Surgical Extractions and Prosthetics

Dentists and oral surgeons (dentists with special training to perform surgery) perform tooth extractions. Before pulling the tooth, your dentist will give you an injection of a local anesthetic to numb the area where the tooth will be removed. 

If the tooth is impacted, the dentist will cut away gum and bone tissue that cover the tooth and then, using forceps, grasp the tooth and gently rock it back and forth to loosen it from the jaw bone and ligaments that hold it in place. Sometimes, a hard-to-pull tooth must be removed in pieces.

Full Dentures

Full dentures consist of both upper and lower sets, and are mainly used when all natural teeth are gone. With proper care and maintenance, full dentures can last anywhere from 3 -4 years.

 

What is a partial denture?

This is a plate with one or more false teeth on it. It may be all plastic or a mixture of metal and plastic. Both types may have clips (clasps) to help keep the denture in place in your mouth. Depending on where they are, some of these clips may show when you smile or open your mouth.

What is the difference between a plastic partial denture and one that contains metal?

Plastic partial dentures are less expensive to make. But unless they are designed very carefully they can damage the teeth they fit against.

Metal partial dentures are usually made from an alloy of cobalt and chromium, and they are much stronger. They are lighter to wear and can be supported by the remaining teeth. Although the base is metal, they have gum-coloured plastic and natural-looking teeth fixed to them. They are more expensive than plastic ones.

How do I choose the best type for me?

Be guided by your dentist. They will know the condition of your remaining teeth. In most cases a metal-based partial denture gives the best result.

Should I take my denture out at night?

Your dental team may recommend taking out your dentures at night to give your mouth a chance to rest. If you do this, it is important to leave it in water to prevent any warping or cracking.

What is the alternative to a partial denture?

The main alternatives are a fixed bridge or a dental implant. A dental bridge is made by putting crowns on the teeth at either side of the gap, and then joining these two crowns together by placing a false tooth in the space. This is all made in the laboratory and then the pieces are cemented into place with special adhesives. The bridge can’t be removed.

Another option is an adhesive bridge. This has ‘wings’ that are bonded to the back of the supporting teeth, with very little drilling needed.

Can I always have a bridge to replace missing teeth?

You can have a bridge only if you have enough strong teeth with good bone support. Your dental team will help you decide which is the best way of replacing missing teeth.

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