3 Types of Dentures - Pros and Cons

Removable Dental Prostheses
A removable dental prosthesis replaces missing teeth. This appliance is also called a "denture." In this article, Dr. Mokhtar Belkhiria, a dental surgeon, explains this term.

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Role of the Removable Dental Prosthesis

Removable dental prostheses replace missing teeth. They can be complete or partial. They help with speaking, chewing, and smiling, improving both function and aesthetics.


Removable dental prostheses play a crucial role in restoring chewing function and enhancing the aesthetics of your smile. By replacing missing teeth, they allow you to:

  • Regain effective chewing: A varied and balanced diet remains possible when you can chew properly. The prosthesis helps distribute the forces of chewing and preserves the health of your digestive system.
  • Maintain clear speech: The absence of teeth can alter the pronunciation of certain sounds. The denture helps you regain clear and natural speech.
  • Support facial structure: Teeth play a role in maintaining facial volume. Their loss can lead to sagging of the soft tissues. Wearing a prosthesis helps prevent changes in the architecture of your face.
  • Boost self-confidence: Psychologically, having a harmonious smile increases self-esteem and facilitates social interactions.

Thus, removable dental prostheses are much more than a simple appliance; they contribute to the patient’s quality of life by restoring essential functions and providing aesthetic and social support.


Complete Denture

The complete denture is used for patients who have lost all their teeth in one arch (upper or lower). In this case, the denture appears as a resin plate that conforms to the shape of the gums and rests on the underlying bone. Its main characteristics are:

  • Fit and comfort: The fabrication of the complete denture is based on precise impressions. A good fit is essential to avoid irritations or painful pressure points.
  • Stability: Even though the denture is not permanently fixed, adhesion techniques or implantology can be employed to improve its stability, such as using specific adhesives or mini-implants in some cases.
  • Aesthetics: The choice of the color and shape of the artificial teeth is made according to the patient’s aesthetic criteria to ensure a natural and harmonious appearance.

Using a complete denture requires regular follow-up with the dentist, as bone resorption and changes in the morphology of the gums necessitate adjustments over time.


Partial Denture

A partial denture is indicated when only a few teeth are missing in an arch. In this case, the denture is designed as an appliance that combines fixed elements (such as restorations or bridges) with removable parts. The main features of a partial denture are:

  • Modular design: It is designed to fit between the remaining natural teeth, often using metal clasps to secure it in place.
  • Preservation of dental structure: The partial denture allows you to keep your natural teeth while filling in the gaps, helping to maintain the alignment and function of the arch.
  • Adaptability: Depending on the clinical situation, the partial denture can be removed for cleaning or modified if the oral condition changes.

An important point is the need for regular check-ups with the practitioner to ensure that the denture does not cause irritation or deformation of the surrounding tissues.


Removable Partial Denture without Clasps

The clasp-free partial denture is an alternative that aims to offer optimal comfort while preserving aesthetics. Unlike traditional partial dentures, this appliance does not have visible clasps to attach to adjacent teeth. Its advantages include:

  • Improved aesthetics: The absence of metal clasps avoids the look that many patients find unappealing, especially in the visible area when smiling.
  • Enhanced comfort: By eliminating metal devices, the risk of soft tissue irritation is reduced and a better fit to the gum contours is achieved.
  • Technological innovation: These prostheses rely on alternative retention systems, such as improved adhesion systems or discreet attachments integrated directly into the denture’s structure.

However, this option requires specialized technical expertise to guarantee the appliance’s stability, and not all clinical cases are suitable for this solution.


Indications

The choice of a removable dental prosthesis depends on several factors related to the patient’s oral condition. Among the main indications are:

  • Tooth loss due to cavities or trauma: The loss of one or more teeth may require a prosthesis to restore chewing function and aesthetics.
  • Advanced periodontal disease: In some cases, the loss of support for the natural teeth leads to their extraction, making way for a denture.
  • Advanced age: With aging, tooth loss is often gradual. The removable prosthesis proves to be an accessible and effective solution to maintain a good quality of life.
  • Patient preferences: Some patients choose a removable solution over implants due to financial, medical, or personal considerations.

Each case is evaluated in consultation with the practitioner to choose the appliance that best meets the patient’s needs and expectations.


Maintenance

Maintaining a removable dental prosthesis is essential to ensure its longevity and maintain good oral hygiene. Dr. Belkhiria’s recommendations highlight several key points:

  • Daily cleaning: It is recommended to remove the prosthesis and clean it after each meal. Using a dedicated toothbrush and appropriate cleaning products helps eliminate food deposits and bacterial plaque.
  • Regular disinfection: In addition to brushing, a thorough cleaning with disinfectant solutions helps limit the development of microorganisms.
  • Thorough rinsing: After each cleaning, rinsing with warm water helps remove any cleaning product residues.
  • Careful handling: To avoid shocks or fractures, it is advisable to handle the prosthesis with care and store it in a dedicated container when not in use.
  • Regular check-ups: Periodic visits to the dentist allow for monitoring the condition of the prosthesis and adjusting its fit as the oral cavity evolves.

These maintenance practices are indispensable for preventing infections and extending the lifespan of the appliance.


Broken Prosthesis: What to Do?

A prosthesis may sometimes break or crack due to trauma or prolonged wear. In such cases, several steps should be considered:

  • Prompt consultation: As soon as a break is noticed, it is important to schedule an appointment with your dentist for an accurate assessment of the damage.
  • Professional repair: Only a professional is qualified to carry out the necessary repairs. Depending on the extent of the break, this may involve a simple repair or partial remanufacturing of the appliance.
  • Precautionary measures: Until your appointment, it is advisable to keep the prosthesis in a clean container and avoid excessive handling to prevent further damage.
  • Prevention of future risks: Your dentist may also offer specific recommendations to prevent such incidents from recurring, such as adjusting the use of adhesives or considering more durable materials.

Quick intervention is crucial to limit discomfort and prevent further complications.


Least but not last

Removable dental prostheses represent a functional and aesthetic solution for replacing missing teeth. Whether complete or partial, with or without clasps, these devices restore chewing function, maintain clear speech, and boost self-confidence. However, their effectiveness largely depends on rigorous maintenance and regular follow-up with an oral health professional.

Dr. Mokhtar Belkhiria emphasizes that the choice of prosthesis must be personalized. It is essential to carefully assess each patient’s oral condition, functional needs, and aesthetic expectations. Moreover, in the event of breakage or malfunction, prompt intervention is crucial to prevent the problem from worsening. Finally, the cost and reimbursement of these devices vary, necessitating a transparent discussion between the patient, the dentist, and insurance providers.

Thus, a removable dental prosthesis, whether complete or partial, is much more than a simple replacement device. It is an essential tool for improving quality of life and ensuring patients’ oral well-being. Thanks to advances in materials and manufacturing techniques, these devices continue to gain in efficiency, comfort, and aesthetics, allowing everyone to enjoy a confident smile.

This guide was presented by Dr. Mokhtar Belkhiria, who hopes that these explanations will help you better understand the issues related to denture use and assist you in making the best choices for your dental health.


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