Addressing the Gap with Removable Partial Dentures
Typically, when you think of dentures, you might think about the complete set of removable teeth resting in a glass jar on the bedside table. Whilst that is portrayed a lot in TV and films, dentures can be as simple as a small appliance to replace the gap of one or more missing teeth, allowing you to feel more confident about smiling, eating, and speaking.
What are Partial Dentures?
Partial dentures are a removable appliance for missing teeth and surrounding tissue. As the name suggests, a partial denture fills a small gap in the mouth and can be taken out by the patient as and when needed (if the denture is removable). So, when you next think of dentures or someone mentions to you that they have dentures, their appliance might not be a full set of dentures but could be as small as a single tooth.
Partial dentures are designed almost like the finishing puzzle piece for your smile, inserted where you have a gap because of missing teeth. They work harmoniously with your natural teeth whilst also providing the restorative nature that dentures provide. On its own, it may look odd because it is essentially a few replacement teeth that are attached to a metal or gum-coloured plastic base that may be oddly shaped. However, once fitted inside the mouth, the partial dentures ideally perfectly complete the smile.
Partial dentures are very adaptable. They function by bridging a gap where the absent tooth/teeth was/were, completing the natural look. This offers patients the confidence to eat, speak, and laugh as they once did.
In comparison, full dentures are essential for those who have experienced complete tooth loss. They are used to complete the upper and/or lower jaw of missing teeth. Full dentures rest on the gum line and are typically held in place using suction, dental adhesive, or sometimes implants.
As partial dentures may require support from the remaining teeth to hold their position, oral hygiene of the remaining teeth is vitally important. The often-quoted adage — “it is better to preserve what remains than replace what is lost” — is still very relevant even in the age of cosmetic dentistry. So, prior to having a partial denture fitted, your prosthodontist will discuss how to maintain your oral hygiene to ensure further work isn’t needed.
Types of Partial Dentures
The denture is specially crafted for each patient solely for their mouth and the specific area that is missing teeth. Partial dentures are not a one-size-fits-all solution and no two partial dentures are the same, even if two patients have the same missing tooth. They are custom-made to fit your gap, gum line, and the appearance of your existing natural teeth.
As the name suggests, these dentures can be removed and reinserted by the wearer. Supported by both the gums and remaining teeth, they are easy to clean. However, they may need occasional adjustments for a perfect fit.
Flexible Partial Dentures: Made from lightweight, flexible materials, these dentures offer comfort and a more natural appearance due to the absence of metal clasps. They mould to the contours of the mouth, making them a popular option for those seeking both functionality and aesthetics.
Metal Partial Dentures: These dentures have a metal framework combined with acrylic teeth and gum-coloured plastic. Known for their strength and durability, they are capable of withstanding the pressure of chewing but may be heavier than other types.
Upper and Lower Partial Dentures: These dentures are designed to fit the unique shape of the upper or lower jaw. Upper partial dentures may cover the palate, while lower ones are shaped like a horseshoe to accommodate the tongue.
Choosing the Right Partial Denture
With so many options, selecting the right partial denture can be overwhelming. The key is to understand your individual needs and consult with professionals, to make the best choice. Here’s a look at some specific scenarios in which partial dentures are beneficial:
Partial Dentures for Front Teeth: Losing a front tooth is not only noticeable but can also affect speech and bite. Partial dentures for front teeth must blend seamlessly with the natural teeth, both in colour and shape, while restoring function. Modern dentures are designed to mimic natural teeth for a perfect smile.
Partial Dentures for Back Teeth: Although missing molars may not be immediately visible, they are essential for grinding food. Losing these teeth can affect chewing and digestion. Partial dentures for back teeth should be durable and stable, with materials that can withstand the pressure of chewing.
Partial Denture for One Tooth: Even a single missing tooth can lead to misalignment as adjacent teeth may drift into the gap. A partial denture for one tooth can prevent this misalignment and restore your bite’s functionality while preserving the aesthetics of your smile.
Choosing the right partial denture requires understanding your dental needs, considering functional implications, and factoring in aesthetic preferences.
Benefits of Partial Dentures
Partial dentures not only fill gaps in your smile but also offer several benefits that improve daily life.
Enhanced Aesthetics: A beautiful smile can boost confidence. Partial dentures are designed to blend perfectly with your natural teeth, creating a harmonious, radiant smile.
Restored Function for Eating and Speaking: Missing teeth can make eating and speaking difficult. Partial dentures restore the ability to bite, chew, and speak clearly, allowing you to enjoy a wide variety of foods and engage in conversations without hesitation.
Preserving Natural Teeth and Oral Structure: Partial dentures help prevent neighbouring teeth from shifting, maintaining alignment and preserving the overall structure of your bite. By filling the gaps, they ensure that pressure from biting and chewing is evenly distributed, promoting better oral health.
Challenges of Partial Dentures and their Solutions
Like any dental treatment, partial dentures can present challenges. Here are some common issues and how they can be addressed:
Discomfort and Soreness: New denture wearers may experience discomfort as their mouth adjusts to the dentures.
Solution: Start by wearing dentures for shorter periods and gradually increase the duration. If discomfort persists, consult your dentist for adjustments.
Difficulty Eating: It may take some time to adjust to eating with partial dentures, especially when biting into harder foods.
Solution: Begin with softer foods and avoid using the front teeth for biting. Gradually reintroduce other foods, and consider using denture adhesive for extra stability.
Speaking Challenges: Some wearers find that pronunciation, especially of certain sounds, is affected by the new dental appliance.
Solution: Practice speaking slowly and clearly and/or read something aloud to help yourself adapt. If speech problems persist, consult your dentist for adjustments.
Cleaning Difficulties: Proper maintenance of partial dentures is essential for oral hygiene.
Solution: Use a soft-bristled toothbrush and non-abrasive cleaner to gently clean dentures. Soaking them overnight in denture solution can help maintain cleanliness. Avoid hot water since it could warp the dentures.
While adjusting to partial dentures may require some time and patience, with the right care and guidance, these challenges can be overcome easily.
Second Opinion on Reconstructive Dentistry & Dentures
It’s important to first ask if the proposed treatments you are getting a second opinion on are being done by a specialist dentist or a general dentist with a specialist interest.
Many of our patients come to Western Prosthodontic Centre for a second opinion after having been told they need certain treatments as part of reconstructive dentistry that includes dentures. This can come at a great cost and may be unnecessary. There may be other options or dental or denture treatments available, and Dr Bradley Shepherd has helped many consider all the alternatives, saving them money and unnecessary discomfort.
Specialist dentistry can be complex, and there is rarely only one choice of treatment available. If you are confused about a diagnosis or a treatment proposal you have been presented with and would like a second opinion from a specialist dentist, we are here to provide clarification and alternative treatment options that may suit your circumstances better or give you the confidence to return to your normal provider.