Master, College of Conscious Sedation American Dental Society of Anesthesiology
Advanced Systemic Health Care through the Mouth
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Michael A. Starkey, DDS MS and The Team
Here is the good bad and ugly about dentures. Actually this fellow had nothing good to say about dentures
Implants are NOT for everyone.
There will always be patients in need of dentures. advantages of dentures outweigh disadvantages for some patients. Some of my happiest patients and most appreciative of our dental work were patients who we made dentures for. These are patients who suffered for years with bad gums and bad teeth and were unhappy with themselves because of their bad smile. Socially these patients were withdrawn. Implants are not advisable for patients with certain medical problems such as uncontrolled diabetes, patients who lack ridges have to under go significant invasive bone grafting which is high risk, then there is the expense of implants. Some patients do not want to have any surgery on their mouth.
What are the benefits of Removable Full or Partial Dentures compared to Dental Implant Fixed Bridgework
Dentures can be man's inhumanity to man or the best thing to ever happen to a patient.
But finally there has been a significant advance in Denture construction. The first real advance in a hundred years.Today the state of the art in dentures is scanning and creating digitized models that fit ideally and from there your dentures are created. The result is a better fit and bite than dentures have been in the past. A CAD/CAM milling machine computer controlled creates your dentures and partial dentures. The result is more exact than an expert lab tech hand waxing the case alone.
Again all things being equal implants are better than dentures but all things are NOT equal. Implants are not for every one even though the chart below would make you think that is the case. There are good reasons to have dentures and not implants depending on patients time in life and financial condition
as well as health, and satisfaction with dentures,
along with the fact that dentures are much easier to
clean and care for than implants.
The above chart makes it sound like dentures are never a good idea. Of course that is NOT true. It is interesting to note that the only improvement since George Washington's wooden dentures was plastic. The first modern dental implants were done in 1950 by some daring dental surgeons but it was not until the late 1980's that implants started to become main stream reliable treatment; dentures themselves still had not improved over the last hundred years. Check just about any dental office and what you will find a box of old dentures that patients could not tolerate or broke or wore out. See photo above. Now however there is finally a significant advance in dentures themselves. CAD/CAM Dentures machined from a computer. For a more accurate fit.
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