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A dental restoration treatment is a dental procedure intended to restore the functionality and health of missing or damaged teeth. Whether you are looking to replace missing teeth, prevent tooth decay, or ensure the well-being of adjacent teeth, restorative dentistry may be right for you.

Dental Crowns

A crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size. It protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations. Occasionally, a crown is used to improve the shape, color, bite or the alignment of the patient’s teeth.

Although there are several types of crowns, porcelain (tooth colored crown) are the most popular. They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced. Porcelain crowns are made to match the shape, size, and color of the teeth giving patients a natural, long-lasting beautiful smile.
The purpose for restoring teeth with crowns are due to broken or fractured teeth, cosmetic enhancement, decayed teeth, fractured fillings, large fillings and teeth that have root canals.

doctor and patient

E-Max Crowns

An E-max crown is an all-glass, ceramic, metal-free crown made from a high grade of durable, long-lasting ceramic called, lithium disilicate. It is a preferred choice by many patients due to its natural-looking esthetic qualities combined with its unlikelihood to be noticed amongst natural teeth. It is important to note that the E-max crown does not have a metal alloy base that avoids any unsightly-looking grey lines around the gum line.

Zirconia Crowns

All ceramic, Zirconia crowns are made from oxide of Zirconium. This highly favorable crown has grown in popularity the past few years because it can be fabricated very closely to the color of the patient’s natural tooth.

3-unit implant bridge

Fixed Bridge

Oral functionality and appearance are important reasons for wearing a bridge and provides support for the lips and cheeks.

Good oral health is the most important motivator when determining whether to wear a bridge. Teeth were designed to complement each other. If there are missing teeth, it can result in unusual stresses that are placed on the gums and other oral tissues. When teeth are missing, dental problems can occur such as the patient’s bite shifting. A dental bridge can help avoid the risk of fracturing the remaining teeth.

A dental bridge replaces multiple missing teeth. It literally “bridges” the gap created by one or more missing teeth. Using state-of-the-art materials, they feel and look completely natural. A bridge is a fixed replacement for the missing tooth and is anchored to either the patient’s natural teeth, dental crowns or implants. They are particularly useful for patients who have either chosen not to have dental implants or for those who are not recommended candidates.

partial denture

Partial Dentures

A partial denture is designed specifically to meet the needs of the patient by replacing one or more missing teeth. As a result, the patient regains their natural appearance and speech clarity is restored along with the ability to masticate food more efficiently, improving digestion. A partial denture may help limit the movement of the existing natural teeth as well as maintain the height of the face and support the joints.
Metal partial dentures are generally preferred as they are structurally superior. They are thinner and more hygienic than an acrylic partial. Acrylic partials are typically used as a transitional or temporary partial.

Drs. Kaplan, Bolding, Singer, and Driscoll always consult with their patients to determine the appropriate partial that best serves their needs.

A partial denture may have a metal framework and clasps that connect to the patient’s teeth that are often visible. This can be resolved with a more natural look by placing one or more implants, allowing the partial denture to snap-onto the implants and the clasps removed. In some cases, a removable partial denture is made to attach to the patient’s natural teeth or to implants with devices called precision attachments. Precision attachments are generally more esthetic than clasps.

A patient’s specific needs and anatomy dictate the design of the partial denture and every effort is made to fabricate a prosthesis that preserves the remaining teeth and oral tissues. Drs. Kaplan, Bolding, Singer, and Driscoll will design your partial denture so that the chewing forces are evenly distributed over the entire surface of the remaining teeth and soft tissues.

Changes to the remaining teeth may be recommended to help equalize these forces. As Prosthodontists, Drs. Kaplan, Bolding, Singer, and Driscoll have the additional education and training to provide patients with a comfortable, natural-looking partial denture.

Full Mouth Dentures

A full mouth denture or a complete denture, as it is often called, is an oral prosthesis replacing a patients’ full set of natural teeth. The prosthetic teeth are made of plastic, porcelain or a combination of both materials.

