Being without teeth is a form of disability as well as harmful both in health and look. Clients that cannot chew their food, effects their food choices and missing teeth adversely affect their appearance. Being aware of missing teeth causes people to consciously hide their smile or hide their unappealing dentures.
From a Denturist point of view, being able to restore someone’s eating abilities and make them smile again is what makes their job very satisfying.
Complete dentures are dental prosthesis that replaces all natural teeth and bone lost on both the upper and lower jaw.
A Denturist fabricates a complete set of dentures following a set of clinical and laboratory procedures. Within a client’s treatment plan there are six clinical appointments and four laboratory stages. Sometimes certain appointment and stages may be combined to meet the specific requirements of the client. Expect all steps to take between four to six weeks to complete the denture and two to five follow up appointment for adjustments for proper fitting of the denture.
The appointments are listed below with a short description:
First Appointment (30mins) – Client Information and Preliminary Impression
- Clinical: Meet client, assessment and needs. Medical/Dental history. Treatment plan. Preliminary impressions.
- Laboratory: Produce models from preliminary impressions. Fabricate custom individualized final impression trays.
Second Appointment (30mins) – Final impressions
- Clinical: Highly accurate impression taken
- Laboratory: Produce working models. Fabricate wax bite rims for recording client bite
Third Appointment (1 hour) – Bite registration
- Clinical: Wax bite rims adjusted for client bite. Anatomical lines recorded. Shade and tooth selection.
- Laboratory: Mounting of models on to device. Teeth set in wax for try-in
Fourth Appointment (15-30mins) – Denture Try-in
- Clinical: Wax dentures tried in client’s mouth and approved by client and Denturist.
- Laboratory: Process denture into acrylic
Fifth Appointment (30mins) – Denture insertion
- Clinical: Denture presented to client. Client education including denture care
Sixth Appointment (15mins) – After care denture insertion adjustments
- Clinical: Client returns to address small adjustments for optimal fit
Denture fees are determined using the Denturists fee guide. Material changes and procedures have an effect on the fees determined for the service and treatment however, only high quality materials are used to provide the client with optimal treatment.
The life of dentures can vary and warranty on new sets is to be expected. With the use of high quality materials, we are certain that the new denture will fit and look good. If you have any issues or are not satisfied please contact us.
It is reasonable to understand that losing your teeth and having false teeth is a very traumatic event. Working as a team, in your best interest, a dentist and denturist can provide you the option of dentures at the time of extractions if deemed suitable on a case by case bases.
Immediate dentures are dentures that are fabricated prior to your teeth being removed and set in place by the dental surgeon immediately after surgical removal of your remaining teeth.
Accurate and comprehensive procedures for immediate dentures:
- Impressions and diagnostic measurements
- Select tooth size, shape and color and esthetics considerations
- Surgical appointment at dentist and immediate placement of dentures
- Follow up adjustments at denturist
- Temporary liner/ tissue conditioners/ filler applied as gums shrink
- 6-12 months final rebase for fit and removal of temporary liner
Benefits for treatment with immediate dentures:
- Will not be without teeth/smile
- Controls swelling and allows healing to progress
- Helps protect the healing tissues from food debris/irritation
- Keeps blood clots intact during healing
- Residual bone remodelling inside denture to fit
- Able to start eating soft food
Drawbacks for treatment with immediate dentures:
- No opportunity to complete a wax try-in: no chance to see teeth in your mouth before processing denture
- No confirmation of bite and/or jaw relationship spacing
- Tooth sized reduced
- More pink shows during smile
- Thinner denture base
- Follow up adjustments
During the healing process after the extractions, the gums and the jaw bone undergoes changes. These changes will vary depending on your health factors such as diabetes, your immune system, medications, nutrition, age and oral condition prior to extractions. These factors affect the length of time of healing and may vary considerably.
Immediate dentures are considered a transitional denture. This means that as the tissues shrink more space between the top and bottom jaw occurs (jaw relationship spacing) and therefore material must be added to the tissue side making a larger pink base. The ideal treatment after immediate dentures is to construct a new set where the client can approve aesthetics/look before final denture construction.
Implant supported dentures
For clients that are not satisfied with the function of their current dentures and desire something a little more functional than traditional dentures, implant supported dentures can be an option. There are many variations to connect the denture to implants. Please contact your denturist or dentist to discuss treatment options.
If you have remaining natural teeth a removable partial denture prostheses or “partials” might be an option for you. A partial denture replaces one or more missing natural teeth. Each partial is fabricated to each client’s specific needs. Partial dentures can be taken out yourself for cleaning and at night to let you gums rest.
Partials can be constructed with a plastic base or a metal framework. Varied components are used to keep the partial in place in the mouth by using clasps and rests that are precisely placed around your natural teeth. Plastic base partials are typically used for emergency or temporary use of replacement teeth while oral tissues heal and are not meant for chewing. Metal framework partials are designed as a more permanent solution. The metal base is hypoallergenic and is used for its strength and rigidity and the acrylic teeth are attached to this base.
