Dentures Treatment,Tooth Replacement
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This section provides interesting reading on Dental Glossary & Tips as well, for all age groups.
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Dentures
Dentures (or ‘false teeth’) are removable replacements for missing teeth. There are several standard forms of tooth replacement in modern dentistry. A full denture is made to restore both the teeth and the underlying bone when all the teeth are missing in an arch. Dentures can dramatically improve a person’s appearance and oral health. Dentures are molded specifically to the shape of an individual’s mouth. They mimic the color and appearance of your natural teeth. They can be partial, as in cases where one or some of the teeth are missing. People's mouths change gradually and unnoticeably over the years and over time may require replacement of your dentures.

Changes in your mouth may require the need for replacement dentures even though you may consider your current dentures to look fit and fine. These gradual changes may be compared to your eyeglasses and the frame, but not as much to the vision/sight. Dentures are very much the same and must be considered for a change anywhere between seven to ten years. Your general health, weight, nutrition, blood pressure, and strength of your bite, medication you are taking: all these factors and more can influence the fit and comfort of your dentures. Complete dentures are best made of acrylic (plastic). Partial dentures can also be made wholly of acrylic. Alternatively, they can consist of acrylic teeth on a light metal alloy base: this type of partial denture is more secure and less bulky, but also more expensive.

Full or Complete Dentures:

Full dentures (or 'false teeth') should be comfortable and painless. Tooth loss in itself is a symptom of disease or can simply be the result of the aging process. Regardless of its cause, living without teeth not only damages your appearance but can also be detrimental to your health. It is important to choose the dentures that are right for you, and to keep your dentures clean and your mouth healthy. Full dentures are meant for patients who have lost all of their teeth. The unique impression of your teeth, bite, and the shape of your jaw shape will be used to create the dentures. Specially molded dentures slip over the gums and fit the specific contours of the patient's mouth.

Complete dentures have an acrylic (a special plastic) base that rests against the gum tissue and either acrylic or porcelain teeth. Complete dentures are held in place by the adaptation of the base to the gum tissue. Many people require the use of adhesives to give additional retention.
Full dentures aid chewing, improve speech, and help to keep the mouth and surrounding facial area in correct alignment. Thankfully, modern advances have made it almost impossible for the average person to differentiate between full dentures and natural teeth. Typically, conventional complete dentures require a one-to-two month wait after the extraction of your teeth, so that your mouth and gums will have time to heal, permitting a more accurate fitting. However, if you cannot afford to be without the missing teeth even for a short time, dentures can be inserted immediately after the extraction. Over time your mouth will change, but your dentures will not. The jawbones and gum can shrink or recede. You can have your dentures remade or refitted when necessary.

For the sake of appearance following removal of affected natural teeth extractions, most people want and are able to wear the temporary appliances, called an Immediate Denture. Your immediate denture not only helps you to feel comfortable with your appearance, it may also help in the healing process of your gums. If periodontal problems are not of any serious nature, the dentist may encourage you to wear your new denture immediately after extractions. In most cases it will assist with healing by acting as a band-aid to help control bleeding, and minimize discomfort when the swelling subsides. Before immediate dentures are worn, a mold of the patient’s mouth – specifically the jaws – must be made in order for the dentures to be customized for the individual.

Styles on offer:

Dental Care India Tour panel Prosthodontists provides the best and most affordable dentures. The range of choice is three styles of dentures, each style having its own distinct advantages and sub range.

Economy Denture is the most affordable denture and is selected by many patients. It is processed by the on-site lab and individually fit for you. The process involves the dentist and lab technician to determine the size, shape and look of the teeth, based on individual needs.

Custom Dentures involves using more expensive teeth for natural-looking denture. Denture teeth are set in a wax base for your trial to ensure its proper looks before it is completed. You may get the changes made as it may suit you. After you have approved the look of your Custom Dentures, the labs will custom finish your denture in the permanent acrylic base material. It's like designing your own smile!

Premium Dentures are the most natural-looking dentures. They are made with the best denture teeth available, resistant to wearing down and do not stain easily. As with the Custom Denture, the process followed for these is also the same.

PARTIAL DENTURES:
For some people, partial or removable dentures, also sometimes called ‘overdentures’, are the most suitable option available for replacing absent teeth. Partial dentures, which are kept in place with metal or tooth-colored clasps, aid chewing, prevent sagging of the cheeks and lips, and improve speech. Modern advances have made it almost impossible for the average person to differentiate between dentures and natural teeth. They are designed to fit over a small section of implants or natural teeth can be attached either by metal clasps or precision attachments. Some clasps, which can be more expensive, are made of natural-looking material that is hard-to-detect. Precision attachments require crowns to be put on the remaining abutments teeth that hold the partial dentures in place. These supporting teeth must be in good health.


Types of partial dentures:
Broadly there are two types of partial dentures - Cast Metal and Acrylic partials.

Cast Metal Partial

The Cast Metal partial denture is the best partial denture, and is stronger, less bulky and offers the best fit. The Cast Metal partial is fabricated using a metal framework to which the on-site laboratory will attach higher-grade denture teeth. Some of our panel Prosthodontists needs coordination with an outside laboratory that makes special metal framework for the partial denture.