Patients can elect to wear either conventional dentures or implant dentures (removable) or fixed dentures (anchored):
A removable denture is kept in place by natural saliva suction and gripped to gum tissue or can snap-onto implants.
A fixed denture is attached to dental implants that are securely anchored to the denture and jawbone (see dental implants)

Many patients elect to wear dentures secured by implants which allow them to maintain a more natural quality of life.
Dentures over a normal course of time will wear and need to be replaced or relined in order to keep the jaw alignment normal. The alignment will slowly change as the bone and gum ridges recede or shrink due to the extraction of the teeth. Regular dental examinations are still important for the denture wearer so that the oral tissues can be checked for disease or change.

immediate dentures

Immediate Dentures

Unlike conventional or fixed dentures, immediate dentures are made prior to the day of surgery and can be positioned as soon as the teeth are extracted on the same day. As a result, the patient does not have to be without teeth during the healing period.

For patients transitioning to a complete arch prosthesis such as a removable denture or a fixed denture, the treatment plan will likely include an immediate denture, as well as the final denture. Our in-house dental lab allows us the ability to fabricate immediate dentures that are comfortable and natural-looking.

On the day of surgery, the immediate denture is delivered to the patient, allowing them to go home with replacement teeth. The immediate denture is used temporarily for esthetic and functional purposes while the gums heal and can act as a protective bandage at times. They also assist in providing an aesthetic assessment while preparing for the final prostheses that begin approximately three months after the day of surgery.

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Denture FAQs

Are dentures bad for your gums?

Dentures, when properly fitted and maintained, can be safe for your gums and are an effective solution for individuals who have lost teeth. However, improper fit or poor oral hygiene can lead to issues that may be harmful to your gums. Ill-fitting dentures can cause friction, leading to sore spots and inflammation of the gum tissue.

Are dentures comfortable?

Dentures are generally considered comfortable once the wearer has adjusted to them and they have been properly fitted by a dental professional. Initially, wearing new dentures may cause some discomfort as your mouth adapts to the presence of the appliance. There might be minor irritations or soreness during this adjustment period. However, advancements in dental technology have significantly improved the design and materials used for dentures, making them more comfortable and natural-feeling than ever before.

Can dentures be put in permanently?

Yes, dentures can be made to be permanent. Permanent dentures, often referred to as implant-supported dentures, are anchored to dental implants that are surgically placed into the jawbone. This type of denture offers a more stable and secure fit compared to traditional removable dentures, providing enhanced comfort and functionality for chewing, speaking, and overall oral health. Implant-supported dentures can be a great solution for individuals seeking a more natural feel and the added confidence of a fixed prosthetic.

Can dentures look natural?

Dentures can indeed look natural. Advancements in dentistry have significantly improved their appearance and functionality. The key to achieving natural-looking dentures lies in customization and high-quality materials. Your dental professional can craft dentures that closely mimic your natural teeth in color, size, and shape, ensuring a seamless blend with your smile. Precise fittings and adjustments also help ensure that dentures not only look natural but also fit comfortably and function effectively.

Can you brush your dentures?

Yes, you can and should brush your dentures to maintain optimal oral hygiene and ensure they remain free from food particles, stains, and bacteria. Just like natural teeth, dentures require regular cleaning to prevent plaque buildup and maintain their appearance. It is essential to use a soft-bristled brush and a non-abrasive denture cleaner instead of regular toothpaste, as it can be too harsh and potentially cause scratches on the dentures. After removing the dentures from your mouth, gently brush all surfaces and rinse them thoroughly to remove any cleaner residue.

Can you sleep in dentures?

While it is physically possible to sleep with dentures, it is generally recommended to remove them before going to bed. Removing dentures at night allows your gums and supporting bone to rest from the constant pressure of the dentures, promoting better oral health. Continuous wear can lead to irritations, infections, or even bone loss over time. Additionally, taking out your dentures allows you to clean them thoroughly, which helps in preventing plaque buildup and bad breath.

Does medical insurance cover dentures?

