Not all dentures are made the same way. Many new materials have been developed to make dentures stronger and to make them look better longer. That’s good for everyone, but for most people, they just want a great fit; they want to be able to eat better. They want the denture to stay put on their ridges and not wobble around.
In our practice, we have taken a page out of the past in many respects. We do things a little bit different. Whether like the “immediate” denture described below or one made after healing has been allowed or even for the next pair of dentures made after the old pair has worn out. It’s how we take impressions. I am old school. I use a technique and an impression material that is well over 50 years old. Well the impression material is not 50 years old, but this impression material was developed first over 50 years ago. Most dentists will use “stock” trays; they fit anyone! We use custom trays made from an initial impression. We use “green stick” compound to develop the boarders of the denture to fit your mouth and only your mouth. Then we use the special ingredient. We use the only muco-static impression material ever marketed, zinc oxide paste. Muco-static is a big word for the material does not displace or move the soft tissues, gums, around. What that means is a better adaptation and most importantly, a better fit and more suction when we are finished making the dentures. We send the impression to the lab and they use a Staub-Cranial procedure to make the denture. More about the Staub-Cranial procedure in another Blog as it is a truly marvelous procedure for making your looks much better; more normal, younger looking.
Then, if we can, we encourage patients to extract their teeth, heal for about 10 days and then we take impressions for their dentures. Why? Because we have found that after extractions and the swelling that accompanies taking teeth out, dentures placed the first day right after the teeth are taken out(immediate dentures), tend to lose their fit quickly. Bone is remodeled after extraction, taking the teeth out, and this “shrinking” of the bone leaves gaps under the denture and the first day fit soon becomes loose. Now all too often, people just “live” with these loose dentures, using pastes or pads to take up the space under the denture, space created by the shrinking bone, instead of going back to the dentist for a “refitting” we call a reline. Simply put we take a new impression, using that same zinc oxide paste (our secrete ingredient), in the denture itself, of the healed tissues under the denture and have the lab add new material to the denture. It’s called a reline. Takes about a day and you have your dentures back good as new and fitting much better.