Prosthodontics
Denture

Acrylic Dentures

Shubham Dental care recommends Acrylic Dentures for filling gaps or to replace all the missing teeth from upper and lower dentures, especially for those who are more price sensitive.

Referred to as “tissue borne”, the pink plastic dentures are supported mainly by the gums. While the plastic parts surround the teeth that remain in your mouth, however, no increase in stability levels will be achieved from these.

Some acrylic partial dentures feature metal clips or clasps, these are used help to keep the dentures in the correct position.

What are the benefits of Acrylic Dentures?

Acrylic Dentures are generally cheaper to make and a less sophisticated design is needed, certainly not as much as other varieties, such as partial dentures made from metal. These are used by clients who are more price sensitive because of they are low cost dentures. There are many false teeth options offering cheap dentures at the Shubham Dental care.

In some situations when acrylic dentures offer distinct advantages over other alternatives including when they are only required as a temporary solution, or are being used on the day of an extraction as a temporary measure.

As with all dentures, acrylics also offer several other benefits to denture wearers. The presence of teeth can really help increase people’s self-esteem and confidence. The dentures can also help provide support for the lips and cheeks that may look “clapped in” in appearance in patients with teeth missing.

Being able to chew food correctly is not always possible if teeth are lost but this can be improved by wearing dentures. In turn this means that food can be enjoyed again whilst your digestive balance is increased, helping people to take the maximum nutrition from the meals they eat. As a direct result, dentures will not only improve the health of the mouth and facial appearance, but also that of the body in general.

When people lose teeth they often find they lose their ability to speak as clearly as before the tooth loss, particularly in cases of anterior teeth, that’s the canines and incisors. Opting for acrylic dentures, wearers should find their pronunciation improves and this will most likely to be more noticeable when using words that contain certain sounds, like a sibilant or fricative sound.

Acrylic Dentures are available in a stronger than normal, high impact acrylic, more suited to withstanding every day wear and tear and forces involved with eating meat where a lot of chewing is involved

How can I Get Acrylic Dentures?

We will assess your teeth first to see if acrylic dentures are suited to your specific case.

With small acrylic dentures, it is sometimes possible to take an impression on the same day We make and fit the dentures. One visit, all done on the same day.

How do I care for my Acrylic Dentures?

Acrylic Dentures need to be cleaned every single day, just like real teeth need to be cleaned if you want to avoid the plaque and bacteria on the tooth surface. Using a toothbrush and toothpaste or one of the specially made denture solutions available from any high street store.

Plastic dentures should not be kept in your mouth overnight as the soft tissue should not be covered all the time. If however, you do keep your dentures in at night, you must make sure that your soft tissues and the denture itself are cleaned daily ensuring good oral hygiene is maintained.

Soft Liner Denture

Shubham Dental care are highly experienced in producing high quality soft lining dentures for its clients within Scotland and in the UK as a whole. We have over 40 years’ experience in helping our clients to live life to the full with only the best quality soft lining dentures. Soft Liners are a made from a soft polymer material which is then applied to the hard base of your dentures. Soft liners within soft lining act as a type of cushion, which you may not realise it, but it will definitely assist you when you are chewing and prevent you from pain caused by rubbing or gum irritation. Soft liners can be applied to relines and remake should they be required. A soft lining denture is mainly used for full lower dentures as this provides greater protection and comfort for client that have sensitive soft tissue. Your denture will still require a denture adhesive but the fact is that your dentures will reduce the chance of gum irritation or rubbing as well as affording your denture more stability and retention. Soft lining dentures provide irritation relief unlike traditional dentures< however just like any other type of denture, even soft lining dentures may need relined or remade. Many people often forget what is actually going to happen other than the fact they will receive a new set of Soft lining dentures, that the remakes or relines won’t change the colour or shape of your teeth but only change the surface of your denture on your gums. If your gums are very sensitive, a soft lining denture is really the option for you. Because of the cushion effect it has between your gums and your dentures.

