Gorham Family Dentistry | Dentures in Gorham

Gorham Family Dentistry, P.A.

Edwin I. Giron, D.D.S.

High-quality, comprehensive dental care in a warm, relaxed and friendly atmosphere

18 Park Street, Gorham, NH 03581 

info@gorhamfamilydentistry.com | (603) 466-2323

Dentures
 

A complete denture is necessary when all upper or lower teeth are extracted.  This can happen
due to extensive decay, periodontal disease or an accident. When the teeth are initially
extracted a patient has two choices for dentures, Immediate or Conventional.

Immediate Dentures are placed right after the extractions are done.  They must be worn during
the healing period in hopes that the patients gums will heal to the shape of the new denture.  
Because the healing process is very individualized it is nearly impossible to predict how a
person's mouth will heal after full extractions.   Immediate dentures are very uncomfortable to
wear because they are worn over stitches and healing, swollen and sore gum tissues.  Because
all of the teeth have been extracted, it is likely that the gums or ridge will shrink.  

Each person has a different amount of shrinkage.  While immediate dentures offer the benefit of
having teeth during this healing period, it is very unlikely that they will fit well after the mouth has
healed. Most likely, it will be necessary to either redo the part of the denture that sits on the
gums, called a reline or to make a new denture completely.   This can lead to significant extra
cost and frustration.

Conventional dentures are made after teeth have been extracted and the mouth has healed or
to replace existing dentures.  Making conventional dentures which fit well involves the use of a
dental laboratory and a series of appointments which include two different types of impressions
and two different types of fitting appointments prior to the delivery of the denture.

Appointment #1: The first appointment is for an initial impression.  From that impression
models will be made of the patient's mouth.  These models allow us to make a custom fit
impression tray.  

Appointment #2: We use this tray to take a more defined impression of the patients gums at
the second appointment. This impression will be sent to the laboratory.  The lab will send
back the part of the partial that will sit  on the gums (framework) with wax in place where the
teeth will go.  

Appointment #3: The dentist will check to make sure the base of the denture fits on the
gums properly.  Also, the dentist will let the lab know how they will need to place the teeth on
the framework in order for the patient to be able to chew properly.  The patient and dentist
will work together to choose the size, shape and color of the new teeth.  

Appointment #4: At this visit, the partial has the teeth on it, but they are set in wax.  This
allows the patient and doctor to evaluate the new partial and try it in to make sure that it is
both aesthetically pleasing and                 properly functional.  If there is someone whose
opinion the patient wants on the new dentures, they are               encouraged to come to
this appointment and weigh in.  Once this step has been approved by all                        
concerned parties, the partial returns to the lab to be finished.  

Appointment #5: The partial is placed in the patient's mouth and any appropriate
adjustments are made.

Appointments 6,7 & 8:  After the delivery, a patient often needs to return for adjustments
because the partial will move as the patient chews and speaks and may cause sore spots.  
On average a new partial needs to be adjusted three times.  The 3 initial adjustments are
included in your cost.