Three Types of Complete Dentures
Whole mouth reconstruction is an important dental treatment project, its difficulty and complexity are higher than other dental problems, so the treatment plan, time length and effect must be determined according to the patients’ own conditions and needs. The patients who need full mouth reconstruction mainly come from the elderly, or suffer from serious oral diseases, such as periodontal diseases, which cause complete edentulous teeth, so they need to customize full mouth dentures.
Because the whole mouth reconstruction must go through the precise diagnosis and treatment, so the reconstruction process is of great engineering, and the professional experience of doctors is the biggest factor to achieve the expected value of patients. With the progress of medical science and technology, now through the assistance of computer, it can help doctors to be more accurate in the treatment process, shorten the operation time and reduce the discomfort of patients, so as to achieve better treatment effect. According to the types of complete dentures, they can be divided into three categories: full movable dentures, semi fixed dentures and fixed dentures. Each of these three types of complete dentures has its advantages and disadvantages.
- Traditional full mouth movable denture:
The earliest type of denture used in the whole mouth reconstruction is the full mouth movable denture. When the teeth are pulled out and cleaned, the upper and lower teeth bones are respectively covered with two fixed parts for use, which can be removed by itself.
Advantages: the lowest cost and easy to clean
Disadvantages: easy to fall out when using, with foreign body feeling, sensitive mouth, blocking taste, also easy to affect pronunciation. And because there is no root support, the long-term use of the denture is easy to make the alveolar bone depressed due to extrusion, and over time it evolves into a state of atrophy, resulting in the denture is easy to loose, so it must be frequently returned for repair.
Suitable group: people with better alveolar bone condition or not suitable for operation.
- Semi fixed movable denture:
The semi fixed movable denture is between the movable denture and the fixed denture. Generally, four implants are installed on the upper and lower teeth bones as mortise fixation to make the denture difficult to move. Only 2 implants can be installed according to the condition or budget of patients’ teeth and bones, and other implants can be added in later stage if necessary.
Advantages: the denture can be more stable and comfortable through the tenon, and can also be disassembled and cleaned by itself. The masticatory force is better than the movable denture, and the supporting force and adhesion are higher, so it is not easy to fall off.
Disadvantages: it needs to be removed by itself, and some patients think that it is a little less beautiful and convenient; in addition, it is possible to cause the atrophy of alveolar bone in the part of dental bone without implants under long-term use. At that time, it is more difficult to repair the bone, and the repair engineering is relatively more complex and difficult.
Suitable for ethnic groups: people who wear full mouth removable dentures are often loose or difficult to use and are not easy to bite.
- Fixed denture:
Full mouth dental implant is the most complicated operation in traditional treatment. However, now it can be more accurate and comprehensive set-up with the help of 3D computer navigation technology. Under the condition of good dental bone and oral state, the treatment can be completed in about one hour, greatly improving the treatment efficiency and comfort of patients. The advantage of full mouth fixed denture is that it is easy to maintain, and individual parts are independent, which can be maintained separately without taking them down for cleaning, just like real teeth.
Advantages: the masticatory effect is the highest, such as young and powerful teeth, which can bite hard objects. Due to the good adhesion and stability, there is no foreign body feeling at all, and it does not need to be disassembled. The service life is longer than the first two types of dentures, and because of the number of implants, the fixation is higher, so the degree of tooth bone protection is better.
Disadvantages: high cost and on the other hand, large-scale operation may be required, which depends on the condition of the patient’s dental bone. If the bone mass is not good, it needs to be filled first and then implanted. The treatment process is complex and time-consuming.
Suitable for ethnic groups: those who are not fit to wear active dentures, who have no uncontrolled systemic diseases, who love food and pursue good quality of life.
From the above analysis of the types of complete dentures, it is not difficult to see that the patient’s own dental bone conditions are the key to selection, so the health of dental bone is very important. It is not difficult to take good care of your teeth and bones. You should brush your teeth frequently and do oral examination regularly. If you have teeth or oral problems, you should seek medical treatment as soon as possible. On the other hand, if you need to pull out your teeth, you should make up your teeth as soon as possible after pulling out. Generally, the golden treatment period is 3-6 months, so as to reduce the probability of tooth bone atrophy.
In fact, the difficulty of the whole reconstruction is not only the early planning, the medium-term complex process, but also the “later repair”. The service life of the whole denture depends on the type of denture and the way of using and maintaining the denture. The most important thing is whether the doctor has considered the long-term and long-term evolution of the denture in the treatment, and has carried out comprehensive customized diagnosis for the patient. Therefore, before the treatment, remind the patient to compare more, seek professional consultation, and treat In order to achieve long-term and good therapeutic effect, we should communicate our own needs and expectations with doctors in detail.