the RPD. Stability and retention are affected by many factors, including the attachment of the dentures to natural teeth as well as the amount and type of bone, gums and saliva present in the patient’s mouth.
What are the risks of an RPD with Locator Attachments?
Locator attachments wear out over time and need to be replaced. Denture acrylic covering the locator attachment may chip if it is thin due to a limited space in the mouth.
What are the risks of a complete denture?
Complete dentures, even under the best of circumstances, DO NOT have the same chewing efficiency as natural teeth. The ability to chew food depends on the stability, support and retention. Stability, support and retention are affected by many factors, including the amount and type of bone, gums and saliva present in the patient’s mouth as well as the shape of the patient’s jaw and how it fits with the opposing teeth.
An implant may fail and need to be removed. If one implant fails the entire Milled Bar may fail, depending on the number and location of implants in the mouth. More space is needed to accommodate the Milled Bar and Attachments than with other types of dentures. Dexterity of the patient may make insertion and removal of the denture difficult. The acrylic base of the denture may fracture.
Locator attachments wear out over time and need to be replaced. Acrylic covering the locator attachment may chip if it is thin due to a limited space in the mouth.
- Crowns or bridges
- Implant supported crowns or bridges
- Dental implants
Uneven or excessive bite forces may cause wear or fracture of the denture teeth or denture base. Chewing will make a complete denture rock slightly in the mouth; the more uneven the biting force, the more the complete denture will rock.
Uneven or excessive bite forces may cause wear or fracture of the denture teeth, denture base or locator attachments. Unmanaged bite issues can also cause implants to loosen within the bone and break. Broken or loose implants must be surgically removed.
Are there any post treatment limitations once I have any form of dentures?
To keep the tissue under the appliance healthy your RPD should be left out of your mouth during sleep. The teeth in the RPD are not as strong as your natural teeth and you will not be able to chew as heavily on them. The appliance will tend to get food trapped underneath it and you may have to remove and clean it after eating.
The fit between a complete denture and the gums is very important for retention and therefore must be re-established every 2-5 years as gums are constantly undergoing small changes.