A denture, or a complete denture as it is often called, is an appliance inserted in the mouth that replaces natural teeth and provides support for the cheeks and lips. Dentures are one of the restorative dentistry options we provide to patients with damaged and missing teeth. Most dentures are acrylic and can be fabricated in two different ways. A conventional denture is made after all teeth have been extracted and the tissues (gums) have healed. Immediate dentures are fabricated and inserted immediately after the teeth are extracted, and the tissues are allowed to heal under the denture. An upper denture has acrylic, usually flesh-colored, that covers the palate (roof of the mouth). Lower dentures are shaped like a horseshoe to leave room for the tongue.
The teeth are made of plastic, porcelain, or both. Dentures in our Plano, TX office can be fabricated to fit over endodontically treated teeth. A complete denture can be attached to dental implants for a more secure appliance fit. Over time, dentures will wear and must be replaced or relined to keep the jaw alignment normal. The alignment will slowly change as the bone and gum ridges recede or shrink due to teeth extraction. Regular dental examinations are still important for the denture wearer so that the oral tissues can be checked for disease or change.
An immediate denture may be the best solution when complete extractions of your remaining teeth are unavoidable. An immediate denture will allow you to avoid the embarrassment of living without teeth. We will begin the preparation for this procedure before your teeth are extracted.
The first step is taking impressions of your existing teeth and gums to create accurate duplicates for placement after tooth removal. Your immediate dentures are inserted at your extraction appointment, creating a natural smile you can be proud of.
In most cases, we cannot check the denture’s fit in your mouth before extraction. In some cases, aesthetic compromises may have to be made to compensate for inadequate space or structural concerns.
Great care should be taken to follow all postoperative instructions. Your gums and bone will recede after extraction, and regular check-ups and maintenance will monitor healing and reduce problems. Temporary linings or tissue conditioners will be required to create an optimal fit and may need to be adjusted or replaced several times during the healing period. A permanent denture reline will be required to ensure a comfortable and exact fit after you have completed the healing process.
- The professionals at Texas Dental will advise you of the procedure that best suits your needs.
- Temporary denture liners, tissue conditioners, and relines are additional services that may have separate fees.
- Consult our practice with questions about the benefits of an immediate denture.
Usually, when you lose a tooth, it is best for your oral health to have it replaced. Missing teeth can affect your “bite” and your ability to speak and chew. Their loss can increase the burden on your remaining teeth and cause muscle pain in your jaws and headaches. And, of course, losing a tooth can affect your appearance. The following information reviews replacing missing teeth with an implant-retained denture.
Although many patients have no problem wearing an upper denture, some people find it difficult to wear and eat with lower dentures. Several implant-supported replacement options are available if you are missing your lower teeth.
What if I’m missing all of my lower teeth?
Ball Attachment Denture
One option is to have two implants placed in your lower jaw, and a denture made that snaps onto these dental implants. This option makes your lower denture more stable while chewing than without implants. However, your lower denture will still move, and sore spots will occur if food particles, especially seeds, are caught under it. As with all removable replacement teeth, you will still need periodic denture adjustment appointments.
Bar Attachment Denture
Another option involves placing four to six implants into your lower jaw, depending on your jaw size or shape. After healing, the implants are connected with a custom-made support bar. Your denture will be made with special internal retention clips that attach to the support bar, enabling the denture to snap firmly into place. This is called an “overdenture.” The advantage of this option is that it is much more stable than the first option and allows very little denture movement. Your denture is still removable for easy cleaning and maintenance.
Screw Retained Denture
A third option involves placing five or more implants in your jaw and attaching a permanent denture. Your denture is held in place by screws or clasps that secure it to the support posts or bar. It doesn’t touch the gum tissue, which allows you to clean under the denture without removing it. This denture will replace all your missing lower teeth and will not be removed except at maintenance visits. Although cleaning under your denture without removing it is more time-consuming and requires more dexterity, many patients who want a permanent denture prefer this option.
What If I’m Missing All Of My Upper Teeth?
A similar range of treatment options is also available for your upper jaw. However, because the bone is not as hard as that in the lower jaw, people often need more implants to support their new replacement teeth. Depending upon the number of implants to be placed, it may be possible to eliminate the need to cover your mouth’s roof with a complete denture. This option lets you fully taste your food and gives you a better sense of its temperature. Your denture will feel more natural. You will still have a removable denture, which makes cleaning the support bar and denture much easier.
Implant Retained Upper Denture
Depending upon the number of implants to be placed, it may be possible to eliminate the need to cover your mouth’s roof with a complete denture. This option allows you to taste your food fully and gives you a better sense of its temperature. Your denture will feel more natural. You will still have a removable denture, which makes cleaning the support bar and denture much easier.
- Improved confidence
- Stability during eating
- Bone and gum preservation
- Improved dental hygiene
- Superior esthetics
- Nutritional benefits
A removable partial denture is designed specifically to meet the patient’s needs and can replace one or more missing teeth. A natural appearance and speech clarity, and the ability to eat more efficiently are restored.
Partial Denture Types and Materials
Partial dentures are created from a metal and acrylic composition or completely out of acrylic. A patient’s specific needs and anatomy dictate the design of the partial denture. Every effort is made to construct a self-cleansing partial denture that preserves the remaining teeth and oral tissues.
