Total prosthesis is one of the classic treatments of restorative dentistry. It is one of the most researched topics in classical dental literature. Many related topics have been studied to achieve a natural smile, as well as optimize the masticatory function. Extensive knowledge of techniques is necessary to accomplish the desired goal. Total dentures/prosthesis is one of the most basic procedures in of odontology since it implies the majority of oral rehabilitation parameters.
When should dentures be recommended?
Dentures would be recommended to patients who have lost all their teeth. In circumstances of periodontal disease, tooth decay or accidents, it might not be advisable to keep the teeth. Teeth should be removed and then a total denture needed to replace.
Is the procedure painful?
The process of elaborating the denture might be complex yet not painful. It does not require anesthesia.
How are dentures made?
The dentist will take an impression of the dental arches to have models of the oral cavity. These replicas of the mouth along with wide knowledge of the anatomy will be of great use to work in the laboratory in such way to achieve the best fit. In order to recreate a most natural looking and functional smile it is important to perform a thorough analysis of the patient.
Properly made dentures are stable and can be retained satisfactorily. The upper prosthesis in most cases are properly retained even if there was bone loss. But the bottom denture will be retained better with at least two dental implants if there has been important loss of bone.
Complete dentures and Dental Implants
In modern dentistry it is regarded as the minimum standard of care lower placing two implants to improve significantly the quality of life of people. It means the patient will talk better and eat easily different food consistencies such as meat and fruit.
Dental implants open a wide range of possibilities for patients to recover their chewing ability as if they had their natural teeth. They bring greater benefits in retention and stability.
How long do the prosthesis last?
The duration depends on factors related to the patient and the quality of the materials of the prosthesis. The material is a polymer affected by hydrolysis and wear, thus affected by color changes and wear by contact with food or abrasive objects.
The other factor is the change suffered by the patients bone ridges, where the prostheses is placed. Ridges change over time while the internal part of the prosthesis don’t. This creates a mismatch between the two, making denture loose retention and stability. This mismatch causes movement of the prosthesis and the bone resorption can be accelerated increasing the mismatch.
It is important not to use mismatched prostheses because it creates greater loss of bone and possible scars favoring opportunistic fungi such as Candida albicans, to merge.