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Complete Dentures (Replacement Dentures)

Standard Dentures

A  Standard Denture  is provided as a replacement denture or after healing from extractions is complete.  These dentures are economical and are fabricated using simpler methods in comparison to a Precision Denture.  We use top quality teeth in all of the dentures we provide and these are no exception.  A new Standard Denture can provide:

  • Improved retention and stability

  • Correction of vertical jaw relation (in some cases, poor vertical jaw relation can cause jaw pain and hearing loss)

  • Improved facial support

  • Better chewing function

Precision Dentures:

A  Precision Denture  is made to suit each persons’ individual looks and requires additional measurements of your face and jaw. Additional measurements and procedures are incorporated to ensure a more precise function to closely mimic the movements of your jaw. Your prosthesis is handcrafted to match your age, complexion and facial features. Considerations such as the shape of your jaw line, lips, eyes, eyeglasses and hair color are noted.

The teeth are set to produce a pleasing smile. High quality teeth are used in the construction of your dentures to ensure a definitive outcome of the highest quality. A Precision Denture provides excellent function, fit, comfort and appearance.  These dentures will typically last longer thanks to a high wear resistance and smoother balancing function.

Patient requires extraction of Natural Teeth:

Immediate Dentures

The most common way to transition from natural teeth to a complete denture is with an immediate placement.  Impressions, bites and other necessary information are taken. The denture is then fabricated on a model of the ridge in which the teeth have been removed.  These procedures are done prior to the extraction of the natural teeth.  The denture is placed immediately after extractions by the dentist.  The denture acts somewhat like a bandage for the extraction sites.  The patient is seen at the denture clinic the following day for a check-up.  During the following weeks and months, the bone and tissue around the extraction sites will heal and slowly form a ridge.  These changes will cause the fit of the denture to decline.  As such, this type of denture requires a temporary liner at or around the 6-week mark and a permanent reline around the 12-month mark.  The cost of initial temporary liner is included in the cost of the denture and the permanent reline is charged for when it is performed.

Advantages:

  • Dentures are inserted right away, no time without teeth

  • Extractions sites are protected, and patients can begin light chewing function typically within a week.

Disadvantages:

  • Denture is built on a model with the teeth trimmed off, not an actual capture of the ridge after teeth are extracted thus decreasing accuracy

  • A “Try-In” of the denture cannot be performed as the natural teeth are still present during fabrication

  • Tooth positions are often compromised due to the presence of the large bony structures that surround the natural teeth

 

Post-Immediate Dentures

We begin the fabrication of these dentures following the initial healing of extraction sites. The minimum amount of healing time prior to impressions is usually 1 week.  Ideally, the mouth is left longer to heal, increasing the advantages of this option (4-6 weeks).  Once the denture fabrication starts, we try to get through the appointment and fabrication process efficiently to get the denture inserted as soon as possible.  Unless the entire healing period has passed (6-12 months), these dentures typically still require the same linings as an immediate denture; temporary and eventual permanent.  The timing and necessity of these linings are dependent on the amount of healing that occurred prior to the fabrication of the denture.  The temporary and permanent reline are charged for if/when they are performed.

Advantages

  • More accurate initial fit of the denture

  • A “try-In” appointment can be done to verify the esthetics and technical aspects of the denture

Disadvantages:

  • Patient must go through initial healing and denture fabrication time with no teeth, presenting concerns from an esthetic and functional stand point

This tends to be a less desirable option to many patients due to the required span of time with no teeth or denture in the mouth.

 

 

Interim/Definitive Dentures

In this option, we fabricate an interim immediate denture that is placed immediately after extractions and worn through the entire healing period.  Just like the other scenarios, a temporary lining is used to keep it fitting during that time.  At the end of the healing period (usually around 12 months), we fabricate a new denture on the healed ridges.  This gives the patient the combined advantages of having a denture right away and eventually all the advantages of building the denture on the healed ridge.

Advantages

  • Initial denture is placed immediately after extraction, any modifications required on this denture have no bearing on the long-term denture

  • A new denture is constructed after healing is complete. This will ensure proper fit and tooth position.  A try-in will also be performed to give a preview of the denture and allow for modification of esthetics prior to completion.

  • The interim denture could act as a backup in the future when having maintenance done, travelling etc.

Disadvantages

  • Overall cost of this treatment is approx. 20% more than immediate/reline option