A partial denture helps maintain the position of your natural teeth. It is common for natural teeth to shift into spaces where teeth have been removed. Should the space be left empty you may experience a change in your bite or overeruption of the remaining teeth. Your Denturist will approach each case on an individual basis to determine the design and best materials to meet your individual needs.
For ongoing maintenance of your current dentures, to ensure maximum comfort, appearance and chewing efficiency it is critical to attend annual checkups. These checkups are times where identification of potential problems can be managed, possibly help in reducing trouble in the future and may save you money in the long-run. This service is complimentary. If work is required after the check up, an appointment will be scheduled at your convenience with our business team.
- During the appointment your Denturist will check the following:
- Updating medical and dental history
- Intraoral examination for any changes since last appointment
- Checking your dentures for cracks and excessive wear
- Checking aesthetics, chewing effectiveness and stability
- Discussing future treatment options if needed
- Go over oral hygiene procedures and denture care
Overtime your mouth changes but the inside fitting surface of your denture does not change and therefore requires an updating of the fit. Your denturist will need to take an intraoral impression of your mouth before relining your denture to ensure a tight fit. Relining a denture adds a new base for the tighter fit but does not change the appearance, teeth or teeth wear.
Relines are required when tissue changes come about from resorption of the oral tissues. This can be due to:
- Weight loss
- Loss of teeth
- Bone or tissue loss
- Disease or illness
Similar to a reline, a rebase replaces all the pink-acrylic denture material but the existing teeth remain in the same exact position. The denture must meet certain criteria that allow for this procedure:
- Teeth must be in good condition
- Client’s bite position must be suitable
- Client satisfied with the aesthetics (look) of the denture.
Reasons for a rebase:
- Broken denture
- Weakened or old pink denture base
- Immediate denture
Dentures can break by dropping or plastic weakness. It is advisable to never try to repair or alter your dentures yourself. It may cause an adverse effect on oral health and tissue irritations. Attempting to glue your dentures will not last long and might cause the denture to be unrepairable. Repairs may be essential for continued use of your denture. Situations that can occur are cracking, splitting or chipping of denture base or teeth. Often denture teeth and clasps can be added to existing partial dentures when natural teeth are lost.
A proper repair adds new denture base to repair areas to ensure a correct bond. An impression and additional materials might be required for a repair. Most repairs can be completed in one day however if more time is required your Denturist will inform you. If your denture requires a repair, it may point to an underlying problem associated with the age of your denture, poor fit or worn teeth.
The best way to reduce denture breakage is to have your denture relined every two years. A tighter fit results less flexing and fractures.
Denture Soft liners
A soft liner is a layer of soft, pliable material that is fitted between the surface of a denture and your oral tissues. It absorbs shock between the hard base of your denture and your gums. Soft liners can be used when creating new dentures or retrofitted into existing dentures. Processed soft liners provide comfort and relief for individuals with receded and flattened gum tissues that don’t respond well to the stress of dentures. They may also be a suitable solution for patients with chronically sore gum tissues or gums with sharp bony areas.
Permanent soft liners for individuals with:
- Chronic soreness
- Severely flattened jaw bone ridges
- Jaw bone ridges that have sharp bony areas
Caring for your dentures
Complete and partial dentures should be cleaned everyday just like you natural teeth. Just like natural teeth, plaque and tartar will stick to and build up on your dentures. This will cause stains, bad breath and possibly gum problems. Longstanding plaque can also cause gum disease and cavities on remaining teeth.
When cleaning your dentures, it is very important to have them removed from your mouth prior to starting. This ensures that all surfaces are in contact with the denture brush and cleaning solution. Rinse the dentures to remove any loose food particles by placing it under running water. Then while using a denture brush and a mild soap, like dish soap, gently brush all surfaces of the dentures. While the dentures are removed, brush existing natural teeth and massage your gums with toothpaste. If the denture brush is too stiff on your gums, use a wetted face towel instead. Rinse the dentures well with clean running water before returning them to your mouth.
Always remove your denture at night to allow your mouth tissues to rest. Soak your dentures in warm water. Never use hot water as this could cause the dentures to warp. Soaking the denture stops them from drying out while not in your mouth. Denture cleaner/soak can be used but directions must be followed from the manufacturer. Partial dentures require a cleaner designed for metal and must be used as the metal finish could tarnish.
While cleaning your dentures and when they are not in the mouth, there is a chance of the denture dropping from your hands or counter. When handling your dentures, stand over a folded towel or a sink filled with water just in case they accidentally drop. If you have dropped your denture, inspect it for cracks. Small repairs might be less costly and when caught early, may prevent you from having to replace your denture.
Whether you are missing all or only some of your teeth, your mouth should be examined by your dentist at least once a year. This is very important as your mouth is always changing. From time to time the denture may require adjusting or re-fitting to ensure they fit well. During your visit your dentist can professionally clean your denture and any remaining teeth to ensure your optimal oral health.