We will design your partial denture so that the chewing forces are evenly distributed over the entire surface of the remaining teeth and soft tissues. Changes to your remaining teeth may be recommended to help equalize these forces.
Metal partials are generally preferred as they are structurally superior. They are thinner and more hygienic than acrylic partial. Acrylic partials are typically used as transitional or temporary partials. We will consult with you to determine the appropriate partial for your situation.
Benefits of Partial Dentures
A removable partial denture may help limit the movement of your existing natural teeth. They also allow you to grind better and chew food, improving digestion.
Advice and tips on caring for your dentures:
- Only your dental professional can diagnose your oral health and adjust your denture or partial.
- Dentures should be brushed inside and outside daily with a soft, large nylon denture toothbrush with round-ended bristles.
- Use denture creams instead of toothpaste, which are too abrasive and will scratch your denture. Rinse with cold water.
- Dentures warp if placed in hot water.
- Inspect your denture regularly for worn teeth.
- Worn and stained dentures can make you look older and cause your dentures to function poorly.
- Discuss all your current medications with your doctor and dental professional.
- Be sure to visit your dental professional regularly.
- Have loose dentures checked immediately, as they can cause friction and pressure on the gum tissues and bones.
- When not in use, cover dentures with water or a denture-cleaning solution to prevent them from drying out.
- Most dental insurance policies provide coverage for new dentures every five years.
Denture Exams and Maintenance
Your dentures are an investment and require care and attention to maintain their optimum performance. The fit of your dentures will profoundly affect your oral tissues and health. An annual examination at Texas Dental will help ensure your denture is functioning properly.
Medical and Dental History Update
Updating your medical and dental history with any significant changes is critical to maintaining your oral health and well-being. A variety of medical and dental conditions can alter a denture fit.
Annual Oral Exam
Annual examinations can assist in detecting oral abnormalities, including cancerous and pre-cancerous lesions. Early detection of these conditions is generally beneficial for treatment.
Tissue and Bone Assessment
Ill-fitting dentures may cause bone and tissue changes and must be corrected for oral health. Our practice can assess and recommend solutions to suit your personal needs.
Comfort, Fit, and Integrity of Dentures
An ill-fitting denture can cause bite problems, speech impediments, and tissue irritations and should be remedied. Leaving this condition unchecked can lead to complicated situations in the future. We can assess your dentures for cracks, chips, and broken or loose teeth and suggest solutions.
Denture Exam Overview
- Update of medical and dental history chart
- An examination of your oral cavity
- Tissue and bone assessment
- Denture stability and bite examination
- Cleaning and polishing of your denture
- Oral hygiene review
New dentures will typically fit your mouth very securely as it has been designed specifically for your gums. As time goes on, your gum tissues will change, and the denture’s fit will become looser and, thus, more prone to movement inside your mouth. Having the denture professionally relined every one to two years will keep the denture secure and functional.
Hard Denture Reline
All full dentures should have a hard reline every two years. Texas Dental removes a layer of plastic from the denture’s interior surface, then fills the denture with a putty-like material that conforms to the contours of your mouth, creating an accurate impression. The denture is sent to the lab, where it is adjusted to the new shape of your gum tissue. This results in maximum contact between the denture and your mouth.
Soft Denture Reline
Some patients cannot wear ordinary dentures because of tender gums or sore spots. Texas Dental may recommend relining the denture with a material that stays pliable for one to two years before needing replacement. This material is much less likely to give the patient sore spots than the standard hard reline acrylic. Patients experiencing these problems may also consider a more permanent solution of implant retained dentures.
A soft liner is a layer of a 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.
Permanent 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 suitable for patients with chronically sore gum tissues or gums with sharp bony areas.
Advantages of Soft Liners
- More comfortable to use
- Virtually all patients respond well to soft liner materials
- Easier chewing
- A proven technology with over 20 years of innovation
Soft liners require regular follow-up visits with us to examine the fit of dentures and general oral health.
If dentures have not been serviced in a while, a patient’s gums may be red, swollen, or misshapen. This creates problems in taking impressions for a new hard or soft reline and may lead to a denture that would perpetuate the problem.
A temporary or palliative (medicated) reline material may be recommended to allow the inflammation to subside. This reline makes the denture fit much more tightly and is usually soft and pliable. After a few weeks, the gums return to a more normal state. The patient is then ready for his new denture or hard reline.
Denture Rebase and Repairs
Rebasing may be recommended when the teeth of your denture are still in good condition and have not worn out compared to the base material. Rebasing replaces the entire acrylic denture base providing a stable denture without replacing the denture teeth. A rebase for a denture may be required if your denture is old or cracked. A rebase is very similar to relining, the difference being that a rebase replaces all the pink-acrylic denture base material instead of just the lining.
Reasons for the rebase procedure may include:
- Broken or damaged denture
- Weakened or old pink denture base
- Replacement of an immediate denture
Various circumstances can lead to a damaged denture and should be addressed immediately. Repairs restore a fractured or damaged denture close to its original condition. Texas Dental can often provide denture repair procedures on a same-day basis. We will advise you of the condition of your denture and will recommend steps needed to prevent further breakage.
Restore Your Full Smile
Receive dentures at Texas Dental today. Contact us at 972-636-4522 or schedule a dental consultation online.