Dentures
A removable option to replace missing teeth.
Why choose dentures?
If you have multiple missing teeth and want to have a replacement option that is budget friendly, dentures are normally the choice to go to. Other than being budget friendly as a reason to choose dentures over fixed options, a person suffering from gum disease and poor oral hygiene, is also another candidate for dentures. As fixed options, tend to need strong bones and teeth for the treatment to become successful, the dentist will normally suggest a removable option such as dentures first while managing your gum disease and poor oral hygiene. Once your gum disease stabilizes and oral hygiene improve, only then will the dentist suggest fixed options such as dental implants or crown & bridges.
Immediate dentures
Immediate dentures are express dentures that are given to the patient on the day the diseased tooth is removed. It usually requires 2 visits. The first visit being where the dentist will take an impression and bite registration of the teeth. The diseased tooth will only be removed on the second visit when the denture is done and can be fitted into the patient's mouth.
There are other options available for emergency cases that requires an immediate tooth replacement. One such option is an instant bridge that uses a flexible resin reinforced fibre attached to neighbouring teeth to hold the replacement tooth, build up from restorative dental fillings.
What are the advantages and disadvantages?
Disadvantages:
Need to be removed and cleaned daily especially after meals
Cannot be worn at night, as it will lead to gum inflammation or fungal infection. Must be removed, cleaned and stored in water at night before sleep.
May feel anxious if denture is loose or if denture accidentally drops out during eating or talking.
Will need time to adjust to the new dentures, especially for first time denture wearers.
Plastic dentures may fracture if dropped too many times on hard surfaces or if you accidentally bite on something hard. (Metal framework dentures or flexible dentures are less prone to fracture)
Accumulation of food around the borders of the denture can lead to cavity formation on existing natural tooth surfaces and the occurrence of gum disease.
Dentures may become loose with time as the jaw bones tend to shrink in height and width especially after the removal of a tooth. To preserve bone height and width, dental implants are normally advised after a removal of a tooth.
Advantages:
Budget friendly
Can add on tooth if another tooth is removed in the future. ( Case dependant: Only for certain framework material such as plastic dentures, or certain flexible dentures, Only for cases where the denture framework extends to site of missing teeth, not for cases where there are too many teeth removed since the denture was completed.)
No trimming of neighbouring teeth like dental bridges need to.
Steps or procedure for denture fabrication.
Getting it done.
The dentist will first assess your overall teeth condition.
After addressing any issues and concern, an impression of your teeth will then be taken along with the shade of your denture teeth that best matches your neighbouring natural teeth or best matches you.
A bite registration ( how your teeth bite together as a unit ) will then be taken to help ensure that the denture that is fabricated bites together harmoniously with your other existing teeth. This is usually taken along with the impression.
*For patient's who have no teeth biting against each other anymore or for patient's who have no teeth remaining, usually the dentist will schedule for you a second visit for this step. As he will need to take extra measurements and bite registration to ensure that you will be comfortable with your new set of teeth.For full mouth denture cases and for more complex denture cases a secondary impression will usually be taken along with the bite during the second visit.
After the impression and the bite registration have been send to the lab, the lab will then prepare a try in denture made out of teeth that is supported by wax for you to do a try out. During the try out of the denture, the dentist will check the shade of the teeth and also the bite of your teeth. If it is satisfactory only then will the denture be send back to the lab to be completed fully.
*If there is any dissatisfaction of the bite, the dentist may reschedule you another visit for a try out again.Once the denture has been completed by the lab, the dentist will then schedule another appointment for you to come in to receive the dentures. During this visit, the dentist will usually have to do some adjustments to the denture so that the it can be fitted into your mouth. The dentist will then guide you on how to place and remove the dentures. Oral hygiene denture care will also be given.
Usually you will need to come in a few visits for final refinement and adjustment of the dentures after trying it out for a few days.
It usually requires 3-4 visits for a denture to be completed.
Caring for your dentures.
It is important to have optimal hygiene care when you are wearing a denture as cavities can form on your existing teeth and gum disease can occur due to food accumulation around the borders of your dentures.
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