Generally, dental insurance is more likely to cover a portion of the cost of dentures rather than medical insurance. Most medical insurance plans do not cover dental services unless they are a result of a medical condition or injury that affects overall health. However, some comprehensive healthcare plans may offer dental benefits, including coverage for dentures under certain conditions. It is crucial for patients to review their specific insurance policies and consult with their insurance provider to understand the extent of coverage offered for dentures.

How are permanent dentures put in?

First, an impression of your mouth is taken to create a custom mold, which will serve as the blueprint for your dentures. Once the mold is ready, it is sent to a specialized dental laboratory where the permanent dentures are crafted, often using high-quality acrylic or porcelain materials. Once your dentures are ready, your dentist will check for fit and comfort, making any necessary adjustments. After this fitting session, the permanent dentures are securely placed into your mouth. l

How many teeth can you lose before you need dentures?

When it comes to determining how many teeth you can lose before needing dentures, the answer can vary based on individual needs and oral health conditions. Typically, losing multiple teeth, especially if they are adjacent, can significantly impact your ability to chew and speak properly, and may necessitate dentures or other restorative solutions. Partial dentures may be considered when only a few teeth are missing, whereas full dentures are generally recommended when most or all of the teeth in an arch are lost.

Should you keep dentures in water overnight?

Keeping dentures in water overnight is generally recommended for maintaining their shape and ensuring they stay clean and bacteria-free. When dentures are not kept moist, they can dry out, leading to warping or cracking, which can affect their fit and comfort. In addition to keeping them in water, using a denture cleaning solution can further enhance the efficiency of the cleaning process.

What are the benefits of dentures?

First and foremost, dentures restore the functionality of the mouth, allowing individuals to eat and speak more comfortably and clearly, enhancing their quality of life. Additionally, dentures help maintain the structure of the face by providing necessary support, which can prevent the sunken appearance often associated with missing teeth. By filling in gaps, dentures also contribute to a more aesthetically pleasing smile, boosting self-confidence and self-esteem.

What are the different types of dentures?

There are primarily two types of dentures: complete dentures and partial dentures. Complete dentures are used when all teeth are missing, providing a full set of teeth for the upper or lower jaw, or both. They are typically made of acrylic and are custom-crafted to fit the mouth securely and comfortably. Partial dentures, on the other hand, are used when only some teeth are missing. They typically consist of a metal framework covered in acrylic, with prosthetic teeth attached, and are secured in place with clasps that anchor onto the remaining natural teeth.

What is the difference between permanent dentures and implants?

Permanent dentures are removable appliances that consist of artificial teeth set in a gum-colored base designed to fit over your gums securely, offering a full or partial dental replacement. They are typically more affordable and non-invasive compared to dental implants. On the other hand, dental implants involve surgically positioning metal posts or frames into the jawbone beneath the gums, which then allows an oral surgeon to mount replacement teeth onto them. Implants are favored for their durability and the stability they offer, mimicking the function and appearance of natural teeth closely. Choosing between the two often depends on individual preferences, overall health, and budget considerations.

What is the life of dentures?

The lifespan of dentures largely depends on factors such as the material quality, the patients oral hygiene practices, and regular dental check-ups. On average, dentures are expected to last anywhere from 5 to 10 years. Over time, the natural changes in the mouths structure, along with wear and tear on the dentures themselves, may necessitate adjustments or replacement.

Why do people get dentures?

People often get dentures to replace missing teeth and restore both functionality and aesthetics to their smile. Tooth loss can occur for various reasons, and dentures provide a practical solution for addressing these issues. By filling the gaps left by missing teeth, dentures help improve a persons ability to chew food efficiently, enhance speech, and support facial muscles to prevent the sagging of the face that can occur with tooth loss.

Restore Your Smile

Greater DC Specialists is well-versed in expertly crafted dental crowns and bridges. Whether you need to strengthen a tooth or replace missing teeth, our team will provide the personalized care you deserve. Book a consultation today to enhance your oral health.

Award-Winning Care

Dr. Kaplan has recently been awarded by the American College of Prosthodontists recognizing extraordinary collegiality, outreach, and community service.

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