What Is An Ambulatory Device In Dentistry? The reasons why so many dentures stay in the drawer
Everybody knows about a grandma’s denture stories and jokes where, her false teeth were always kept in a half glass full of water, during all nights. Or grandma looking for her false teeth after a great family lunch, because she doesn’t eat with her dentures. Before we dig into why traditional dentures are uncomfortable, let’s explain the reason why people come to lose all their teeth.
One of the great paradox in dentistry is the fact that the so-called permanent teeth, as soon as they are set in place in the jaw, that the adult individual begins to lose them. It should be noted that the teeth are the only organs of the human body that "disappear" the earliest without being renewed in a natural way. Nails, hair grow back, skin regenerates, etc., other organs stay in place in our body for a long time.
Several causes are at the origin of the loss of natural teeth:
Severely decayed teeth that cannot keep the teeth safe with root canal therapy
Progressive periodontal disease
Failed therapy of root canals
Beyond repair, broken teeth
Different Types of dentures
There are two primary types of dentures, based upon the number of natural teeth that can be restored and maintained in the mouth.
Complete dentures are used in the upper or lower jaw when there are no remaining teeth. They are intended to substitute all the teeth. The different types of complete dentures include over dentures, immediate dentures, and conventional dentures.
Partial dentures are used in the upper or lower dental arch when one or more natural tooth/ teeth are present. For stability, partial dentures use metal or ceramic clasps to anchor the remaining teeth. Until recently, new technologies within the plastics industry allow to get partial dentures without metal claps by injection.
The number one reason why dentures don’t fit correctly is because dentists are not trained to make them. The dental art on making specifically dentures is called prosthodontists. In many countries, a prosthodontist is not a dentist. Except in USA, a prosthodontist is a specialty in dental school, meaning that in USA, a prosthodontist is a DDS. But only a very little part of DDSs become Prosthodontists.
In dental schools, dentists learn how to take the jaw’s and the bite impressions, but the manufacturing side of the denture itself happens with a dental lab. Technician. Because the dental lab tech does not have any physical contact with the dentist’s patient, great visual information is lost between the dental office and the lab.
Some dental offices have the lab on site. That alone does not always help, because:
The dentist’s ego: Many dental technicians for a long time, almost always allowed dentists to behave and think that they are superior to them. Usually, the dentists, who are a Doctors in Dental Surgeon don’t want to lose their face before a non-doctor, furthermore, who enable them to earn more money. They don’t want their dental lab tech to interact with their patient, because, it shows a lack of skills.
The dentists don’t like remarks from their dental tech who unfortunately are considered below hierarchy.
The dental lab technician is under qualified, in other words doesn’t know how to make a perfect fit denture.
At the end of the day, the concept of manufacturing full denture is a whole complete concept alone because, the elements to be taken into account in the design and manufacture of full dentures are completely different from those of partial removable dentures and fixed prostheses like crowns, bridges, implants, inlay/onlay etc.. For example, there are 2 simple but yet, very important areas within the upper and the lower jaw, that can only be applied in full dentures concept, called "favorable indications" and "unfavorable indications"… At the end, making full dentures is a high skills technique, adding a good dose of understanding of the rules of physics such as gravity that a lot of dental manufacturers do not have. In general, the procedure of manufacturing of a full denture on a single jaw should include at least 4 appointments at your dentist or with our trained and background checked Dental Wig Technologist who comes to your house. Plus, additional 1, 2 or even 3 appointments for adjustments. That's why a full denture is also called is an ambulatory device. Ambulatory definition from a dictionary is: relating to or adapted for walking. In other words, a full denture fits/adjusts/adapts while you walk/use it. You must wear it, use it and let it make its own place little by little inside your mouth with some adjustments.
The other reason is the price. Based on the assumption that to make a full denture on one jaw require at least 4 appointments, unfortunately, because all “medi medi” dentures are paid very little by the insurance companies, the quality is almost always affected because time is money. So, why will you spend the same time to make a denture and get paid less. As a proverb says, “you get what you paid for”.
In general, because the removable dental prostheses sit on a soft tissue that is the oral mucous, which moves with each movement of the mouth, they are forced to” self-adjust” with these oral movements. That’s why they are rightly called ambulatory devices.
Management with your dentures
Wearing new dentures almost always need some adjustments during the first few weeks/months. It is advised that you choose food that is smooth and easy to chew until you are comfortable with the new false teeth.
Because of how dentures are made, the first few weeks of wearing them, will affect your speech. Try reading the newspaper loud to exercise your speech and improve the pronunciations of words and sentences.
Over time, your bone and gums will decrease, particularly in the first six months following teeth extraction. This leads to loosening of your dentures, causing them to click together when speaking or eating, slide off the arch during exercise, or fall out of your mouth if it is very loose. A reline is an operation that reshapes your dental arch by adding to the denture more acrylic material. A reline can be soft or not. Some dentists offer chair-side reline which is immediate with one appointment. Or, reline at the lab, which requires the dentist to take impressions, send to the lab, etc, and you stay few days without your false teeth! With My Dental Wig, always remember, that we come to you. Again, because it’s an ambulatory device, more appointments may be needed.
Dentures freshly manufactured or relined will require adjustments. This is essential to alleviate any pressure points on the gum tissue that can cause pain or discomfort to you, smooth any rough places, and sometimes enable the correct fit. These changes are very prevalent and even the need for future appointments should be expected to guarantee that your dentures provide you with the optimum fit and comfort level you deserve.
Taking care of your dentures
Despite the fact that dentures are made of acrylic and are not prone to tooth decay, they still form plaque and calculus. For this reason, daily cleaning is required for dentures. Improper dental care will trap bacteria under the denture, causing tissue irritation, and may trigger mouth sores and lesions or thrush, an infection with oral yeast.
Several brands are accessible for denture cleaners. Choose one that is not abrasive to the acrylic fabric and is not going to corrode any metal used on the denture. Or sign up for our Buy Once Smile Forever™ plans, that costs less than your cable bill (for one jaw) and get all your smile care needs in one place: we will ship or deliver to you during one of our Dental Wig Technologist visit.
Give us a call: +1 562-673-3316