Complete dentures are restorations made for a patient who doesn't have any teeth of their own. After teeth are removed, the bone which was
supporting the teeth begins to resorb or shrink away
over time. Often this leaves little structure for a denture
to rest on, often making the dentures loose and difficult to
control.
Complete dentures are typically made out of modern high density plastic
materials, including the teeth. Replacement teeth have
been developed that are very natural looking and highly esthetic.
The process of making a complete denture is a 4 to
5 step process. At the first appointment, impressions
are made using average sized trays. Stone models are
made to allow a custom fit
tray to be fabricated to use for the second appointment. A very accurate
impression is then taken which is used to make the denture. At the third
appointment, called the records appointment, measurements
are made to allow denture-like appliances made out
of plastic and wax to be used to determine the size, shape and color of the teeth along with the correct facial support. At the next appointment, the denture-like
appliances are tried in to evaluate the function and
esthetics. The teeth have been positioned in wax which
allows alterations to be made to the arrangement. Once
the doctor and the patient are satisfied with the appearance
of the teeth, they are then returned to the dental
laboratory for processing. At this time, the wax is
exchanged for the pink-colored plastic and the dentures
are finished. The dentures are then inserted at the
final appointment. During this appointment, the tissue
surfaces are carefully evaluated and the teeth are
adjusted to ensure the correct bite or occlusion. Additional
appointments are scheduled as necessary to adjustments.
Dentures should be evaluated once a year to ensure
that the tissues and bone support are healing and functioning
properly. Depending upon the patient, dentures typically
last several years before needing to either be relined
or replaced.