Modern
dentistry recognises the many benefits that a smile can give. Patients can now
gain a boost to their confidence, self-esteem and well-being by the successful
restoration of the mouth by a well-constructed denture.
These
benefits are enhanced by the partnership between the patient, dentist, dental
practice staff and laboratory technician. For the outcome of treatment to
be satisfactory, all of these important people must work in harmony, with the
same goal of achieving outstanding success.
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Complete dentures are used to replace teeth when there are
no natural teeth remaining. The teeth are made from preformed natural shade
acrylic, and come in many sizes, shapes, and natural colours. They are
processed onto a custom made acrylic base, which is made to intimately and
comfortably fit the gum tissue in the mouth.
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A
partial denture is a removable appliance that replaces missing teeth, in an
otherwise healthy mouth. It is held in place by a combination of support from
the gums and often by the use of small clasps, which locate the denture to the
existing teeth. It is vital that these teeth are healthy to support your
denture. Often they need treatment before making the partial denture so that the
fit is enhanced.
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A
partial can restore the appearance and function to your mouth. Following tooth
loss, you may find it difficult to chew. The partial can give you back much of
this function, though not as much as natural teeth. A partial denture can also
help stabilize your remaining teeth. This stabilization can minimize tooth
drift, bite changes, and gum problems.
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Making
a quality denture, either as a complete set to restore the upper and lower jaw,
or as a removable partial denture, usually takes six appointments. Every patient
presents with a unique and individual shape to their oral tissues and the
relationship of their upper and lower jaws. Each patient also has unique
aesthetic requirements depending on the size, shape, and tone of their face and
jaws. Each of these appointments is crucial for a final denture, which looks,
fits and works successfully:
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A complete exam of jaws and soft tissues inside and outside the mouth.
Oral cancer screening.
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An impression is made to the denture bearing areas of the mouth.
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A highly accurate impression is taken using a custom-made impression tray.
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Wax rims on plastic bases are used. Wax is altered to establish the proper bite
and orientation of the denture teeth for the laboratory. Shape, size and shade
of teeth is selected.
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Try-in stage. At this point, I will have set up the acrylic teeth into the wax
rim, so that the appearance and function can be assessed with the patient.
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Final denture. The dental technician at the dental laboratory has now processed
the acrylic teeth onto a hard, tissue coloured acrylic base. Adjustments are
made to achieve a comfortable denture fit and biting pattern at the chairside.
A follow up appointment is arranged to check and adjust the dentures after they
have been worn for a time.
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In
general, two materials are routinely used in the construction of dentures.
Firstly acrylic resin, which used for both the denture teeth and the
base. This is tinted to achieve a good natural
colour. Secondly, a thin but strong metal known as Cobalt-Chromium.
The metal is regularly used for the construction of a removable partial denture
framework, where strength is an important consideration to the patient. It also
gives a firm fit to a denture against the teeth. Once the framework has been
tried in the mouth, it is covered by the acrylic resin to give the natural
appearance of the teeth and supporting gum.
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