PARTIAL REMOVAL DENTURES FAQS


A removable partial denture (RPD) is for a partially edentulous dental patient who desires to have replacement teeth for functional or aesthetic reasons, and who cannot have a bridge (a fixed partial denture) for any number of reasons, such as a lack of required teeth to serve as support for a bridge (i.e. distal abutments) or due to financial limitations.

The reason why this type of prosthesis is referred to as a removable partial denture is because patients can remove and reinsert them when required without professional help. Conversely, a "fixed" prosthesis can and should be removed only by a dental professional.

Why should I replace missing teeth?

The most important reason is Appearance. The next important reason is if the lost teeth are not replaced at the earliest the teeth adjacent to the teeth lost lean towards each other and the teeth from the opposing jaw will get elongated more . This will cause disturbance in the bite and many a times pain at the TM Joint. This situation may also lead to gum diseases

How are missing teeth replaced?

The best way of replacing the missing teeth is by fixing an Implant. The presence of Implant in the jaw where teeth missing keeps the bone and gums very healthy. Anything in the mouth that do not require removal on and off gives the Best Quality of Life. If implants are given no need to grind two good teeth for fixed dentures.

The next best way is fixed Bridges taking support from the two or more adjacent teeth. Good quality Ceramic bridges give near natural looks and comfort.

The final way is to give removable dentures which has a lot of its drawbacks and not very comfortable but cost effective and sometimes given as an intermediary before implants or final bridges are provided.

Why do I need a full-mouth X-ray?

It's very important for us to be able to have a clear and full picture regarding the condition of your teeth and jaws before treatment. It's for this reason that almost every treatment we perform requires a full mouth X-ray. With it, we can determine the health of your natural teeth, and of the supporting bone structure. Having a complete picture of your dental health allows us to develop a treatment plan that is right for you.

Will dentures change the way I look?

Your new dentures will fill out your cheeks and support your lips. They may even improve the look of your smile and add fullness to your facial appearance. With your valuable input, your dentures can be made to closely resemble your natural teeth so that little change in your appearance will be noticeable.

Will I be able to eat with my dentures?

Initially eating will take a little practice. Start with soft foods cut into small pieces. Chew slowly using both sides of your mouth at the same time to prevent the dentures from tipping. As you become accustomed to chewing, add other foods until you feel you can return to your normal diet. Continue to chew food using both sides of the mouth at the same time. Be cautious with hot or hard foods and sharp-edged bones or shells.

What's the difference between immediate dentures, conventional dentures and an over-denture?

Immediate dentures are inserted immediately following the removal of teeth. The advantage is that the wearer can avoid an embarrassing phase without teeth during the healing period. However, changes in the oral tissues during the first six months following the removal of teeth may require resurfacing of the denture to improve its fit.

Conventional dentures are made and inserted after all the teeth are removed and the tissues have healed completely. The healing period though variable, takes about 3 – 4 months.

Healthy teeth can support dentures better. The prepared teeth provide stability and support for the “Over-denture” and their preservation slows down irreversible changes in the oral tissues.

What is the alternative to a partial denture?

The main alternative is a fixed bridge. This is made by putting crowns on the teeth at either side of the space, and then joining these two crowns together by placing a false tooth in the space. This is all made in the laboratory and then the pieces are cemented into place with special adhesives. The bridge can’t be removed.

What are bridges made of?

Bridges usually made of porcelain bonded to metal. There are also new bridges made entirely of a special type of strong porcelain. (see images)

What is a crown?

A crown is an artificial restoration that fits over the remaining part of a prepared tooth, making it strong and giving it the shape of a natural tooth. A crown is sometimes known as a ‘cap’.

What is a post crown?

In root-filled teeth it may be necessary to insert a post before placing a crown. A post provides support and helps the crown stay in place. The post is placed into the root canal and cemented in position, ready for the crown to be attached.

How long does treatment for crowns take?

You will need to make at least two visits: the first for the preparation of the tooth, impression, shade taking and fitting the temporary crown; and the second to fit the permanent crown. The second appointment is scheduled based on the laboratory time required for fabrication of the crowns.

Does it hurt to have a tooth prepared for a crown?

No. A local anaesthetic is used, if necessary and the preparation should feel no different from a filling. If the tooth does not have a nerve, and a crown is being prepared, then a local anaesthetic may not be needed.

How do I care for my crown?

How long your crown lasts depends on how well you look after it. The crown itself cannot decay, but decay can start where the edge of the crown joins the tooth. Therefore, it is important to keep this area just as clean as you would your natural teeth in order to prevent decay affecting the crown.

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