Dr. Zach Prosthodontist
Northern Catskill Dental
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Dentures

DenturesAre you experiencing problems with your dentures? Are you about to get dentures and wish you knew more about them? Maybe you know someone that is having a difficult time managing his/her false teeth. If you fit into any of these categories, we can help.

The following describes various denture problems and solutions.

Dentures That Do Not Fit Well

Patients tell me all the time that they know of someone who is having a difficult time with dentures. They slip, they fall out, they are a pain in the neck! Many people just put up with it and assume nothing can be done. After all, they are just plates - what more can be done except to put more goop in them and put up with the sore areas! I deal with these types of problems on a daily basis and can assure you that many of these situations can be corrected.

Reasons for Denture Problems

There are many causes for dentures not fitting or functioning right. Loss of jaw bone, change in weight, wear of the denture and denture teeth, change in the bite, poor workmanship/technique on the part of the dentist/technician. These are just some of the obvious problems associated with dentures.

Often patients will wait before seeing a dentist and use over-the-counter pharmacy products in hopes of making do. Unfortunately, damage to the underlying bone may result from ill-fitting dentures. Also, a malocclusion may develop, which may be hard to correct later.

Using or abusing denture relines and adhesives in poorly fitting dentures is not a good plan. Although these products work well in the short run, overuse just prolongs the problems.

Solutions

Have your dentist carefully evaluate your dentures and check for obvious signs of poor fit, poor bite and overall jawbone health. Sometimes a temporary or permanent reline is needed to increase retention. Sometimes a whole new denture is needed! And sometimes, nothing can be done because the patient has lost too much jawbone where the denture rests. In this situation, the patient may elect to use adhesive and keep going as is, or consider dental implants as anchors to keep the denture secure. The most important thing to remember is - see your dentist if your dentures are giving you problems - don't suffer in silence!

Immediate and Permanent Dentures

Dentures
Dentures
Examples of actual dentistry
performed and photographed by Dr. Zacharczenko.

Okay, so you are ready to get dentures; now what? Do you have to go toothless for weeks and weeks, or is there a better way?

If you have teeth that need to be extracted, an immediate denture may be indicated for you. Simply put, it is a denture that is made before your teeth are extracted and immediately put in your mouth upon the extraction of your teeth. This is an excellent service, because it gives you teeth right away! It has to be relined and adjusted by your dentist later on to compensate for your changing jawbone but at least you have teeth! The other way is to have your teeth extracted, wait weeks and weeks and then have a denture made.

A permanent denture is usually made after all the bugs are worked out of the immediate denture. By this time, the patient will know what kind of look and feel he/she wants. A permanent denture is then made, leaving the immediate as a backup.

Are all dentures the same?

No! When it comes to denture acrylic and teeth, you get what you pay for. There are bargain basement dentures and there are the top of the line dentures. The difference; top of the line dentures have the most esthetic and durable denture teeth and the best acrylic, which is usually thin, strong, durable and lifelike. The best denture teeth alone can cost as much as a complete bargain denture. The cheap dentures may fit well, but will usually wear out quickly.

Prosthodontics Prosthodontics Prosthodontics
Before - Cleft Palate
Partial Upper Denture
Beautiful!

Partials, Overdentures, Semi-precision Dentures, "Flippers"
Partial
Before*

Partial
After partial denture added*

*Actual dentistry performed and photographed by Dr. Zacharczenko.

Partial dentures are usually made with a metal framework with thin clasps that go around the remaining teeth. A partial denture is more secure than a full denture but few patients enjoy wearing them. They are removable.

Overdentures are dentures that rest over remaining prepared teeth in addition to the jawbone. These kind of dentures afford the patient increased retention and stability.

Flipper Dentures

"Flipper" dentures are correctly called transitional dentures because they are supposed to be temporary. They are usually without clasps and are meant to tide the patient over until a bridge or other permanent dentistry can be done. Unfortunately, these temporary dentures often become permanent. Don't let it happen to you!

Semi-precision and precision dentures are specialty dentures with sophisticated interlocking pieces to fit into special bridgework. They offer high retention and cost.

 

Implant Retained Dentures

LocatorThis type of denture has given a whole new meaning to successful dentures. Every single patient I have treated with implant supported dentures has raved about the outcome. More comfort, better chewing, extremely better stability and support, and no slippage!

Provided there is adequate bone, dental implants, followed by a denture are often an excellent way to restore a difficult and complicated loose denture situation!

An oral surgeon or periodontist is usually involved in placing the actual implants. Then a general dentist or prosthodontist completes the denture using the implants as retention points to firmly secure the denture in the mouth. The dentures can be made removable or screwed down to the implants for even more stability.

Implant retained dentures are usually done for patients with little retentive jaw bone; the denture literally has nothing to grip onto. If you decide to go this route, be prepared to visit multiple specialists and be patient. Implant dentistry is often involved but the rewards are HUGE.

"We Specialize in Restoring Smiles"

*All work performed and photographed by Dr. Nicholas Zacharczenko

Member ADA 2010


 

(607) 547-2313 

©2013 Nicholas Zacharczenko, D.D.S. All rights reserved.