A Typical Patient Experience
The Art and Science of Producing Your New Denture
Fabricating a denture typically requires more appointments than most procedures that we do for the simple reason is that we are recreating your smile and your bite from scratch. We must replace some or all or your teeth, gums and jaw bone. To achieve the best fit, we must take two sets of impressions. To succeed in placing the teeth where they belong and to provide you with the most natural appearance, you will have two fittings. You will have the opportunity to see what your denture will look like (teeth in wax) before it becomes a denture. And finally, after your denture is inserted, we insure comfort and function, as two or three visits for corrections (if needed) are a normal part of adjusting to your new denture.
If you are a new patient to Boston University Henry M. Goldman School of Dental Medicine…
you will need to undergo the following in order to receive your ideal treatment plan recommendations:
X-rays, Examination, Diagnosis, Consultation, Treatment Plan and estimate of fees.
In most cases, if you are in need of a Complete Upper and Complete Lower Denture (currently, you have no teeth at all), you may also be able to start your complete denture on this visit
Visit One: The Preliminary impression
This impression is made for the purpose of diagnosis so that we can capture all anatomical landmarks of your arch using a stock tray and design a special and customized tray for your final impression.
So that we can fabricate your custom tray, we will usually schedule your next visit in about one week.
Visit Two: The Final impression
This impression is made in two stages; step one – developing the borders of your denture by capturing the muscles of your mouth with impression compound, followed by step two – registering the tissues of your mouth with soft elastic-like material to obtain the most accurate master cast for processing your denture. Prior to this visit, if you are wearing an existing denture, we ask you to leave that denture out for 24 hours prior to your final impression, for the best possible result.
So that we can fabricate your Record Bases and Occlusion Rims, we will usually schedule your next visit in about one week.
Visit Three: Intermaxillary Records
This visit is to take the measurements necessary to place your teeth in order for you to look your best and to function properly. We will register the following information using a trial denture base and wax rims to simulate your teeth and denture base:
- Recreate your tooth position
- Recreate your jaw position
- Register your bite
- Listen to you speak
- Select your actual tooth shape and shade*
There is a lot to do during this visit; therefore, sometimes this visit may actually take 2 sessions.
* Please note that we are selecting and ordering your teeth at this visit. This would be a good opportunity to bring someone to help provide a second opinion.
So that we can order your teeth and set them up for your esthetic try-in visit, we will usually schedule your next visit in about two weeks.
Visit Four: Esthetic Tooth Try-in
This visit gives you the opportunity to view your new teeth. They will be set up in wax, so that any changes, if necessary, can be made, before your trial denture becomes your new denture. Changes after processing are not recommended and will incur additional fees*. We also confirm that your bite is correct and your speech sounds are pleasing prior to processing.
* Please note- this is your final opportunity to approve to look of your denture and the shade of your teeth. Again, this would be a good opportunity to bring someone to help provide a second opinion.
So that we can process your dentures for insertion, we will usually schedule your next visit in about two weeks.
Visit Five: Insertion
Today is the day! Even with multiple visits for impressions and fittings, insertion requires even more scrutiny, so that you can go home with the best possible denture. Try-in pastes will be used to make sure that there is nothing uneven pressing against your tissues. This is followed by a step called the patient remount which is a close inspection and realignment of your bite. Finally, after all obvious corrections are made; a final polish is placed on your denture. You will be given home care instructions and a follow up appointment with in 24, 48 or 72 hours, depending upon the type of denture you have just received, to return to our treatment center.
Visit Six: Follow-up and Adjustment (necessary)
This is scheduled for you either 24, 48 or 72 hours post-insertion, depending on the type of denture you have received. This is a necessary visit, as part of your treatment.
We recommend that you, even if all is well after your first visit, schedule another follow-up in a week.
Additional adjustments: typically two to three, as needed
As your new denture sits on the soft tissues of your mouth, they will “settle” into place. It is not unusual that your bite may change or you may develop a sore spot. Most patients find that they require on average, two or three adjustments. Please allow us to assist you in your transition period. Call us any time you have a question, concern or even a compliment.
Denture Recall and Maintenance
Congratulations. We hope you are enjoying your new smile and the use of your new dentures. If you are wearing complete dentures, we will now recommend that you return to our treatment center at least once per year so that we can examine your gum tissues for changes. Denture wearers have their dentures relined every 1-5 years depending on how recent their teeth were extracted.
If you find that you need to use denture adhesive, you may need a reline or you may even be a good candidate for an implant-retained overdenture. We can use your existing denture and retro-fit it to two or four implants under your new denture so that it can snap into place. Ask us when you return. We will be happy to explain this procedure to you.
We look forward to seeing you in our treatment center and showing you how great you can look and feel.