Introduction
A complete (full) denture is a removable prosthesis that replaces all the teeth of a jaw together with the lost parts of the alveolar process. Its job is to restore form, function and appearance: chewing, speech, lip and cheek support, and the height of the face.
Who needs one
- Patients who have lost all teeth in one or both jaws.
- Teeth that can't be kept because of extensive caries, periodontal disease or bone loss.
- When implants aren't possible or affordable (implant-retained dentures are an alternative).
Muscular control
Patients wear complete dentures successfully once they learn to control them with their lips, cheeks and tongue. Success depends on two things:
- The design of the dentures: the teeth and polished surfaces in the neutral zone, where the inward push of lips and cheeks balances the outward push of the tongue, so active muscles hold the denture instead of displacing it.
- The patient's ability to learn the necessary skill. Older patients, or those with poor neuromuscular control, adapt more slowly.