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Immediate Dentures

Immediate Dentures

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 What is an immediate denture?

An immediate denture is a complete denture or partial denture inserted on the same day, immediately following the removal of natural teeth.
What are the advantages of an immediate denture?
There are several advantages of an immediate denture. The most important factor is that you will never need to appear in public without teeth. It is also easier to duplicate the shape, color and arrangement of your natural teeth while some are still present in your mouth. When an immediate denture is inserted at the time of extraction, it will act as a Band-Aid to protect the tissues and reduce bleeding. An immediate denture will allow you to establish your speech patterns early. You will not have to learn to speak without a denture in place and then later relearn to speak with a new denture. An immediate denture will also allow you to chew better than without any teeth and minimize facial distortion that may occur when teeth are removed.
What are the disadvantages of an immediate denture?
The biggest disadvantage is the increased cost. Another disadvantage is that you cannot always see how the denture will look before the teeth are extracted and the immediate denture is inserted. Also, initially, an immediate denture does not always fit as accurately as a conventional denture, which is made after the tissues have healed for six to eight weeks following extractions, and without wearing a denture.
Why does an immediate denture cost more?
An immediate denture is initially more expensive than a conventional denture because additional time is needed for construction. A surgical stent (a guide for recontouring tissues after extraction) is often necessary and more follow-up visits are needed for adjustments and re-fitting. A soft temporary reline material will be utilized for re-fitting your denture when it becomes loose during the healing process. After the soft tissues have healed and shrinkage of the underlying bone has occurred (about six months following extractions), the immediate denture must be finalized by a permanent reline or new denture. At this time, you will be charged for either a reline or a new denture, depending on your choice.

Your doctor will discuss with you the pros and cons of a permanent reline versus making a new denture, to help you make a decision. A major advantage to making a new denture is that the immediate denture can be a spare denture if the new denture breaks, is misplaced, or has to be repaired or relined in our laboratory. If the immediate denture is relined, it will usually need to be left overnight while it is permanently relined in the laboratory.

Is an immediate denture for everyone?
Not everyone is a candidate for an immediate denture. Some people may be advised against this treatment, due to general health conditions, or because of specific oral problems.
How long does it take to complete?
Four to five visits may be necessary for the fabrication phase of an immediate denture, plus any preliminary surgery. For patients requiring a complete immediate denture, the back teeth are often extracted six to eight weeks prior to the fabrication phase. This allows the extraction sites to heal and a better-fitting immediate complete denture to be fabricated.
The fabrication phase consists of impressions, bite records, tooth selection and try-in of the back teeth. On the day of delivery, you will be seen in oral surgery for extraction of the appropriate teeth, followed immediately by the insertion of the immediate denture.

Eating & Speaking with Dentures

Eating & Speaking with Dentures

How Dentures Look and Feel

New wearers often report a “full-mouth” feeling, as though the dentures are too big and pushing the lips forward. This feeling will diminish as you adjust to wearing dentures. They may feel like they don’t fit properly at first. They may “gag” you or cause you to bite your cheek or tongue. If you wear an upper denture, it may take some time for your tongue to get used to the feeling of being pressed against the denture and not your palate. Don’t worry. These problems will decrease over time. 

New Sensations with Dentures

Because a denture is a “foreign object” in the mouth, you may produce more saliva for a while. This, too, will decrease and eventually go away. Something as simple as sucking on a mint or hard candy will encourage you to swallow more frequently, clearing excess saliva. Some soreness is also expected, usually within a few hours of putting your dentures in your mouth. If it continues, see a dental professional; never try to make adjustments to your dentures yourself. 

Eating with Dentures for the First Time

Dentures take some getting used to, but with a few simple strategies up your sleeve, you can feel confident all day long. As a new denture wearer, you may find that chewing feels different with dentures. You also may think that food has "lost its flavor." While you are adjusting to wearing your dentures, your mind is receiving strong signals from your mouth about your dentures, which overpower the messages from your taste buds. After you are accustomed to the denture, your mind will pay less attention to your dentures and more to your taste buds. 

