Temporary (Provisional) Dentures

Two full-arch dental prostheses on a black reflective surface, one with a pink gum-coloured base

Removable dentures are artificial teeth and gums that can be taken out and put back into your mouth. They are a good option for people who have lost some or all of their teeth. Dentures can help you chew, speak, and smile. They also support the structures of the mouth. It’s essential that dentures are custom-made to fit your mouth properly, so you should work with your dentist to develop a personalized treatment plan.

Advantages of Removable Dentures

  • Economical: They are typically more affordable than other tooth replacement options like dental implants.
  • Quick to Prepare: They can be made and fitted relatively quickly.
  • Easy to Clean: They are easy to remove and keep clean.
  • Natural Look: They can be made to look very similar to your natural teeth.
  • Enhanced Aesthetics: For patients who need additional lip support, they can provide a more aesthetic appearance compared to traditional fixed porcelain crowns.

Disadvantages of Removable Dentures

  • Durability: They are less durable than fixed options like implants and can become damaged or warped over time.
  • Stability: They may not feel as secure as natural teeth or fixed bridges, which can sometimes make chewing and speaking more challenging.
  • Adjustment Period: It can take some time to get used to wearing dentures.
  • Taste Perception: Some people find that dentures slightly affect their sense of taste.

Usage and Care of Removable Dentures

  • Cleaning: Clean your dentures with a toothbrush and special denture cleaner after each meal and before bed.
  • Regular Checkups: Visit your dentist for regular checkups to ensure the dentures fit properly and to check for any oral health issues.
  • Adhesives: Use a denture adhesive recommended by your dentist for a more secure fit.
  • Repairs: If your dentures break or crack, see your dentist for repairs. Do not try to fix them yourself.

Ideal Candidates for Removable Dentures

  • People who have lost all of their teeth.
  • People who have partial tooth loss but are not candidates for implants or bridges.
  • People who are looking for a more affordable tooth replacement option.

People for Whom Removable Dentures May Not Be Suitable

  • People with insufficient bone support in the jaw.
  • People with severe gum disease.
  • People with high expectations for aesthetics and function.

Types of Removable Dentures

1. Full Dentures (Complete Dentures)

Full dentures are used when you have lost all of your teeth in either your upper or lower jaw, or both. They rest directly on the gums and are designed to restore your ability to chew, speak, and smile.

Structure

  • Base: Made from acrylic resin, it covers the gums and palate (roof of the mouth) for support and stability.
  • Teeth: Can be made from acrylic or porcelain. Acrylic is lighter and easier to adjust, while porcelain is more durable and looks more like natural teeth.

Process

  1. Evaluation of your jaw, gums, and bite.
  2. Impressions are taken to create a model of your mouth.
  3. A trial denture is made for you to try on and ensure a proper fit and appearance.
  4. The final denture is made and fitted.

Advantages

  • Restore chewing and speaking ability.
  • Look similar to natural teeth.
  • More affordable than fixed options.
  • Easy to clean and maintain.

Disadvantages

  • May slip or move when chewing.
  • Can take time to get used to.
  • May affect taste perception.
  • Can contribute to bone loss over time.

Care

  • Clean after each meal.
  • Use a special denture brush and cleaner.
  • Soak overnight in water or a denture-soaking solution.
  • Visit your dentist every six months for checkups.

2. Partial Dentures

Partial dentures are used when you are missing some teeth but still have some natural teeth remaining. They fill in the gaps and are anchored to your natural teeth with clasps or attachments.

Structure

  • Framework: Typically made from metal or acrylic, providing support for the artificial teeth.
  • Teeth: Made from acrylic or porcelain.
  • Clasps/Attachments: Metal clasps attach to your natural teeth to hold the denture in place. More aesthetic partials use hidden attachments instead of clasps.
  • Rests: Prevent the denture from shifting or putting too much pressure on certain teeth.

Process

  1. Evaluation of your teeth and the gaps.
  2. Impressions are taken to create a model of your mouth.
  3. The partial denture is designed and made in a dental laboratory.
  4. The partial denture is fitted and adjusted.

Advantages

  • Fill in gaps caused by missing teeth.
  • Restore chewing and speaking ability.
  • More affordable than fixed options.
  • Can be adjusted if needed.
  • Easy to clean and maintain.

Disadvantages

  • Metal clasps may be visible.
  • May move or feel unstable.
  • May contribute to bone loss in the areas where teeth are missing.

Care

  • Clean after each meal.
  • Use a special denture brush and cleaner.
  • Soak overnight in water or a denture-soaking solution.
  • Visit your dentist every six months for checkups.

3. Precision Attachment Dentures

These are a type of partial denture that uses hidden attachments instead of visible metal clasps. This makes them more aesthetically pleasing. The attachments consist of a part that is fixed to your natural teeth (usually with a crown) and another part that is attached to the denture.

Advantages

  • More natural and aesthetic appearance.
  • More secure fit than traditional partial dentures.
  • Easier to clean than implant-supported overdentures.

Disadvantages

  • More expensive than traditional partial dentures.
  • May require more adjustments and maintenance.

Care

  • Clean after each meal.
  • Brush the attachments carefully.
  • Visit your dentist regularly for checkups.

4. Overdentures

Overdentures are dentures that fit over and are supported by natural teeth or dental implants. They are a good option for people who have lost most of their teeth but still have a few healthy teeth or are able to get implants.

Tooth-Supported Overdentures

Fit over prepared natural teeth that have been modified to provide support.

  • Telescopic Crowns: The teeth are fitted with inner crowns, and the denture has outer crowns that fit over them like a telescope.
  • Implants: These are titanium posts that are surgically placed in the jawbone to provide support for the denture.

Types of Implant-Supported Overdentures

  • Ball Attachment: The denture attaches to small, ball-shaped attachments on the implants.
  • Locator Attachment: The denture attaches to special attachments on the implants using a magnetic force.
  • Bar Attachment: The denture attaches to a metal bar that connects the implants.

Advantages of Overdentures

  • More stable and comfortable than traditional dentures.
  • Better chewing ability.
  • Help preserve jawbone.
  • More aesthetic than traditional dentures.

Disadvantages of Overdentures

  • More expensive than traditional dentures.
  • May require more maintenance than traditional dentures.

Care

  • Clean the denture and attachments carefully.
  • Brush the natural teeth and/or implants.
  • Visit your dentist regularly for checkups.

Choosing the Right Type of Denture

The best type of denture for you will depend on your individual needs and preferences. Your dentist can help you decide which type of denture is right for you. They will consider your oral health, your budget, and your goals for treatment.