Metal Dentures

We use metal in dentures to increase the strength and durability for your application. Although be assured, the metal part of the denture will not be apparent to anyone however, with partial dentures, the clasp may be ever so slightly visible.

If you are missing teeth as a result of growing older, trauma, infection or basic tooth wear and tear, you may find the ideal solution in metal dentures, which will remain in place without the using a denture adhesive gel.

What are metal dentures made from?

The metal dentures are manufactured with a medical-grade alloy, used in chrome dentures, which is a hypoallergenic ensuring you do not suffer from an allergic reaction because of the material.

Although the thought of a metal denture may not be that appealing to many, the use of metal dentures could provide a number of benefits to denture wearers who have a lack of confidence because of an unattractive smile.

What are the advantages?

The main benefit of wearing metal dentures is that they are tailor made to ensure it is compatible with the soft tissue in the mouth and as a precaution against the risk of allergic reactions or gum irritation.

Metal dentures are usually somewhat smaller than their plastic counterpart and do not fully cover the roof of the mouth like the plate in plastic dentures will. This results in the roof of the mouth being left uncovered, which in turn, improves taste sensations for the wearer, so you can taste your food better.

Additionally, the durable nature of a metal denture means that they are less likely to break or bend out of shape like the more fragile plastic denture alternatives.

Also, the snug fit of these false teeth, when placed into the mouth, are very comfortable to wearer, which could bring relief for people who have been worried about the feeling of any foreign object in their mouth for any prolonged period of time, although the longer you wear them, the quicker you get used to them and start to feel the comfortable of the application.

Although the metal option may prove more expensive than a number of alternatives, the long-lasting nature of these false teeth may make it worthwhile for individuals looking to improve their quality of life, oral health and smile and with our fantastic finance packages, you can spread the cost, making them even more affordable.

How do I go about getting metal dentures?

Initially, to get your dentures, you would be assessed to make sure that a metal denture is the right treatment for you. If it is, then impressions of your teeth and gums will be taken for the dental laboratory to produce your custom made metal denture.

Once the denture is ready and you are attending your appointment, we would place the denture into your mouth and do any adjustments as necessary at the denture fit appointment.

New dentures are like new shoes, you need time to get used to them and clients should wear their new denture as much as possible and eat with the denture in place and after a few days, come back to the Shubham Dental Care for the denture to be checked and so that we can carry out any further adjustments that are needed.

Non Breakable Denture


The unbreakable dentures are the most durable and long life dentures which are constructed from biocompatible non-allergenic nylon material. These materials helps in designing flexible dentures and helps in easy movement of the jaw line without giving bad bites to the patients. Our designed complete denture sets fits comfortably around existing teeth and gums. The materials that we use to design these dentures are of the best quality and are designed as per the structure of the patient's mouth. These high quality non-metallic materials procured from trusted vendors. Our dentists are expert in this domain and offer the reliable and satisfactory services to the patients. These unbreakable dentures look natural on the mouth and do not create any trouble in chewing the food. These are offered at reasonable rates.

Flexible Denture

Often flexible dentures are referred to as soft dentures, primarily because they solve the problem of the hard denture surface rubbing against the soft tissue in your mouth the way acrylic dentures do. In appearance, they do not seem to be soft, however, there is a soft inner lining in flexible dentures and perhaps where the term Soft Dentures comes from. Due to technological advancements in dentures, the soft denture can fit over and around your gums and teeth and is an ideal alternative to dental implants if there is not enough bone for the implants to be fitted.

With flexible dentures you are getting a good alternative to removable or fixed dentures. These partial dentures are usually used to replace a few missing teeth, perhaps from gum disease, a sporting injury or a dental infection. Valplast flexible dentures are different to standard flexible dentures in that the plate is made from a flexible plastic as opposed to the traditional acrylic options. Facial sagging can occur following multiple tooth extractions if there is no denture in place and flexible dentures can improve this and also ensure that you oral health will be maintained.

