Learn About Chula Vista, CA Removable Partial Denture

Learn About Prosthodontics

Dentures are replacement teeth that can be removed. Many people who are missing one tooth, several teeth or all their teeth benefit greatly from false teeth.

Prosthodontics improve your chewing and speech, and support your facial muscles. They make a big difference in your appearance and your smile, and can boost your self-confidence.

Made from acrylic resin, most dentures are very natural-looking and can be matched in color and appearance to your other teeth. Several visits to a denturist are usually required over the course of a month to take the impressions and make sure your false teeth fit right. These multiple appointments with a prosthodontist are necessary for receiving all the benefits you'll gain from them -- your increased ability to chew, a great-looking smile, and confidence when speaking.

Complete Dentures

A complete denture is for people who have no teeth in their lower jaw or upper jaw, or both jaws. In addition to the other suggestions for denture care listed below, complete dentures should be removed and cleaned two or three times daily to keep your gums healthy and to allow your tissues to relax.

Partial Dentures

Partial dentures are for people who have some natural teeth remaining, or who only need to replace a few teeth. The benefits are the same as for full denture wearers: your facial muscles will be supported, your smile improved and your ability to chew and speak will be enhanced.

Immediate Dentures

If a tooth is damaged and cannot be restored, you and your dentist may decide to create temporary dentures. That way, the dentist can pull your tooth and you can wear the temporary denture until a permanent solution is designed for you.

This temporary solution allows you to continue with your professional and social commitments without showing a gap in your smile. Sometimes an immediate denture is used to replace a number of hopeless teeth at one time. Generally, the prosthodontics will require relining, rebasing, or being completely remade three to six months later.

Getting Used to Your False Teeth

Even dentures that fit beautifully require an adjustment time. At first, you may experience minor speech changes and some eating difficulties. You may also notice an increased flow of saliva during this period.

While you're getting used to your replacement teeth, you may want to keep high-profile events to a minimum and give yourself time to adjust. You may also want to start with soft food that is easy to chew, while your comfort level increases.

Some prosthodontics wearers notice a slight change in their facial appearance. Knowing what to expect helps to anticipate normal adjustments for denture wearers and to effectively manage them.

While the dentist may advise you to wear your false teeth initially at night, normally you will remove your dentures while you sleep. Taking a break for eight hours gives your tongue and saliva a chance to do its natural job of cleaning and stimulating your gums.

Caring for Your Dentures

• Handle with care.
• Remove and brush daily.
• Use a brush and cleansers designed for dentures.
• Don't use abrasive cleaners or abrasive toothpastes, which will leave scratches.
• Don't sterilize them in boiling water or in the dishwasher -- the hot water will warp them.
• If you wear a partial denture, remove it before you brush your natural teeth and clean it carefully with a brush and cleanser.
• When the false teeth are not in your mouth, soak them in a glass of water or cleanser. Dry dentures can become brittle and crack or break.
• Keep your dentures in the same place and away from children and pets -- keep them safe and reduce the chances of losing or misplacing them.
• Have your mouth and the dentures checked at least once yearly by your denturist.

by Brian J. Gray, D.D.S., M.A.G.D., F.I.C.O.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Learn About Dental Implant Dentures

A dental implant over-denture connects to cylinder-like configurations (called implants) that have been surgically implanted into the jawbone.

The dental implant denture appears like a traditional prosthesis. However, the part of the denture overlying the dental implants is modified to retain various semi-rigid attachments that receive dental implant extensions projecting above the gum. This arrangement helps keep a denture securely in place while eating, speaking, and during other oral activities, but still allows easy self-removal of the denture for cleaning purposes.

There are two phases to this process. The first is a surgical phase consisting of two stages, and the second is a prosthetic phase (making the implant denture).

The Surgical Phase of Dental Implants

1. Surgical Implant Insertion Stage

• Dental implants are completely inserted into precise preparations in the jawbone. While there are various dental implant configurations, they are essentially cylindrical in shape and made of pure titanium metal. After dental implants are inserted into the jawbone, gum tissue over the dental implant is closed with sutures, in most cases.
• While a minimum of two dental implants may be inserted for an acceptable outcome, a person may plan to receive three or more, depending upon individual needs and anatomical limitations. More dental implants will give additional support and retention to the dental implant denture.

2. Healing and Surgical Exposure Stage

• During healing, an existing or temporary denture may continue to be worn after adjustments have been made to adapt it to the surgical site. If the existing denture cannot be altered sufficiently, a provisional prosthesis should be fabricated.
• Dental implants are left undisturbed beneath gum tissue for at least several months as determined by the dentist. During this time, bone reorganizes and grows around the dental implant surface, anchoring it securely into the jaw (this is called osseointegration).
• At the end of the healing stage, the top of the dental implant is exposed by removing gum tissue directly over it. An extension that is then screwed into the exposed dental implant projects slightly above the gum tissue.
• After adjustments, an existing denture can be worn over an dental implant denture extension while the gum heals. However, the denture must be reshaped to conform to surgical site contours in order to avoid unnecessary pressure areas on the newly inserted extensions and the surgical area.

The Prosthetic Phase (Making the Dental Implant Dentures)

• A precision superstructure is fabricated and is screwed into the dental implant extensions. This superstructure may have various interface configurations, ranging from interconnecting metal bars to specially shaped singular extensions.
• A dental implant denture is fabricated with special provisions on the inside surface to receive various types of attachments (interlocks). Depending on the attachment, they interact in various ways with the superstructure. For example, a metal or plastic attachment may clip onto metal superstructure bars, a nylon receptacle may receive a specially configured dental implant extension, etc.
• The attachment/superstructure configuration helps to securely maintain a denture while eating and speaking, and still allows a person to comfortably and easily remove the prosthesis for cleaning purposes.

Essential Dental Implant Dentures Maintenance Needs

As might be expected, exemplary oral hygiene is essential to help prevent the development of disease around dental implant dentures that could cause their failure.

Implants, superstructure, attachments, and the over-denture must be checked and professionally maintained by a licensed dentist on a regular basis. Attachments often need periodic adjustment or replacement due to wear.

While the dental implant over-denture approach is complex and expensive, the value received by an individual usually far exceeds monetary considerations.

How Long Will Dental Implant Dentures Last?

Dental implant dentures may last for a lifetime (current reports show many dental implants lasting 20 years) or deteriorate in a few years. Many factors are involved that reduce the life expectancy of dental implants, such as oral hygiene, general health, habits such as smoking, grinding, etc. The superstructure or dental implant extensions may need to be replaced after five years. Depending on the dental implant system used, some parts may need to be replaced annually, or sooner, because of wear or deterioration. These time frames are generalities. The dental profession continues to strive for long-term durability of dental implant dentures.

by Joseph J. Massad, D.D.S.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.