Replacing old denture teeth

[danalab]

My doc is insisting on replacing old teeth on partial, 7 teeth in all and wants the base to remain as is. I told him that this was not possible. He strongly disagreed. Options????????

 

[JKraver]

Can you replace a single tooth without changing the base?

 

[Doris A]

Sure you can, grind the teeth off, grind the base as thin as you can, set new teeth and process to that base.

 

[JMN]

My doc is insisting on replacing old teeth on partial, 7 teeth in all and wants the base to remain as is. I told him that this was not possible. He strongly disagreed. Options????????

Do it all the time. Someone needs another central on their RPD and has one already, I take off the old one so they match perfectly. Sometimes all the anterior 5 get swapped out when adding a new central or lateral.

Just take a putty matrix of the facial, then when you put the new teeth in, match up the incisal edges to the matrix. Works great.

Get a matrix of the intaglio in case you misjudge the stoutness of the acrylic when grinding off the teeth.

 

[danalab]

Do it all the time. Someone needs another central on their RPD and has one already, I take off the old one so they match perfectly. Sometimes all the anterior 5 get swapped out when adding a new central or lateral.

Just take a putty matrix of the facial, then when you put the new teeth in, match up the incisal edges to the matrix. Works great.

Get a matrix of the intaglio in case you misjudge the stoutness of the acrylic when grinding off the teeth.[/QUOTE

Do it all the time. Someone needs another central on their RPD and has one already, I take off the old one so they match perfectly. Sometimes all the anterior 5 get swapped out when adding a new central or lateral.

Just take a putty matrix of the facial, then when you put the new teeth in, match up the incisal edges to the matrix. Works great.

Get a matrix of the intaglio in case you misjudge the stoutness of the acrylic when grinding off the teeth.

thanks so much.....he is very insistent

 

[Denturist]

Which teeth are being replaced?
Usually there is a reason the teeth are worn....... It's called age, and with that comes loss of VDO and with that you get to grind new teeth into old teeth and have pretty much accomplished nothing but costing the patient.

 

[JKraver]

Which teeth are being replaced?
Usually there is a reason the teeth are worn....... It's called age, and with that comes loss of VDO and with that you get to grind new teeth into old teeth and have pretty much accomplished nothing but costing the patient.

Most of the time this is done to restore vdo of a worn down partial, I think the guy just liked how it felt and wanted it the same. or maybe shade change.

 

[Denturist]

If you restore the VDO of the PD you then take the natural teeth out of occlusion in most cases. Again depending on which teeth are being replaced.
Of course there are always exceptions.
Of course if there is additional treatment planed like crowns for major restoration work.....

 

[JKraver]

Dentures are forgiving yes depending on the teeth remaining you can do something about vdo

 

[Denturist]

Actually..... Dentures are very unforgiving.......
They are either right or a pain in the _*^$#

 

[JMN]

Actually..... Dentures are very unforgiving.......
They are either right or a pain in the _*^$#

And so are their wearers!

 

[Denturist]

And so are their wearers!

No truer words ever spoken................

 

[denturist-student]

I think the dentist is trying to save the patient a few sheckles.

 

[JKraver]

I came from crown and bridge, I feel dentures is way more forgiving work.

 

[JMN]

I came from crown and bridge, I feel dentures is way more forgiving work.

It is mostly, in my opinion mind you, that the practitioners are under educated in comparison, and won't know as often if something is wrong, why.

 

[JKraver]

It is mostly, in my opinion mind you, that the practitioners are under educated in comparison, and won't know as often if something is wrong, why.

Being in house I am dragging my drs to denture courses and are doing really well. Wax it into position, check contacts, check interferences, check esthetics, invest, remove wax, replace with acrylic, polish, send home. I enjoy it and have found my niche maybe that is why I find it forgiving.

 

[JMN]

Being in house I am dragging my drs to denture courses and are doing really well. Wax it into position, check contacts, check interferences, check esthetics, invest, remove wax, replace with acrylic, polish, send home. I enjoy it and have found my niche maybe that is why I find it forgiving.

Possibly, since we also count flaws as features in the ones we love. I know what you mean.

Great that you are able to push CE into the areas that you see need knowledge upgrades. Y'all have sucfesfully built a quite firm feedback loop. That's an acomplishment of which you should all be very proud.

Acheivement Unlocked:

Feedback Loop ​

+100 XP ​

 

[dborla01]

"Forgive me"..LOL..Dentures are rather forgiving, and of course as long as "the rules" are followed...and including all the exceptions to the rules...they have a great chance of being successful.

 

[JKraver]

My drs spend money on me in more than just a lab fee they are interested in what I have to say.

 

[budgenator]

And so are their wearers!

The patient said "I don't mean to be a pain in the ass." and my brain filled in "but your going to anyway aren't you." The case presented interesting challenges, several resets, adjustments and when everything finally dropped into place it was very satisfying.