Glasgow Denture Studio would use a partial denture to help getting your smile back to its best by replacing missing teeth. This can be an emotional time for the denture wearer as it will no doubt have a knock on effect of raising self-confidence and once again allowing them to enjoy life to the full.

You can have your generic dentures adjusted to have a soft flexible lining to make your current dentures more comfortable. The coating on the inside of the soft denture is made from a non-porous resin which helps resist bacteria unlike in the traditional acrylic dentures.

The resin based dentures will outlast traditional dentures possibly because they are not held in place by metal clips, instead, they are hook into the undercut at the ridge of the gums. The flexible resin piece of your denture is what hooks into the gums. This is to minimise the friction between the hard base of the denture and your gum. As opposed to clipping over the teeth, the hooking in method deployed by flexible dentures reduces movement when you are eating, especially if you are having to do a lot of chewing, like with a steak for instance and not only that, because you do not use a denture adhesive gel, the flexible dentures can adjust to changes in your mouth more easily unlike a more traditional denture which would end up rubbing and irritating any newly developed ridges in your gums, which would result in sores and could cause blistering. Because you feel less pain due to decreased sensitivity, it is not uncommon for soft denture wearers to initially not identify irregular change in their bite.

The main advantages of flexible dentures are:

Unlikely to go through any pain or discomfort from the dentures

Increased denture retention

Offers a more cosmetic solution

Transparency of the material means it blends in with you gum colouring

No need for adhesive gel

Relatively quick to manufacture

Less components to flexible dentures

No fear of the denture coming loose because they are tight fitting

Soft dentures are cleaned using the same method as traditional acrylic dentures. Many people do tend to soak their flexible dentures through the night, 3 or 4 times a week and it is beneficial to clean you denture after meals, where possible. You can cause damage to your flexible denture if you use a toothbrush, however, if you maintain your denture properly, there is no reason why it couldn’t last around 15 years making them less cost prohibitive overall, when you take into account the timescale of the dentures life cycle.

RPD

Normal Acrylic RPD

Various type of denture designed forVarious type of denture designed for partially edentulous patients using varieties partially edentulous patients using varieties of denture base material.of denture base material. Although the cast partial dentures are more Although the cast partial dentures are more accurate and satisfactory, more of acrylicaccurate and satisfactory, more of acrylic partial dentures are used because of its partial dentures are used because of its simplicity and various other factors.simplicity and various other factors. The frequency of acrylic partial denture isThe frequency of acrylic partial denture is more than 90 to 95% in routine clinicalmore than 90 to 95% in routine clinical cases when compared to cast partialcases when compared to cast partial denture.denture.

Most of the patient prefer acrylic partial denturepatient prefer acrylic partial denture because, they are less expensive whenbecause, they are less expensive when compared to others.compared to others. They can be constructed in any casesThey can be constructed in any cases irrespective of the length of span or theirrespective of the length of span or the condition of the adjoining hard and softcondition of the adjoining hard and soft structures.structures. In young patients where extensive toothIn young patients where extensive tooth preparation is not advisable as well as inpreparation is not advisable as well as in old patients whose health contraindicatesold patients whose health contraindicates the lengthy and physically tryingthe lengthy and physically trying appointments.appointments. Because of the most expensive laboratoryBecause of the most expensive laboratory equipments and technique sensitivity of theequipments and technique sensitivity of the cast partial dentures.cast partial dentures.

When there is need for replace teethWhen there is need for replace teeth immediately after their extraction.immediately after their extraction. Relining and rebasing can be possible.Relining and rebasing can be possible. All these factors makes necessity forAll these factors makes necessity for construction of acrylic partial denture.construction of acrylic partial denture. The three dimensional denture teeth mayThe three dimensional denture teeth may have life like appearancehave life like appearance When aesthetic is of primary concern .ItsWhen aesthetic is of primary concern .Its possible to attain a more natural toothpossible to attain a more natural tooth position by placing a denture tooth on aposition by placing a denture tooth on a denture base.denture base.

