Prosthodontics

Dentures (Complete Dentures and Removable Partial Dentures)

A denture is a removable dental appliance used to replace missing teeth and surrounding tissues. They are made to closely resemble your natural teeth and restore the function. There are two types of dentures – complete and partial dentures. Complete dentures are used when all the teeth are missing and patient is edentulous. While partial dentures are used when some of the teeth are missing. Partial dentures not only replace the missing teeth and fill the space, it also prevents the adjacent teeth from shifting.

A complete denture may be either Conventional or Immediate. Usually the gums take around 4 to 6 weeks to heal after extraction, which might leave the patient without any teeth till a Conventional denture can be fabricated. To overcome this problem, immediate dentures are made in advance and immediately placed after the teeth are extracted. This prevents the patient from being without teeth during the healing process. Dentures are very durable appliances and will last many years, but may have to be remade, repaired, or readjusted due to normal wear.

Reasons for dentures:

  • Complete Denture - Loss of all teeth in an arch.
  • Partial Denture - Loss of several teeth in an arch.
  • Enhancing smile and facial tissues.
  • Improving chewing, speech, and digestion.

What does getting dentures involve?

The process of making a denture usually requires several appointments and may take couple of weeks to finish. The process begins with care examination and treatment planning. Highly accurate measurements of both the jaws are made to create a custom denture. Several appointments are necessary to ensure proper shape, colour and fit of your denture. At the final appointment, denture is precisely adjusted and placed, ensuring a natural and comfortable fit. It is natural to feel some soreness immediately after the denture is placed. You might also experience increased saliva flow, difficulty in speech and chewing. However, this will subside as your muscle and tissues get used to the new dentures.

Caring for your dentures

  • Do not use toothpaste since it can be too harsh for cleaning dentures.
  • Some people use hand soap or mild dishwashing liquid to clean their dentures, which are both acceptable. However, most household cleaners are too abrasive and should not be used for cleaning dentures.
  • A denture cleaner should be used as recommended by your dentist.
  • When cleaning a partial denture, it’s a good idea to stand over a folded towel or a sink of water just in case you accidentally drop the denture.
  • Brush the denture each day to remove food deposits and plaque. The helps the denture from becoming permanently stained.
  • It's best to use a brush that is designed for cleaning dentures because it has bristles that are arranged to fit the shape of the denture.
  • A regular, soft-bristled toothbrush is also acceptable.

 

  • Avoid using a brush with hard bristles, which can damage the denture.
  • Clean your dentures by thoroughly rinsing off loose food particles. Moisten the brush and apply the denture cleaner. Brush all denture surfaces gently to avoid damaging the plastic or bending the attachments.
  • A denture could lose its proper shape if it is not kept moist. At night, the denture should be placed in soaking solution or water. We provide you with a denture box and instructions for keeping your dentures in good shape.
  • Don’t chew, swallow, or gargle with denture cleansers. Always thoroughly rinse the denture before placing it in your mouth.

Proper cleaning of your new dental appliance, good oral hygiene, and regular dental visits will aid in the life of your new dentures.

 

 

Porcelain Fused To Metal

While all-porcelain crowns provide the most aesthetically pleasing result when it comes to restoring severely damaged teeth, porcelain fused to metal crowns are the treatment of choice for many crown applications.  We use Captek (gold under porcelain) crowns for maximum strength, durability, and superior aesthetics.

 

Porcelain fused to metal crown technology has come a long way in the last several years. Many of our patients with older crowns are having them replaced with all-porcelain crowns or porcelain fused to metal crowns. The latest Captek crowns have done away with the dreaded “black line” (an unsightly line that develops around the gum line) that has plagued traditional dental crowns for years.

 

Why Porcelain and Gold?

 

Porcelain is aesthetically superior to traditional crown materials, offering the most natural-looking restorations available today. Porcelain can be precisely color-matched to your surrounding teeth. Most importantly, its translucence can also be matched to your surrounding teeth. Tooth enamel is not a consistent, solid shade of white. Each micro layer of tooth enamel is partly see-through. This is an issue because the inner layers of your teeth are not the same color as your outer layers. In order for a tooth crown to look natural, it must be able to mimic both the color and translucence of the teeth surrounding it. Modern porcelain technology has made this possible in the hands of a master lab technician.

 

Gold has been the restorative metal of choice for many years due to its strength, malleability, and resistance to temperature-caused expansion and contraction. For this reason, porcelain fused to metal crowns are ideal for rear teeth restorations. This is because the back teeth must withstand a much higher amount of pressure than the front teeth. Although porcelain is extremely durable, it is not as strong as a porcelain fused to metal crown. Porcelain fused to metal crowns look every bit as natural as all-porcelain crowns, but are a bit more expensive due to a more involved manufacturing process as well as the added expense of gold.