The Types of Dentures
You may be familiar with the following kinds of dentures:
- partial denture – an appliance replacing one
or more missing teeth
- complete denture – an appliance replacing the
natural teeth when all of them are missing
- immediate denture –a prosthesis that is inserted
immediately after natural teeth have been removed
- overdenture – a denture covering at least one
tooth or prepared root
- implant denture – a denture supported on abutments
surgically implanted into the jaw
What you may not know is that there are also processes that differentiate
dentures into standard, precision or equilibrated
types. Here, the finished denture may look the same, but there are
differences in the bite and jaw (upper to lower) relationship.
With a standard denture, you determine your bite, although
the denturist advises and guides you in this procedure. When you
bite into wax, both the distance and the relationship between the
lower and upper jaws are laid. This relationship is transferred
to an artificial device called an articulator – possibly a
non-adjustable one – that is meant to imitate the jaw.
In making a precision denture, the denturist uses a tracing
unit to establish the vertical dimension (combined upper and lower
distance). When you move your jaw, the centric relationship is traced
with this device. The centric relationship is transferred to a semi-adjustable
articulator which allows sideways and forward movements of the jaw.
To construct an equilibrated denture, the denturist uses
a face bow to record the location of the axis of rotation of your
jaw. This relationship is then transferred to a fully adjustable
articulator on which teeth are set up to more fully reflect the
relationship of your teeth to your TMJ ( joint in front of your
ear). |