Simple Question about Dentures

[Contach]

Just to make sure..

If someone has a lot of tooth decay due to neglect. A General Dentist would be able to pull out all the teeth and provide a full denture that the patient can pop on his/her gums.. right?

Otherwise, if there are some teeth that are still good, the Dentist can use those teeth to anchor a partial denture - what are these called? Like a bridge is if tehre are two teeth are either side or something, but say there is only one or two teeth in the whole bottom row.. what would it be called to make a denture for 14 teeth with 2 holes for the originals to pop through?

Thanks.

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[I'mFillingFine]

Just to make sure..

If someone has a lot of tooth decay due to neglect. A General Dentist would be able to pull out all the teeth and provide a full denture that the patient can pop on his/her gums.. right?

Otherwise, if there are some teeth that are still good, the Dentist can use those teeth to anchor a partial denture - what are these called? Like a bridge is if tehre are two teeth are either side or something, but say there is only one or two teeth in the whole bottom row.. what would it be called to make a denture for 14 teeth with 2 holes for the originals to pop through?

Thanks.

If the dentist is going to do a full mouth extraction, the lab first makes immediate dentures. (They have a cast and take off the teeth, "guessing" what it'll look like after extractions.) That interim denture is put in the mouth for several months until the bone fills in and healing is complete. Then definitive dentures are made.

If strong teeth are remaining that can act as abutments (I think that's the word you're looking for), for a partial, then in many cases you'd want to leave them there. Any strong teeth are always useful. However, if there's just a few teeth (less than 6), and especially if they aren't good for abutments (incisors, heavily restored molars, etc.), it may be best to just extract that whole arch and do a complete denture.

 

[desert rat]

there are over dentures where the teeth that are good have the dentures rest on them, otherwise it is a removable partial.

 

[aphistis]

Like desert rat said, you'd normally do root canals on the two remaining good teeth, then round them off so the denture will fit over them. Two teeth isn't enough to effectively support a partial replacing all the others, but retaining the natural tooth roots is frequently beneficial over the long run.

These are things you should be asking a dentist in person, though. 😉 Remember, SDN isn't for soliciting professional advice for yourself or someone you know.

 

[aphistis]

If the dentist is going to do a full mouth extraction, the lab first makes immediate dentures. (They have a cast and take off the teeth, "guessing" what it'll look like after extractions.) That interim denture is put in the mouth for several months until the bone fills in and healing is complete. Then definitive dentures are made.

If strong teeth are remaining that can act as abutments (I think that's the word you're looking for), for a partial, then in many cases you'd want to leave them there. Any strong teeth are always useful. However, if there's just a few teeth (less than 6), and especially if they aren't good for abutments (incisors, heavily restored molars, etc.), it may be best to just extract that whole arch and do a complete denture.

FYI, it's surprising how often you can get away with a mandibular RPD if you have a solid canine & first premolar on each side. You have to be smart about designing it and it helps to be occluding against a maxillary denture, but you can get good results if you plan things properly.

I'm reluctant to give someone a conventional mandibular denture unless there aren't any other good options available. The anatomy of the lower jaw simply doesn't lend itself to appliances that lack active retention (i.e. clasps or implant attachments)

 

[Contach]

Awesome thanks.
Oh this wasn't advice for anyone.
I'm trying to write my Personal Statement and the Dentist I shadowed was explaining a lot of this to me, but I forget bits and pieces. I remember one case in particular that I am wanting to talk about, but want to get my facts straight.

Thanks again!