Sunday, July 3, 2011

Dental Dentures

What are Dentures?

Dentures are the artificial prosthesis which is the substitute of missing teeth. Dentures take support of surrounding soft tissues and teeth to stabilize in oral cavity.

How many types of dentures are there?

There are two types of dentures:

• Partial dentures

• Complete dentures

What are partial Dentures?

When some teeth are present and few are missing then Partial denture is fabricated.

How many types of partial dentures are present?

Partial dentures are of two types:

• Removable partial denture(RPD)

• Fixed Partial Denture(FPD)

What are the advantages of Removable partial denture?

1. Removable partial denture can be easily removed by patient and can easily be cleaned.

2. It is less expensive

3. Removable partial dentures are fully tooth supported and helps in normal chewing.

What are the disadvantages of Removable partial denture?

1. Since removable partial denture are fully tooth supported, sometimes cause injury to tooth supported gums.

2. If patient does not maintain proper oral hygiene, RPD can be harmful for other remaining natural teeth.

3. Due to removing RPD again and again it sometimes becomes loose.

What are the advantages of fixed partial denture?

1. These dentures are attached to natural teeth, roots or implants and cannot be removed by patient.

2. FPD has high retention as compared to removable partial denture.

3. Patient feels FPD like his natural teeth. Hence less compliance factor.

What are the disadvantages of FPD?

1. It is expensive procedure.

2. More time consuming and regular checkups are advisable.

3. If patient’s supportive teeth are not strong enough to bear forces offered by FPD, then it has poor prognosis.

4. If RCT of supportive teeth fails and patient come back with pain in supporting tooth then whole FPD has to be removed and placed again.

5. If FPD is not fixed properly or some space is left while fitting then food lodgment continues and results in bad smell from mouth.

What are the steps to be taken care of after placing partial denture in mouth?

• Patient should maintain proper oral hygiene.

• Regular flossing is advisable.

• Patient should not bite hard from artificial teeth.

• Regular follow up checkups are recommended.

• Always put RPD in water after removing from mouth.

• Do not wash RPD with bleaching agent or detergent. Special cleansing agents are available to wash RPD.

What is complete denture?

When all the teeth are missing (edentulous) then complete denture is fabricated. Below are images of maxillary complete denture and mandibular complete denture. They vary in shape according to the shape of oral cavity.

How many teeth are present in complete denture?

Normally 28 teeth are present in Complete Denture, but sometimes we have to miss second premolar in case of small jaw size.

How much time is required to fabricate complete denture?

At least 1 week time is optimum for complete denture

Why dentist ask to carry old photo while adjusting teeth in Denture?

After having a look of old photograph Dentist gets an idea of the shape and setting of teeth. To minimize the patient compliance and to have a natural look old photograph is mandatory.

Can patient start immediately eating with complete denture?

First patient should start with liquids and then with soft food and then finally with normal daily routine food items. Surrounding soft tissues and tongue takes time to adjust with new thing in mouth. May be for few days patient find some speech problem as well. Once you oral cavity get use to denture then everything gets fine.

Can patient brush complete denture?

Yes, patient should daily brush the teeth of denture in a same way like his natural teeth. After every meal cleaning is mandatory. Special cleaning tablets are available which are used to remove satins from the denture.


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