Other Partial Dentures
Acrylic partial dentures are a more affordable partial. The Economy partial has an acrylic base upon which the teeth are set and is attached to natural teeth with small metal clasps.
A Custom or Premium partials are also available with the more expensive teeth.

Implant-Supported Denture
Many who wear dentures know that keeping them in place is often difficult, especially for those with lower dentures. Dental implants can stabilize existing dentures, putting an end to dentures that slip out of place or move while you are eating or speaking. Implant-retained dentures are anchored in place, feeling and acting more like your natural teeth.

An implant-supported denture is a type of overdenture that is supported by and attached to implants, while a regular denture rests on the gums. An implant-supported overdenture attached to implants fits firm while the regular denture tends to fit less firmly in the mouth.

When a person doesn't have any teeth in the jaw, but has enough bone in the jaw is a good candidate for implants. An implant-supported denture has special attachments that snap onto attachments on the implants. Implant-supported dentures usually are made for the lower jaw because regular dentures tend to be less stable there compared to upper jaw. However, you can receive an implant-supported denture in either the upper or lower jaw.

Two surgeries usually are needed — one to place the implants in the jawbone under your gums, and a second surgery three to six months later to expose the tops of the implant. A one-stage procedure is now used sometimes. In this procedure, your dentist can place the implants and the supporting bar in one step. The success rate of this procedure is high. However, it is moderately less successful than the more conventional two-stage procedure.

There are two types of implant-supported dentures: bar-retained and ball-retained. In both cases, the denture will be made of an acrylic base that will look like gums, with porcelain or acrylic teeth that look like natural teeth attached. Bar-retained dentures require at least three implants. Ball-retained dentures need at least two.

Bar-retained dentures
require at least three implants. A thin metal bar that follows the curve of your jaw is attached to two to the number of implants that have been placed in your jawbone. Clips or other types of attachments are fitted to the bar, the denture, or to both. The denture fits over the bar and is securely clipped into place by the attachments.

Ball-retained dentures need at least two. Each implant that has been placed in the jawbone holds a metal attachment that fits into another attachment on the denture. In most cases, the attachments on the implants are ball-shaped ("male" attachments), and they fit into sockets ("female" attachments) on the denture. Alternatively, these attachments are reversed, with the denture holding the male attachments and the implants holding the female ones.
You can read more details in our section Dental Implants.

Care of your denture:
Dentures today are made from very advanced materials designed to give you a natural appearance.

Just like natural teeth, dentures need to be cleansed of plaque, food particles and other debris. Keeping your dentures in top shape will also help keep the soft tissues of your mouth healthy; an unclean or malformed denture can cause infections and irritation.

Remember to rinse and brush your dentures after every meal, and soak them in denture solution overnight. This also allows your gums to breathe while you sleep.

However, keep in mind that just like your teeth, dentures should be cared for with diligence. This means daily brushing and regular visits to your dentist for minor adjustments.


Here are some simple techniques for keeping your dentures clean:

  • Hold your dentures gently to avoid loosening a tooth.
  • Clean your dentures with cool or tepid water over a water-filled sink. Hot water may warp a denture. A small washcloth placed in the bottom of the bowl will ensure that your denture isn’t damaged if it falls.
  • People can brush their dentures in a variety of ways. Some people use soap and water or a slightly abrasive toothpaste. Popular denture pastes and creams also can be used.
  • Avoid using highly abrasive chemicals or pastes, or vigorously brushing with hard bristled toothbrushes. These can scratch or even crack dentures.
  • Use a separate toothbrush to clean your natural teeth. In lieu of a toothbrush, a soft washcloth may be used for gums.
    Over time, even daily care of your dentures may require them to be cleaned by the dentist. A powerful ultrasonic cleaner may be used to remove hard accumulations of tartar and other substances.
  • Soak your dentures overnight in any commercially available product like Efferdent or Polident and remember to rinse your dentures before placing them back in your mouth.
    * Leaving the dentures out overnight allows the mouth to rest, gives tissues a chance to recover and regenerate, and prevents fungal infection
Note: Today high quality acrylic resins are used in the making of artificial teeth, and are much stronger, more attractive, and wear resistant than was once possible. They easily last between five and eight years. Porcelain is also used as a tooth material because it looks more like natural tooth enamel. Porcelain is used particularly for upper front teeth, which are the most visible. However, the pressure of biting and chewing with porcelain teeth can wear away and damage natural teeth. Therefore, porcelain teeth should not be used in partial dentures where they will contact natural teeth during chewing.

Know the making of dentures:



Byproducts/Waste:
Large quantities of wasted materials are not generally produced since dentures are hand crafted and not mass-produced on a production line. There is also little excess of the acrylic resins used in crafting the teeth and mounts. Denture manufacture generates little waste of gypsum and plaster materials used in mold making.




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Statutory Warning: The information is intended to help you better understand dental conditions and procedures and should not be construed as specific medical advice or recommendation. The general information provided here is not a substitute for a consultation with the dentists. Only personal discussion of your individual needs with a professionally qualified doctor / dentist will determine the best method of treatment suitable for you.
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