During your adjustment time, you may have trouble sensing hot foods and drinks, which is common with new denture wearers. Be careful; you don't want to burn your mouth. 

Tips for Eating with Dentures

To eat more easily and enjoyably while wearing dentures:

  • Begin with small quantities of food cut into smaller pieces.

  • Chew half of the food in your mouth on the back-left side of your mouth and the other half on the back-right side. This will even out the pressure on your dentures.

  • Start with soft foods. Some good examples are eggs, fish, chopped meat, cooked vegetables, and puddings. After you feel more confident, try eating chewier foods, such as steak or celery.

Speaking with Dentures

When you speak, the sound reaches your ears through vibrations in the bones of the jaw and skull. Wearing dentures changes and increases the sound, but this is much more noticeable to you than to anyone else. 

If your dentures "click" when you speak, try to speak more slowly to avoid movements that raise and/or move your lower denture. Keeping your lower denture in place requires the ability to hold it still with the muscles of your lips, cheeks, and tongue. At first, these muscles may tend to "kick out" your denture. With time and practice, you will be able to overcome the difficulties of speaking. 

Tips for Speaking with Dentures

To speak more confidently while wearing your dentures:

  • Bite and swallow before speaking. This places your dentures in position so you can speak more clearly.

  • Practice reading aloud.

Bone Loss

Bone Loss


What causes bone loss? Bone loss is a common consequence of loss of teeth and chronic periodontitis. In the case of periodontitis, the bacteria gradually eats away at the underlying jawbone and at the periodontal ligaments that connect the tooth to the bone. The most common cause of bone loss is tooth loss left unreplaced, especially multiple teeth. Jawbone is preserved through the pressure and stimulus of chewing. When that is removed through tooth loss, the bone “resorbs” (reabsorbs) into the body. In the first year after tooth extraction 25% of bone is lost, and this bone loss continues on. The loss of the ridge bone brings your chin closer to the nose, causing your jaw to jut out and your nose appears to stick out further because your upper lip has puckered in. Deep wrinkles appear around the mouth and the cheeks develop “jowls”— sagging skin. This facial collapse can appear to age you by many years. Dentures or partials can have a huge impact on your appearance giving you the smile of your dreams and greatly reducing facial wrinkles. Dentures if made properly can make you look your age or sometimes even younger. Even know dentures have many positive oral and esthetic impacts stopping bone loss is not one of them.

Preventing bone loss

Bone loss can be prevented by giving the jawbone a replacement tooth with a root that can exert the same or similar pressure as natural teeth. This is done immediately after extraction by replacing single teeth with dental implants, or by using a fixed implant-supported bridge or denture.

A single-tooth implant or a dental bridge with three to four teeth supported by two implants provide a chewing power of 99% of natural bite force. A denture secured with dental implants, such as our Same Day Teeth procedure, provides about 70% to 80% of normal biting force and helps considerably in preventing bone loss.

Why Choose Us?

Why Choose Us?

Why choose us? I’ve thought a lot lately about what separates us the most from our competition. Here is a list I’ve come up with:

1.) Customer Service - We go above and beyond for our patients treating them like family. We’re open on Saturdays and even come in on Sundays to do adjustments.

2.) Quality over Quantity - Today most clinics treat patients like a number. It’s the herd them in herd them out mentality. The more patients they can see the more money they can make. The quicker they can make a product the quicker they can get paid, but what was lost was quality. We never jeopardize a products quality to meet a certain quota.

3.) Price - We manufacture and customize each of our dentures with the best materials and state of the art methods for the most affordable prices. Sure you might see a lower price somewhere else but I can guarantee you the quality of materials they’re using and their manufacturing methodology won’t compete with ours. Cutting corners and using inferior materIals only leads to a disaster later.

