What are Dentures?

ƥ Dentures are artificial replacements for your

natural teeth. Dentures will replace your missing
and/or unhealthy teeth.
ƥ Dentures are removable. Complete dentures are
usually made of an acrylic resin, while partial
dentures are made from a combination of acrylic
resin and metal.
ƥ Dentures will restore your smile and increase
your chewing power.
áypes of Dentures
ƥ áhe type of denture is based on the number of remaining natural
teeth.
ƥ `

 cover the entire jaw and can be used in place
of your upper teeth, lower teeth or both. Complete dentures consist
of artificial teeth and gums.
ƥ 
 
 fit around remaining, healthy teeth. Partial
dentures usually have artificial teeth and gums, connected by a
metal framework. Partial dentures are usually held in place by
clasps that attach to the natural teeth.
ƥ 

 fit over a few remaining teeth, roots or dental
implants. áhese structures give the denture stability. áo fit an
overdenture, the natural teeth and roots usually need to be
reshaped to fit in the denture.
What exactly is an overdenture?
ƥ An overdenture is a
complete or partial
denture supported by
mucoperiosteum and
prepared teeth or
roots.
˜easons that make overdentures
popular
1. Improved methods of tooth conservation
and endodontics
2. Better hygiene measures
3. Less expensive than dental implants
4. More number of teeth retained even at
old age
5. Improved standards of dental materials
and technology
¢teps of overdenture construction

1. Conventional
preparations are made
for root cap post copings.
copings.
2. Full arch impressions are
taken so that the male
posts may be paralleled
in the wax up.
3. Models and dies are
prepared and copings
waxed.
¢teps of overdenture construction
4. Plastic male posts are
shortened to the desired
length from the gingival.
5. Lute the plastic male
posts to the waxed
copings using parallel
multiple attachments to
establish the best path of
insertion in relation to the
configuration of the ridge
and tissue undercuts.
6. ¢prue and cast the male
plastic patterns.
¢teps of overdenture construction
7. Cover copings and attachments
with O-O-˜ings in place with plaster,
stone, or silicone putty. ¢et
¢et--up,
try--in and finish in a normal way.
try
8. áhe dentist seats the
denture. áhe space created by
the stone or plaster over the
copings during processing will
allow the denture to seat without
contacting the copings or the
attachments.
9. áhe dentist allows the patient to
wear the denture for several days
until the denture is well seated
and most adjustments have been
made and the patient is
comfortable.
¢teps of overdenture construction

10. áhe dentist drills a hole

from the lingual of the
denture through to the
void area around the
attachment.
11. áhe dentist decides
whether the denture is to
be immediately root
supported or tissue
resilient and to what
degree.
Benefits of overdentures
1. Better support due to PDL of abutment
teeth.
2. Improved retention by the use of
attachments.
3. Preservation of alveolar bone.
4. Masticatory efficiency more than
complete dentures.
5. Psychological satisfaction.
DrawbacksƦ

1. Maintenance of good oral hygiene is

difficult.
2. Increased length of treatment.
3. Undercuts around abutments pose
problems of insertion.
4. Lack of denture space leads to difficulty
in placing denture teeth.
Indications for overdentures
1. When few natural teeth remain and the dentist thinks that the
patient will have difficulty adapting to a complete denture.
2. Maxillo--facial patients with cleft palate.
Maxillo palate. Abutments increase the
stability and retention of overdenture and obturator.
3. When remaining teeth are unsuitable for partial denture due to
position, state or angulation of the crown.
4. If mobile teeth are present, overdentures act as a transition
between partial and complete dentures.
5. In cases of extensive tooth wear,
wear, intentional reduction and
preparation of mutilated or shortened crowns is a logical form
of treatment.
¢teps of implant supported
overdentures
áechnological advancements

Magnets being used for retention

áechnological advancements

Magnetic pins Complete overdentures with

implants
áechnological advancements

Metallic attachments
¢tudies involving overdentures
ƥ Implant
Implant--retained mandibular overdentures versus conventional
dentures: 10 years of care and aftercare
Visser A, Meijer JA et al.
al. Int J Prosthodont 2006; ë
271

271--278

ƥ á ese studies s owed t at Implant-

Implant-supported overdentures reduce
problems of lower denture retention and stability,
stability, but long-
long-term
follow--up studies on aftercare are lacking.
follow
ƥ á ere were no significant differences in mean times for prost etic
care and aftercare even including t ose subjects wit CDs w o
subsequently received ODs, but t e initial OD groups took
significantly more time for surgical care and aftercare.
ƥ á e aut ors note t at patient satisfaction is greater wit ODs.
¢tudies involving overdentures
ƥ Philosophies and principles of removable partial overdentures.
Dent Clin North Am. 1990 Oct;34(4):589-
Oct;34(4):589-92

ƥ ˜etention of remaining teeth for use as overdenture abutments has

been widely used in the discipline of complete denture therapy, but
has frequently been overlooked as a means of enhancing removable
partial denture therapy. áhere are considerable advantages in
retaining even severely compromised teeth that can be included in a
treatment plan for providing removable partial overdentures.
ƥ áhe value of such teeth in providing aesthetic improvement, residual
bone retention, denture base support, primary or secondary
retention, and improved stability should be of primary importance in
treatment planning.
ƥ 


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