When multiple teeth are missing from an arch, or a patient is completely edentulous (toothless) in one or both arches, dentures may be the best option. There are several different kinds of dentures, and Dr. Viloria will discuss all options with you at your consultation in our Lenexa office.
The benefits of dentures are many; spanning the range of physical, mental, and emotional. Benefits to denture wearers include:
Most dentures are made of acrylic. The "teeth" are crafted from plastic or porcelain or a combination of the two materials. Upper dentures cover the palate (roof) of the mouth. Lower dentures are horseshoe-shaped so the tongue has freedom to move. Dentures can be fitted in the mouth using a variety of methods — some more permanent than others.
A removable partial denture is commonly created for a patient who is missing one or more teeth and for whom implants, bridges, or other options are unsuitable. Partial dentures are created out of a metal and acrylic composite (preferred for its structural superiority) or out of acrylic alone. Acrylic is often used for temporary partials, to be replaced with custom metal appliances.
Dr. Viloria will design your partial denture to evenly distribute chewing forces and allow for a correct bite. A correctly designed and worn denture should allow for normal talking and chewing, will prevent teeth next to a gap from migrating into it, and will present a natural looking appearance.
When teeth are lost suddenly due to trauma or other causes, immediate dentures may be requested so the patient doesn't have to experience being toothless. Any remaining teeth or tooth fragments are removed, and the dentures are fabricated and placed in the mouth immediately while the gums heal underneath. Immediate dentures are not as customized as conventional dentures. Immediate dentures require at least two visits to our Lenexa office; one to make an impression of the mouth and remaining teeth in order to fabricate the denture correctly, and a second to perform the necessary extractions and denture placement.
Afterwards multiple follow-ups may be required to adjust the denture and create liners to help it fit more comfortably. Once the healing is complete, a reline will be done to fit the denture more accurately to the new shape of the gums underneath.
Conventional dentures are generally part of a treatment plan that starts with the extraction of remaining teeth, a short interval without teeth while the gums heal, then creation of a customized denture. A conventional denture may be fabricated as an upper only, lower only, or combination of both arches.
Conventional dentures offer a more comfortable fit, and also provide a wide range of options when it comes to daily wear. The attachment method used with conventional dentures can vary according to patient needs and dentist recommendations. The latest technology makes it possible for dentures to be created that feel more permanent in the mouth.
For patients missing all of their teeth in either the upper or lower arch (or both), implant retained dentures may be the ultimately most comfortable and hassle free option.
An attachment can be created using two dental implants anchored in the bone of the lower jaw. The denture will simply snap into place with ball like attachments. This stabilizes the denture to an extent, although there will still be some mild movement. Care must be taken to prevent food particles or seeds from getting trapped under the denture and causing sore spots.
Another option for lower jaw dentures is the bar attachment. This method involves placing four to six implants into the lower jaw, letting the gums heal, and then connecting the implants with a custom-made support bar. The denture will snap firmly into place with internal retention clips. This is called an "overdenture," and it is much more stable than the first option, allowing very little denture movement. The denture is still removable for easy cleaning and maintenance.
A screw retained denture involves five or more implants with the denture attached to them with screws or clasps via a support bar. With this type of denture, there is space between the gums and the bar, and cleaning below the denture is possible without removing it. The denture stays in place until removed by Dr. Viloria for your scheduled cleaning, and is then replaced.
Since upper jaw bone isn't as hard as the bone in the lower jaw, implant supported upper dentures usually require more implants to provide a solid base for the denture. There is a side benefit — since the implants are spaced closer together, the implant can be curved and not fully cover the upper palate.
Similarly to lower dentures, the upper denture can be created to simply snap in and out, and the restorations are attached to the support bar. Implant supported dentures are preferable to "floating" dentures, since they retard bone loss in the jaw and encourage healthier gums.
We offer a full range of options so that you can choose the dentures that fit you.Request an Appointment
You can expect to revisit the dentist regularly over the months and years following denture creation. An annual examination by Dr. Viloria will be required to ensure the fit is still good, and alterations may need to be made at intervals to keep you comfortable. We'll also track your medical and dental history, as there are many conditions that can cause changes to the way your dentures fit.
Part of the annual exam will be an oral scan to check for any cancerous or precancerous lesions. Bone and tissue changes will also be checked for, as ill-fitting dentures can cause problems. We can assess your condition and the condition of your dentures and recommend revisions if needed.
Your dentures should be brushed inside and outside daily with a soft, large nylon denture tooth brush with round-ended bristles. Use denture creams instead of toothpastes (which are too abrasive and will scratch your denture). Rinse with cold water; dentures will warp if placed in hot water. Leave in water or a denture cleaning solution when not in use so the dentures don't dry out.
Dentures that fit perfectly at one time can fit badly at others, every year or two you can expect to need your dentures to be relined — the part that makes contact with your gums or soft palate will be adjusted for a more perfect fit.
A hard reline involves removing a thin layer of plastic from the denture's interior surface, filling the denture with a putty-like material, and then inserting the denture and asking the patient to bite down. The putty captures the impression of the gums or palate, and can be sent to the lab where the new landscape of the mouth is mirrored on the surface of the denture. The result is maximum contact between the denture and the mouth, providing greater stability.
A soft reline involves applying a layer of soft pliable material to the denture to act as a cushion between the appliance and your oral tissues. Soft liners can be created for new dentures or fitted onto old ones.
Permanent soft liners are ideal for individuals with badly recessed and / or flattened gum tissues, chronic soreness in their gums, or boney protrusions through the gums that cause sore spots. They can allow a user to start wearing their dentures again by softening the surface that touches the gums and relieving pressure points.
Temporary soft liners are used when there is temporary irritation, soreness, or misshapen gums caused by a badly fitting, ill maintained denture. Such patients need time to recover before a new denture is created. The temporary line is soft and gentle, and can allow gums to heal until well enough to take impressions for a new denture.
Rebasing is a cost effective way to repair dentures without a full new set having to be made. The "teeth" portion of the dentures are simply transferred to a new acrylic base, which can be lined anew to fit the patient's mouth perfectly. This is the perfect solution for those with old or weakened dentures, broken or damaged dentures, or those seeking to replace immediate dentures.
Repair of your denture can often be done in our dental office in Lenexa, Kansas. Bring the denture in with you and we may be able to repair it on the spot. If not, you can leave the denture and our lab will repair the damage and restore it close to its original condition.
If your dentures are causing you pain, or if you have any other questions or concerns, please call our office at 913-390-5110.
Restrictions may apply. Call for details. Offer expires 9/30/2018.
Restrictions may apply. Call for details. Offer Expires 9/30/2018.
Restrictions may apply. Call for details. Offer Expires 9/30/2018.