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Dentures:
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Dentures are
full-mouth false teeth, which
are used when a patient has
no teeth left on either the
mandibular arch, the maxillary
arch, or both.
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Patients
can become entirely edentulous (without
teeth) either due to ineffective oral
hygiene or trauma. Removable complete
dentures can help give the edentulous
patient better masticatory (chewing)
abilities, as well as enhance the esthetic
appeal of their lips in specific and
their entire face in general.
Removable
partial dentures are for patients who
are missing only some of their teeth
on a particular arch. Fixed partial
dentures, better known as crowns and
bridges, are also for patients missing
only some of their teeth, but these
are more expensive than removable appliances,
and they are contraindicated in certain
instances
Dentures
The
Problem:
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Some or all
of the teeth are missing
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The inability to chew well
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Less youthful appearance: cheeks sinking
in, lips thinning, chin jutting out
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The shifting of teeth resulting in
bite problems
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Increased stress on the remaining
teeth
The Solution:
A
denture is a removable replacement
for missing teeth and adjacent
tissues. It is made of acrylic
resin, sometimes in combination
with various metals. Complete
dentures replace all the teeth
in a jaw and fit directly on the
gums and supporting bone. Complete
dentures can also be made to attach
to dental implants. Partial dentures
fill in the spaces created by
missing teeth, resting partly
on the gums and partly on the
remaining teeth. |
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Advantages:
Whether
some or all of the natural teeth are
missing, there are several benefits
from replacing them with complete or
partial dentures. Replacing missing
teeth helps to fill out the smile by
giving support to the cheeks and lips.
Also, a more youthful, vibrant appearance
is achieved by supporting facial muscles.
Speaking, chewing, swallowing and smiling
are also improved. Partial dentures
prevent teeth from shifting into the
spaces created by the missing teeth.
This helps prevent bite problems and
decreases the likelihood of gum disease
that is often associated with crooked
teeth.
When
a denture is attached to dental implants,
especially the lower denture, its retention
and stability are dramatically improved.
Also, the bone loss that occurs yearly
with complete dentures is avoided.
Disadvantages:
Some possible inconveniences that are
associated with a removable appliance
such as a partial or complete denture
include: the fact that it is not fixed
in the mouth and therefore must be removed
while sleeping and to clean, some chewing
movements may dislodge the denture,
and the possibility of developing sore
areas where the denture contacts the
gums.
Alternatives:
Depending on how strong and where the
remaining teeth are located, an alternative
to a partial denture is a fixed bridge
or dental implants. Dental implants
can also be used as an alternative to
complete dentures. Bridges, dentures,
and crowns in various combinations can
be placed on one to several implants
to replace any number of missing teeth.
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