Flexible RPD

You could well be in luck. The newer flexible removable partial dentures (RPDs) are being used more and more commonly for temporary, or on occasion permanent, replacement of missing teeth. These dentures are providing a comfortable and successful alternative to traditional RPDs.

Flexible RPDs are actually made of a form of nylon first introduced into dentistry in the 1950s. Technically known as super-polyamides, or, in this application, as flexible polyamides, these resins are tough, resistant, extremely durable and strong. The material is thermoplastic, meaning it will change shape under high heat so that it can be injection-molded into flexible denture bases to which replacement teeth are subsequently attached.

The flexibility of these dentures provides several advantages over the traditional RPD alternatives made of rigid, acrylic plastic resin. Flexible, nylon-based RPDs can look realistic, stay securely in place and be more comfortable to wear. Instead of metal clasps, they have thin finger-like extensions that fit or snap into natural concavities in the crowns of the teeth near the gum line. The flexible RPD also provides an option for cosmetic improvement of adjacent teeth that appear elongated due to gum recession: The realistic-looking, gum-colored base can be made to cover areas where natural gum tissue has receded (shrunk down) and partially exposed tooth roots so that flexible RPDs provide a smile improvement and offer an instant aesthetic solution.

Metallic RPD


An important step in maintaining a healthy smile is to replace missing teeth. When teeth are missing, the remaining ones can change position, drifting into the surrounding space. Teeth that are out of position can damage tissues in the mouth. In addition, it may be difficult to clean thoroughly between crooked teeth. As a result, you run the risk of tooth decay and periodontal (gum) disease, which can lead to the loss of additional teeth. A Removable Partial Denture fills in the space created by missing teeth and fills out your smile. It also helps you to properly chew food, which is a difficult task when you are missing teeth. Removable Partial Dentures consist of a metal framework with plastic teeth and gum areas. The framework includes metal clasps or other attachments such as precision attachments that hold the denture in place.

consists of metal clasps that are C-shaped, I-shaped and Y-shaped 9parts of the denture framework). They fit around neighboring natural teeth. These teeth may require shaping to help hold the clasps and keep the denture securely in place.

Bridge & Crown

Metallic

The metal ceramic bridge (known as the porcelain fused to metal bridge) has been a stalwart in the dental world for many years. This dental bridge has been worn by countless numbers of people and is considered a strong and resilient type of bridge.

Other options are all ceramic bridges, such as zirconia bridges which are metal free and prized for their translucent appearance.

But it is important that you weigh up the pros and cons of both types of bridge before making your decision.

What is a metal ceramic bridge?

This bridge is comprised of a metal alloy framework and ceramic crowns which are designed as a replacement for missing or crooked teeth.

There are different types of metal ceramic bridges which include: Metal alloy based

Noble alloy based, e.g.

contains gold and copper

High noble alloy based

Metal alloy based bridges have a silvery grey appearance and are strong, durable and resistant to staining. They are less likely to fracture compared to the all ceramic bridge and have a long lifespan. Noble alloy based bridges contain a variety of metals such as gold and copper which makes them resistant to tarnishing as well as being a strong and tough type of bridge. Plus gold alloy is tolerated well by the body so no risk of an allergic reaction and does not damage your natural teeth.

High noble alloy based bridges contain higher percentages of gold or other metals which means a very strong type of bridge. This bridge is able to withstand any amount of pressure or force placed upon it and only requires a tiny amount of tooth reduction in the preparation stage.

Advantages of a metal ceramic bridge  

In brief: metallic have great strength and durability. They are known to last for many years and are generally biocompatible. There is only a small risk of an adverse reaction to the metals used in its manufacture.

Plus they are hard wearing and unlikely to crack, chip or break, even if you are heavy biter or tend to grind your teeth.

Disadvantages of a metal ceramic bridge

One disadvantage is that of being able to see a dark grey line around the edge of the gums which you may find less than attractive.

