All posts by Affordable Dentures

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Healthy Gums

Gum disease is a major cause of tooth loss. The best way to avoid gum disease and tooth loss is to maintain healthy gums. That way, the tissues keeping teeth in place stay strong.

To help maintain healthy gums, you should have a gum maintenance practice:
1. Regular brushing with a PDA approved toothpaste, designed to maintain both healthy gums and teeth.
2. Regular cleaning by using dental floss between the teeth and gumline where dental plaque can build up. This is to keep these areas free from harmful bacteria that can damage gums.
3. Regular use of an antibacterial mouthwash to reduce plaque and help prevent plaque build up.

Healthy gums. Photo credit: Dr. Jesus Lecitona
Healthy gums. Photo credit: Dr. Jesus Lecitona

Removable Gums

One way of restoring horizontal and vertical tissue deficiencies of the anterior region is by constructing an artificial gums. Removable gums can solve functional and esthetic problems like:
1. Narrow and longer prosthetic teeth.
2. Inverted smile line.
3. Misalignment of the tooth axes.
4. Unsupported lip profile.

The photos below show how to construct a removable gums for fixed bridge with narrow and long pontics.

Fixed bridge with long pontics.
Fixed bridge with long pontics. Photo credit: Dr. Jesus Lecitona
Master cast for the artificial gums.
Master cast for the artificial gums.
Wax artificial gums.
Wax artificial gums.
Investing the wax artificial gums.
Investing the wax artificial gums.
Heat cure resin is ready to be packed.
Heat cure resin is ready to be packed.
Processed artificial gums.
Processed artificial gums.
Trimmed and polished artificial gums.
Trimmed and polished artificial gums.

For more info about Removable Gums, visit our clinic.

Complete Dentures

Latent pathologic conditions arise as a result of the loss of teeth. Over a period of time, pathologic conditions may elicit detrimental alterations on the residual bone, oral mucosa, temporomandibular joints, masticatory muscles and nervous system. Pains in the orofacial areas may also be felt.

Affordable lower complete denture. Photo credit: Dr. Jesus Lecitona
Affordable lower complete denture. Photo credit: Dr. Jesus Lecitona

Continue reading Complete Dentures

Fixed-movable Bridge

Fixed/movable bridge is a fixed restoration where the pontics are supported rigidly on one side by one or more abutment teeth, and a precision attachment on the other side. Precision attachment allows a small degree of movement between the rigid component and the other abutment tooth.

Fixed/movable bridge. Photo credit: Dr. Jesus Lecitona
Fixed/movable bridge. Photo credit: Dr. Jesus Lecitona

Indication
1. Where abutment teeth are tilted or totated in relation to each other and the preparation needed to make them parallel would be highly destructive to tooth.

Advantages
1. Divergent abutments can be used.
2. More conservative of tooth structure.
3. It allows minor movements of abutments in relation to each other.
4. The bridges can be cemented separately.

Disadvantages
1. More demanding of lab time.
2. More expensive.
3. Provisionalization is more difficult due to tilting of the abutment teeth.

For more info about Fixed-movable Bridge, visit our clinic.

Fixed-fixed Bridge

Fixed/fixed bridge is a fixed restoration where the pontics are supported rigidly on either side by one or more abutment teeth.

Fixed/fixed bridge.  Photo credit: Dr. Jesus Lecitona
Fixed/fixed bridge. Photo credit: Dr. Jesus Lecitona

Indication
1. Where missing units are bound by abutment teeth which are capable of supporting the functional load of the missing teeth.

Advantage
1. Fixed/fixed bridge is a strong and retentive restoration for replacing missing teeth. It can be used for single or multiple missing units with the abutment teeth splinted together.

Disadvantages
1. Fixed/fixed bridge requires the preparation of the abutment teeth to be parallel to each other which may mean overpreparation of the teeth, structural weakening of the tooth and endangering the pulp.
2. Teeth do move independently in function and this can lead to cementation failure of a fixed/fixed bridge.

For more info about Fixed-fixed Bridge, visit our clinic.

Resin Bonded Bridge

Resin Bonded Bridge is a fixed restoration constructed of a cast metal framework which is cemented to the enamel of abutment teeth by an adhesive composite resin.

Unglazed resin bonded bridge. Photo credit: Dr. Jesus Lecitona
Unglazed resin bonded bridge. Photo credit: Dr. Jesus Lecitona

Indication
1. To replace teeth where the abutment teeth are unrestored and the use of conventional bridgework would cause too much tooth reduction.

Advantage
1. Minimal preparation of the abutment teeth is required and all is within enamel, as the retainer is attached to the abutment teeth using acid etch adhesive resin cement.

Disadvantages
1. Resin bonded bridge can easily debond if good isolation is not obtained during cementation.
2. If insufficient enamel is present, resin bonded bridge is contraindicated.
3. It is also contraindicated where there is evidence of severe tooth wear, parafunctional or insufficient interocclusal clearance.

For more info about Resin Bonded Bridge, visit our clinic.