4.) Generations of Craftsmanship - My family has been serving the treasure valley for almost 60 years. I’m a fourth generation denturist that was taught by the most respected and qualified denturists in Idaho. My great uncle and grandfather were denture pioneers leading successful denture clinics in Idaho for sixty years. My family has prided itself on building quality dentures and exceptional service.

What is a Denturist?

What is a Denturist?

A denturist's role is dedicated to solely providing removable full and partial dentures to their patients. We differ from a lab technician because we can have a practice that sees our own patients. We do not need a referral from a dentist to treat a patient in need of dentures or partials. Our well round knowledge of removable prosthesis (dentures) sets us apart from a general dentist because we spend all of our time only manufacturing and adjusting dentures. This gives us more experience allowing us to adjust dentures more easily as well as manufacture them more successfully. We hand craft each denture in our office where as a general dentist likely sends them out to a dental lab. This makes a huge difference in the overall success of a denture case. There is no denying that a general dentist has vastly more knowledge pertaining to total oral health and natural restorations but a denturist generally has more knowledge about dentures. Last and most importantly not least denturists usually charge way less for all denture services then your local dentist. So next time you or your friend are struggling with making a decision to choose a denturist or a dentist I hope this article will help. Make the right choice and see a denturist today. Oh, yeah and hopefully that means you choose us.  

Dentures In A Day

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We have been reluctant to jump on board this new industry train for some time now because we wanted to make sure we had the right manufacturing techniques and steps in place so we wouldn’t have to cut corners or use inferior manufacturing methods like our competitors. A denture made in a day should have the same process and techniques as one made in a longer period of time. The importance of not cutting corners insures the patient great results that they can be proud of for many years. After much planning and relentless hard work we’ve come up with a system that allow us to build a beautiful denture without cutting necessary steps and still finish it in as little as 24 hours! Our process allows us to use the same high impact/high strength acrylic we use on all of our dentures. The patient still chooses the teeth and color of their choice. We still have time to set the teeth in wax so the patient gets to see what they look like before we transform them into their final dentures. The process stays the same and so does the quality! Call us today for more information. 

Sleeping with Dentures

Sleeping with Dentures

This is a very common question. Dentures (removable false teeth) offer a number of benefits to people who have lost their natural teeth: They can help them regain the ability to eat a greater variety of foods, speak more clearly, and smile with confidence. However, it’s important to recognize that there are also some downsides to wearing dentures.

For one thing, they put pressure on the gums and consequently the bony ridges beneath them. This causes resorption, a process that results in a gradual decrease in bone volume and density. Resorption and bone loss are accelerated if dentures are worn 24 hours per day. With the loss of bone comes inadequate support for the dentures, causing them to become loose and fall out more easily. This also results in less support for the cheeks and lips, which can cause very dramatic changes in facial appearance.

In addition, if they are not properly cared for, the under surfaces of dentures in particular can become breeding grounds for oral bacteria and fungi, which can cause odors, irritation and disease.

Resorption and bone loss are accelerated if dentures are worn 24 hours per day.

It has been found that those wearing dentures during the night while sleeping are more likely to have tongue and denture plaque, gum inflammation, positive cultures for Candida albicans (thrush, an oral yeast infection) and higher blood levels of interleukin-6 — a protein made by white blood cells that signifies the body is fighting an infection. Good oral hygiene among denture-wearers is very important and reduces the risk of serious illness.

For example, a recent study involving 542 randomly selected elderly nursing home residents found that the seniors who wore their dentures to sleep were 2.3 times more likely to die or be hospitalized from pneumonia as those who took their dentures out. The study noted that aspiration (breathing) is a significant means of moving pneumonia-causing bacteria from the mouth into the lungs in elderly people.

Whether you wear full or partial dentures, taking them out at night for sleeping gives the gums and other denture-bearing tissues a chance to rest, recover and receive beneficial exposure to the antibacterial agents naturally present in saliva.