Plus some people suffer a reaction to the metals used in the production of the bridge. 

metallic also cause a heightened sensitivity to hot and cold liquids in some people.

As a result of this many people opt for the all ceramic bridge as these are metal free with no risk of rejection and have a realistic looking appearance. They closely match the colour of your natural teeth.

How is a metal ceramic bridge fitted?

This procedure involves two visits to your dentist: the first visit is the initial consultation followed by an examination of your affected teeth. The dentist will also prepare the affected teeth by cleaning and reshaping them so that they will be an exact fit for the bridge.

He/she will also take an impression of your teeth, using a mould containing putty which you bite into. The imprint of your teeth along with any x-rays will be sent away to a laboratory for manufacture of your bridge.

This usually takes two to three weeks. You will wear a temporary bridge during this period.

The second visit is where you will be fitted with your new bridge. The dentist will check that the colour of the crowns in the bridge closely resemble the colour of your own teeth before fitting it into your mouth.

He or she will check that it is a good fit and is not likely to cause you any discomfort. The crowns will be given a final polish before the bridge is fixed in place with dental cement.

PFM Crown

Porcelain fused to metal crowns (or PFM crowns) can be referred to as full-cast crowns which has porcelain fused on most or all parts of the tooth. Metal alloys with a high melting temperature are used to fuse porcelain to the surface and preventing the metal from melting. This ensures the porcelain to bond without changing its color.

When the tooth is prepared for such crowns, a large part of the tooth tissue gets removed making space for porcelain as well as the metal.

Porcelain crowns are the most preferred crowns as they easily match the color of the adjacent teeth better than the metallic crowns. However, they cause more damage to the opposite teeth than the resin and metal crowns. Some cases show that the porcelain portion of the crown can also break or chip off from the teeth.

In receding gums, such crowns are not suitable as the porcelain can start showing distinctively. They are best suited for the back and front teeth.

Advantages of porcelain fused to metal crowns

● The underlying metal fused with the porcelain provides stability and strength to the crown.

● It has great aesthetic appeal and is most commonly preferred as it gives the restored tooth a natural look.

● They have a very high rate of success in the long run.

Disadvantages

●The cosmetic appearance of these crowns is commendable but they are less appealing than other types.

●They make the gums more vulnerable to gingival inflammation as compared to porcelain fused to gold and porcelain crowns.

●Restoring tooth with these crowns requires a large part of the tooth structure to be removed.

●Porcelain from the crown can easily break or chip off.

●The teeth which bite against these crowns bet worn out in the long run.

●Increased cost becomes a major drawback when precious metals are fused.

PFM crowns are nothing but a hybrid between porcelain and metal crowns. Initially a metal shell is prepared which can fit perfectly over the concerned tooth. Then a porcelain veneer is fused on the metal shell which gives the crown a natural looking appearance.

The best part of these crowns is the stability and strength which is unmatched to any other restorations available today.

These are best for patients looking for natural look and durability.

Last few years have seen a lot of advancement in the field of porcelain fused to metal crowns. Patients with all porcelain crowns are getting theirs replaced with these ones. The latest type of Captek crowns have also done away with the black line that becomes visible around the patients gum line. These crowns have been the commonest option for dentists as well as for patients for over 35 years.

PFM is a preferred choice when bridges for the long run are required and night grinding is a problem. Since these crowns are a combination of porcelain and metal they are accepted worldwide and well known for the treatment they cater. They are trusted not only by the patients but also by the doctors all over the globe.

Full Creamic Crown

These are a type of cosmetic crown which are made purely from ceramic and no other material. This is in contrast to other types of crowns such as the porcelain fused to metal variety and gold crowns.

The defining feature of these crowns is that they are made from a translucent material which is attractive to look at and blends in well with the rest of your teeth.  

This means a top quality crown which will last for many years. The majority of full ceramic crowns are produced using computer technology, e.g. CAD/CAM technology which is based upon 3D design.

