Advanced Dentistry

We all hope our natural teeth will last a lifetime. But when this isn’t possible, dental professionals can offer a number of options to restore oral function and appearance. Thanks to advances in polymer science, the vast majority of dentures are now made with extremely high-quality, durable plastic, and are stronger, more comfortable, and more natural looking than ever before. In short, these are not your grandmother’s dentures!

Denture Basics
A wide variety of dentures is available for individuals who are missing some or all of their teeth. Complete dentures replace all of the teeth on the upper and/or lower jaw and rest on the gums that cover the jawbone. These dentures can be made more secure when attached to one or more tooth roots (overdenture) or to dental implants (implant overdenture). Some implant overdentures can be removed by the wearer and others can be removed only by a dental practitioner.

Partial dentures replace only some of the teeth and attach to the remaining natural teeth with clasps or mechanical components known as attachments (precision and semi-precision partial dentures, also called attachment partial dentures.) Your dentist or prosthodontist (a dentist who specializes in restoring and replacing teeth) will help you decide what type of denture and treatment plan are best for you.

Denture Types Denfined
Conventional dentures: Replace all missing teeth in a jaw and rest on the gum tissue Conventional overdentures: Replace all missing teeth, rest on the gum tissue, and are also supported with attachment to one or more tooth roots Implant overdentures: Replace all missing teeth in a jaw and connect to surgically placed dental implants Conventional partial dentures: Replace some missing teeth and are held in place with clasps that wrap around adjacent teeth Precision and semi-precision partial dentures (also called attachment partial dentures): Replace some missing teeth and are held in place with mechanical components called attachments

Getting your Dentures: The Process

• The types of treatments needed before dentures can be placed and the amount of time those treatments take will vary depending upon a person’s overall oral health, the number and location of missing teeth, and the type of denture selected to replace those teeth. These treatments can include:
• Impressions or molds of the contour of the mouth, used as a model for the denture
• Extractions to remove any unhealthy teeth
• Implant surgery for those receiving implant overdentures
• Adjustments to achieve the best fit and level of comfort once dentures are placed.

Individuals who require extractions or implant surgery will need to wait several weeks for the mouth to heal before dentures can be placed. For some people, a temporary or “immediate” denture can be placed in the mouth on the same day extractions are performed, and worn until the permanent denture is fitted.

What to Expect: Getting Used to Your Dentures
It takes some time to get used to the feeling of dentures in your mouth, after which you should be able to comfortably eat, speak, and smile. The following is normal when complete dentures are initially placed in the mouth:

• A feeling of fullness in the mouth, face, lips, and/or cheeks, which will subside quickly.
• Temporary minor changes in speech sounds, which will be more apparent to you than to others.
• Tip: Speaking slowly and enunciating precisely helps the tongue and facial muscles adapt more quickly.
• Changes in chewing patterns while getting used to the jaw movements required for chewing with dentures, which may take several weeks.
• Tip: Start with small pieces of soft food, gradually increasing the food’s firmness, and chew food on both sides of the mouth simultaneously with only your back teeth. A small amount of denture adhesive may help to stabilize your dentures.

Dental implants are becoming an increasingly popular method for replacing missing teeth. In this procedure, titanium supports are surgically fused with your jawbone, and act as an anchor for naturally looking false teeth. Dental implants are not only used for individual tooth replacement, but can also be used when replacing multiple teeth as an alternative to dentures.

Advantages of dental implants

• Implants are extremely natural looking
• Fusion of the implants into your jaw make them very stable and comfortable compared to traditional dentures
• They last a lifetime

Disadvantages of dental implants

• Implants are expensive and a major financial investment
• The process of getting implants can be time consuming and requires multiple visits to the dentist
• There is a chance the surgery fails (roughly 5% of the time)

Types of implants
Your dentist will be able to tell you which of the three types of implants is right for you:

• Root form implant: This is the most common type of implant where the screw is shaped like the root of a tooth.
• Plate Form Implant:A plate form implant has a flat and long shape and is better suited for a narrow jawbone.
• Subperiosteal Implants: In some cases where there is not enough bone width or height for the root form or plate form implant, a subperiosteal implant may be prescribed. This type of implant is designed to sit on top of the bone, but under the gums.