There are other concerns. Wearing dentures continually, and especially at night when salivary flow naturally diminishes, often results in a condition called denture stomatitis (“stoma” – mouth; “itis” – inflammation). This affects tissues under dentures. Typically it occurs under upper full dentures that cover the palate, which becomes reddened, inflamed and infected with yeast. This is often accompanied by a disease called angular cheilitis, a cracking at the corners of the mouth and subsequent infection by the same yeast. Denture stomatitis is treated by leaving the dentures out at night, and cleaning them meticulously. Yeast infection is treated by anti-yeast or anti-fungal medication and/or chlorhexidine prescription rinses that can be prescribed by your dentist.

Whether you wear full or partial dentures, taking them out at night for sleeping gives the gums and other denture-bearing tissues a chance to rest, recover and receive beneficial exposure to the antibacterial agents naturally present in saliva. In short, removing your dentures at night is the healthiest thing to do.

A good oral hygiene routine for denture-wearers should include the following steps:

  • Remove and rinse your dentures after eating.

  • Brush your dentures at least once a day with a soft toothbrush, nailbrush or denture brush and dish soap, liquid antibacterial soap, or denture cleanser. (Don’t use toothpaste: it is too abrasive.) Using an effervescent (fizzing) tablet can’t substitute for this type of manual cleaning, and it might take some effort to remove the plaque or film that develops on the dentures.

  • Store your dentures in water or, better yet, an alkaline peroxide-based solution made for this purpose.

  • Brush your gums and tongue every day with an extra-soft toothbrush (not the one you use for cleaning your dentures) or clean them with a damp washcloth.

  • Rinse your dentures before putting them back in your mouth.

Even though you no longer have natural teeth, you still need to pay attention to your oral hygiene. Wearing your dentures 24/7 will prevent you from maintaining good oral hygiene, unnecessarily putting your health at risk.

Authored By: Dr. Kristen Vilardi-Shanley

Denture Instructions

Denture Instructions

INSTRUCTIONS TO DENTURE PATIENTS

A. WHAT TO EXPECT FROM YOUR NEW DENTURES

  1. You must learn to manipulate your dentures. At first you may look, speak, and eat in a way that you are unaccustomed. But with time, you should adapt very readily. Most patients require about 2 – 3 weeks to learn to work with new dentures. A few patients may require more time. But don’t be discouraged if you take longer than most.

  2. You will find that dentures are not as efficient as your natural teeth when eating. However, having dentures is better than being without teeth. When eating, start with soft foods and take small bites. Avoid biting with the front teeth because it will cause the dentures to become unstable and shift. This can lead to sore gums. It is best to cut your foods into small bites, but if you must “take a bite” use the area around the canine teeth.

  3. Your speech, as mentioned above, may sound strange initially. But with practice, perhaps reading aloud from a book or newspaper, you should be able to speak clearly in a few days.

B. ADJUSTMENTS

  1. You must return to your denturist/dentist for follow up appointments after the dentures have been inserted. In most instances, it is necessary to make minor adjustments to provide a more comfortable fit.

  2. In order for you to wear your dentures successfully, most patients will require adjustments of their attitude and habits.

  3. If soreness develops, that is considered a normal occurrence. Call your denturist/dentist for an appointment to have an adjustment. The irritation will not disappear by itself.

  4. We do not want you to “try and tough it out”. If you are unable to reach your denturist/dentist during holidays, weekends, or after hours, remove the dentures to prevent further trauma to the tissues.

C. YOUR ORAL HEALTH

  1. Nature did not intend for people to wear dentures. You must exercise care with the tissue beneath the dentures. It is recommended to rest the tissues at least eight hours a day. Most patients find it more convenient to leave the dentures out at night.

  2. The tissues that support your dentures are constantly changing. This may result in denture looseness. However, looseness can result from many causes. With time, your dentures will need either refitting or replacement. In any event, you should call your dentist for an appointment.

  3. Annual examinations of the supporting tissue for abnormalities and to assess the function and fit of the denture are important for your dental health.