Another option is metal ceramic crowns

There are two types of ceramic crown:


Zirconia

E-Max

These are both discussed further in separate sections.

Advantages of full ceramic crowns

These crowns are ideally suited to people who have minimal space within their mouth for a crown or prefer something which has a natural appearance.

They are made from a thinner material which results in a lighter crown. Plus the material used is ‘bio-compatible’  which is kind to natural gum tissue and enables it to grow back alongside the crown.

There is no risk of an allergic reaction or sensitivity to hot or cold foods.

Disadvantages of full ceramic crowns

Whilst there are advantages of these crowns it is only fair to highlight the disadvantages as well.

There appears to be a trade off between aesthetics and strength: this type of crown is lifelike and pleasant to look at but there is a downside. It is less durable than other types of crowns which mean it is more prone to cracking or breaking.

Plus the refinement needed to produce these crowns makes them more difficult to fit. They require a high degree of expertise on the part of the dentist which increases their cost.

How are full ceramic crowns fitted?

The procedure is the same as for any fitting of a crown. The dentist will clean and reshape the tooth to be treated as a form of preparation. The tooth is tapered so that it will allow the crown to fit snugly over the top.

An impression is then taken of your teeth with dental putty. This mould is sent to a dental laboratory where it will be used to fabricate a new crown.

It takes around 2 to 3 weeks for this to happen so you will be fitted with a temporary crown in the meantime.

Once it is ready you will asked to return to the surgery where you will be fitted with your new crown. This involves the dentist roughing the surface of the affected tooth with etching acid which will enable the crown to adhere to the tooth.

This will be checked by your dentist. Once both of you are satisfied with the fitting then it will be fixed firmly in place with dental cement.

Take care of your new crown. There is research being undertaken into the longevity of full ceramic crowns so take care not to put too much pressure upon it. Be careful when eating hard/crunchy foods and avoid grinding your teeth.

Overdenture Tooth Supported

For many patients the transition from their own teeth/dentition to “dentures” is a challenging one. As teeth are extracted the supporting bone and soft tissues begin to resorb or shrink providing much less stability and retention for the denture during the functional stresses of chewing and swallowing. This allows for a poor peripheral seal and stability of Denture becomes a major problem This is perhaps the single biggest complaint amongst edentulous patients and one of the reasons we encourage patients to maintain several of their own natural teeth so they can be modified to help anchor and stabilize the Denture - This is called an overdenture and either teeth and or implants can be used to achieve this.

Typically there are two basic types of

overdentures:

Tooth borne overdenture


This usually requires selecting 2, 3 or more of your natural teeth to help support the denture. Root canal therapy is then performed on these teeth and they are intentionally shaved down to the gum line and then, small gold caps with retentive clips (called post and caps with ceka attachments) are cemented onto into and around the roots of these teeth so the denture can be anchored on top (ergo the name “overdenture”) The additional anchorage and retention created by these gold root caps provides significant increased stability for the denture. The beauty of this technique is that it allows you to also preserve a large area of surrounding bone which so that later on if time and finances permit, additional implant borne fixtures can be placed. In the upper jaw the added advantage with this technique is that with the additional stability and retention of two or more such attachments you can cut out a large portion of the palatal acrylic on the roof of the mouth - this allows more space for the tongue, improved airway, better speech and swallowing as well as improved taste and smell.



Implant borne overdentures


Unlike Tooth borne overdentures, the decision to have a denture supported by 2 or more implants can be made after the complete denture has been fabricated and inserted. By far the most common type of implant supported denture is the lower due to the lack of retention and stability that usually accompanies a lower complete denture. With a minimum of 2 dental implants a significant increase in stability and retention can be achieved. The surgery takes less than an hour and the denture can also be loosely attached to the denture at this same surgical appointment. After 3 months of healing, permanent attachments (called o-ring abutments) can be installed to firmly mount the lower overdenture to the dental implants. When 4 or more implants are placed more intricate milled titanium bars can be installed to join all the implants together thereby increasing the stability and fit of the denture