Denture

If you do not have any of your natural teeth left then you will benefit from having dentures as they provide structure to your smile and prevent surrounding facial muscles from sagging. If all your teeth are missing then a complete denture is required whereas if only a few teeth need replacing, then a partial denture or over-denture can be used. Partial dentures can prevent your existing healthy teeth from shifting following tooth loss.

Types of Denture

There are three types of dentures:

Conventional Denture: This is a full removable denture and placed when the rest of teeth are removed and gum and tissue is healed.

Immediate Denture: This type as the name suggests is placed immediately on the same day after all the remaining teeth are removed.

Over - Denture: At times it’s possible to use the remaining teeth to provide support for denture. In this case over-denture is used. If there is no teeth remaining, dental implant can perform the support function.

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Implant Supported dentures

If you’re missing all of your teeth in the upper or lower jaw, a permanently anchored dental implant bridge or a removable prosthesis, which is connected to two or more dental implants, is the right solution for you. This is called an overdenture. This type of denture remains in place more firmly than a conventional removable prosthesis.

Advantages of implant-supported full bridges and implant-supported dentures over conventional dentures:

Reduced bone loss: Implant-supported dentures and full bridges will replace some of your tooth roots, therefore help to save the jawbone. Dental implants bond with your jawbone, helping to keep the bone healthy and intact. With conventional dentures, bone slowly starts to disappear, and over time it may have an impact on the shape and form of the jaw. Over years, the denture may need remodelling so that it fits the changing shape of the jaw.

Improved function: Dental implants become part of you as they integrate completely with your jawbone, restoring chewing and biting function. The result is increased comfort and confidence when eating and speaking. With bone loss it become increasingly difficult to stabilise the denture and causes the denture to move and slip. Irritation and inflammation are common among denture patients. The remaining bone may not be enough to protect the jaw nerves from the pressure of biting and chewing. This type of pressure may cause extreme pain and discomfort.

Improved dental hygiene: Dental implants like your natural teeth need just regular brushing, flossing and dental hygiene visits. The cement holding bridges in place can wear off, allowing bacteria to penetrate and cause decays.

No need for drilling and damaging health teeth: Implant-supported bridges replace teeth without support from adjacent natural teeth. Fixed bridges or removable partial dentures are dependent on support from adjacent teeth.

Improved dental hygiene: Dental implants like your natural teeth need just regular brushing, flossing an dental hygiene visits. The cement holding bridges in place can wear off, allowing bacteria to penetrate and cause decays.

Improved appearance: In the long term, implants can be more aesthetic and easier to maintain than conventional dentures. The loss of bone that accompanies conventional dentures leads to recession of the jawbone and a collapsed, unattractive smile.

Implant denture - surrey dentist

Implant Supported Denture Procedure:

Step 1: Dentist makes a small incision to access the jawbone. Dentist will then drill a small hole and insert the implants, which look like screws. The incision is closed, and 3 - 6 months is given for the bone and implants to bond together. This process is called "osseointegration". During this period, your dentist will prepare temporary tooth replacements that are purely cosmetic.

Step 2: For a permanently anchored dental implant bridge, several dental implants are installed to form a good foundation. Because the dental implants are anchored in the jawbone, they stimulate the bone tissue and help to maintain healthy bone levels and facial structures. An overdenture involves installing two or more dental implants that will be used as a secure foundation to attach the prosthesis.

Step 3: The abutments are attached to the dental implants and the bridge is fitted in place. All dental work is performed according to your prerequisites and wishes. For the overdenture, either ball abutments or a small bar between the abutments are used. The prosthesis is fitted with corresponding devices underneath.

Step 4: The dental implant bridge, or the overdenture, is now in place. It looks and functions like normal teeth. You can now eat whatever you like and laugh without having to worry about the prosthesis falling out.

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Over-Denture (Telescopic Denture / Precision chrome denture / German Denture)

As previously explained, if only a few teeth need replacing, then a partial denture or over-denture can be used. One popular type of over-denture is Telescopic denture.

Telescopic Denture

Telescopic denture also known as Precision chrome denture or German denture as the technology was developed in Germany. They are one of the most successful types of dentures today. It’s a technology that is rarely used in UK but it is widely practiced in Germany, Switzerland and Sweden.The procedure requires at least two healthy teeth that are suitable for crowning. Telescopic crowns comprised of two sets of crowns.

The primary crowns or carps are made of precious or non precious alloys that will be cemented on the already prepared teeth or previously placed implant. The secondary sets of crowns that slips

over the primary crowns are part of the removable Precision chrome denture that holds the acrylic teeth that replace the missing teeth.The best result are to be expected when the two sets of crowns, primary and secondary are made from gold. Removing and inserting the denture for the hygiene maintenance is easy.

over-denture

over-denture

over-denture

 

 

If there is no teeth remaining, dental implant can perform the support function for the denture. Read more on Implant dentures.

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Conventional Denture - Immediate Denture

Conventional dentures are made after the remaining teeth have been removed, and the gum has healed. The denture can be placed about 8-12 weeks after the teeth extraction. Conventional denture can be partial of full denture.

Unlike conventional dentures immediate dentures are made prior to teeth extraction and placed in as soon as teeth are removed, therefore patient will not be without teeth during healing period. Despite that since the bone and gum will shrink particularly during the healing period the immediate denture needs constant adjustment to fit well. Therefore this is considered a temporary solution until a conventional denture is made for patient.

conventional dentures

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