Often seen as the despairing end point of a lifetime of dental problems - dentures will for some individuals be the realisation of a healthy, trouble free mouth. The advent of improved denture resins, stains and artificial teeth, make it possible to recreate a beautiful natural smile.

Upper and lower complete dentures showing natural colouring of the gums

Complete Dentures

Unlike conventional techniques, our Complete Denture bespoke service prescribes a 2-3 hour period of craftsmanship during which each tooth is chosen and positioned to conform with your natural symmetry and aesthetic goals. Prior to initiation, as much information as possible is sought not only on your previous denture experiences (good and bad) but also those aspects of your natural dentition which you would like to reproduce. All complete dentures are fabricated using the latest injection moulded resins which produce a very accurately fitting denture base, requiring less adjustments and offering the greatest strength.

Replacement of old worn out dentures with new ones
Old	New

Partial Dentures

When too many teeth are missing for fixed bridgework, and implant supported restorations are not viable, then partial dentures are the solution of choice. Every partial denture is unique, each is carefully planned and constructed to meet the criteria set out between the patient and the clinician. The majority of our partial dentures are reinforced with cobalt chromium - a very strong metal which allows the denture to be made as small as possible.

Before and after provision of upper complete and lower precision fit cobalt chrome denture.
Before	After

Considerations

The critical factors that must be addressed for successful partial dentures are:

• Appearance
• Function
• Comfort
• Strength
• Adaptability

In many situations there are teeth still present which may not last as long as the prosthesis being provided. In these cases every attempt is made to design their loss into the denture, such that it can be adapted rather than having to be remade.

The adaptability of partial denture to future tooth loss is rarely considered at the outset, however it is of primary importance in patients that are suffering from periodontal disease. Historically a simple plastic denture has been the mainstay of tooth replacement in this type of situation as it is easily adjusted, however not only are these prostheses unstable and poor in appearance they can accelerate the further loss of teeth. We have developed a system of partial denture design specifically for these patients, which involves minimal preparation of the teeth for a precision fit metal base - which the replacement teeth are attached to. The metal base is not visible during normal function and yet locks all the teeth in an arch together for the stability normally only attained with fixed bridgework.

Precision fit cobalt chrome denture designed to fit around 5 remaining teeth, all of which are mobile from gum disease.
When fitted no movement of the teeth is possible and full function and appearance are restored. Any further losses can be easily incorporated without renewing the denture.

Upper and lower precision fit cobalt chrome dentures
Before	Dentures
After
When fitted the appearance / function / vertical height are restored and also prevent movement of mobile teeth affected by periodontal (gum) disease.

This can indeed be seen as removable bridgework with the advantages of:

• Future additions can be carried out if required.
• Reduced cost over fixed bridgework and implants.
• The ability to eat most types of food again.
• The confidence of a solid bite position.
• Excellent appearance - missing gum and bone tissue can be incorporated into the design.
• Improves the prognosis of teeth affected by gum disease.

(The originating designs for this procedure are the Equipoise® denture designs by Dr.G.Goodman)

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