Are ALL dentures the same?
The denture mills who sell junk will answer Yes, they are, and the elite specialty offices that charge upwards of $10,000 per denture will say; No, they are not, and you get what you pay for.
Which answer is correct? NEITHER.
There does exist HUGE differences between dentures, but NO, the cost of the denture does not always guarantee the quality.
Our lowest priced denture, the Economy, is guaranteed to fit the way a denture should; equal or better than ANY of the super-expensive dentures.
Our best denture, the BestFit Premiere @ $1,400 is equal or better than any denture sold in America, with a better warranty and with free adjustments for life.
This then begs the question, with expensive dentures, are you really getting your money’s worth, or are you getting fleeced?
WHO is BEST qualified to design and make a denture? A General Dentist? A Prosthodontist? A Certified Dental Technician?
The answer is NEITHER and BOTH.
Whether the dentist be a general dentist or a specialist, unless they make a LOT of dentures they are less qualified. The lab tech makes dentures but is not legally qualified to diagnose or design them.
My previous set of dentures, fabricated by a Board Certified Prosthodontist (a denture specialist), were about the same quality as BestFit Dentures' Economy denture. This proves the point that just because the dentist is a true specialist does not mean they will make a better denture.
We at BestFit Dentures believe in the team approach.
When we create YOUR denture, one technician only will work on your case, start-to-finish, with the doctor in direct and indirect supervision.
With all my years as a denture wearer, with all my years of training as a dentist, I am still learning from my techs as well as from YOU, my customers.
Do we perform all denture-based procedures here? In other words, will we refer out some cases?
We at BestFit Dentures are better qualified to design and make dentures than perhaps any other dental office, and the quality we sell FAR exceeds that of most other offices. Nonetheless, there are cases I will always refer out to the specialist.
Why? Can that specialist create a better denture? No, not even close. Certain medical conditions are better treated in a hospital setting, and certain dentures require more than just a standard denture design.
For these very special cases the best denture is one designed and supervised by the specialist, and created by BestFit Dentures.
Nonetheless, this will then be the decision of the referring specialist.
Another more common example is the special surgery, such as the impacted wisdom teeth (3rd molars). I can usually take out any tooth, but certain surgeries I refer out.
How can BestFit Dentures sell high-quality dentures at low prices, and why then can’t others?
Most of the franchised offices have huge, corporate overhead gleaning much of their profits. It is for this reason alone we are able to compete against them in price, while offering a vastly superior product.
The smaller offices such as the private practices are unable to compete against us in price as they must send to an outside lab. The lab bill forces their prices higher.
Without doing significant numbers of dentures they cannot justify having an in-house lab.
Without having an in-house lab they cannot compete in price.
By not competing in price they cannot make any significant numbers of dentures.
In other words, it is a vicious cycle, a Catch-22, and to break out of this cycle they must forgo all profits for some months as they open their in- house labs.
The denture mills are able to achieve these very low prices due to production overhead of each office being very low, with profits fairly high. That is, less than $100 in total productions cost for a $300 denture with most of the remaining being profit.
With BestFit Dentures the production and general overhead costs are closer to the full price of the denture. In other words, this denture was not designed to yield us a high profit or to buy me a Porsche (I drive a Honda) — it was designed to serve the needs of the community. With our Economy denture @ $299 cash price, YOU the customer who cannot afford a better denture will at least receive a denture that fits and is durable.
In other words, YOU the customer no will longer have to settle for an ill-fitting poorly-made and unsafe denture that will not last!
Don't YOU deserve a BestFit denture?
What (if any) is the design difference between BestFit Dentures’ Economy dentures versus the Economy dentures of a competing office?
At this price range ($299) certain compromises must be made.
The BestFit Dentures Economy was designed as a temporary or interim denture, especially following surgery. The esthetics are compromised so that the fit as well as durability will be excellent.
In other words, our Economy was designed to fit as well as last.
With all other competing dentures from all of our competition, the emphasis is totally different.
They believe esthetics is what matter most, and they do this at the expense of fit as well as durability.
BestFit Dentures believes the materials used must be safe; free of Formaldehyde.
Our competition believes profits should supersede all else.
What is the best denture toothbrush to use?
With every Standard and BestFit Premiere denture we deliver, we will hand out a free denture brush and an overnight soaking bowl. The "best" brush will be the one that best fits YOUR hand, the one that YOU will use. Therefore, there is no “best” brush.
What is best for me might not be best for you.
Ps. The same brand denture brush I purchase for myself, I will provide for you.
Which is better; soft relines or disposable soft liners?
The permanent soft relines are really not permanent. Sure, they will last for some years, but do you really want this in your mouth?
Since the soft relines are soft and pliable, they are porous as well. This causes them to take on bacteria, food debris, and stains. In months they begin taking on foul odors and you develop very bad breath. If you rinse with any mouthwash, the bacterial may be killed, but the mouthwash dries the soft liner.
The alternative is a temporary soft liner from your local grocery. These are meant to be changed every day, and accomplish the same thing as the permanent soft liner.
For Immediate dentures, we do recommend either, while the tissues are healing. This will greatly improve the fit as well as the comfort to the tissues as they are healing and thus shrinking.
Should I use denture adhesives?
More than once I have stated that people who know nothing about dentures should refrain from advising on dentures. Denture adhesives are no exception.
A local competitor advises denture wearers to use adhesives, and this advice IS JUST PLAIN WRONG!
Generally, NEVER use denture adhesive, as it causes the bone to resorb (dissolve) at a faster rate. Furthermore, use of adhesives causes the tissues to adapt NOT to the denture but to the adhesives, which guarantees you will soon require a new set of dentures.
Since this same competitor specializes in selling cheaply-made ill-fitting dentures, it is in their best interest to ill-advise such nonsense. Also, reading "between the lines" what they are actually admitting to is their dentures are poorly-fitting, as otherwise WHY would they tell their customers to use adhesives?
If your denture is loose, simply come in and see us, and we will explain your options. As usual, initial exams are free (to the customer) at BestFit Dentures.
Now, having said this, when the bones have resorbed (dissolved) such that the correctly made NEW denture simply cannot retain, only then will we recommend using denture adhesives, or suction-cup dentures or implants.
Should I take my denture out at night?
Partly for cleaning, partly because the tissues need to “breathe,” you need to take the dentures out every night for a few hours.
IF the denture is prescribed to correct a TMJ (joint) disorder, sometimes the denture remains all night, but generally, we recommend removal at night.
If the tissues cannot breathe, the bone will resorb (dissolve) at an accelerated rate.
I will cite an example here:
I have been in dentures now for nearly 40 years, and I still have sufficient bone upon which to retain a denture.
This is because I always remove my denture at night, I clean not just the denture but also the tissues, and when a denture becomes loose I have it relined.
A recent customer has had dentures for 22 years, sleeps in his dentures, he does not take care of either the dentures or the tissues, and the dentures are very loose.
As a result, he has zero bone upon which to retain a denture. We made dentures that fit superbly and are comfortable to wear, but without either adhesives or implants, he can no longer function (chew).
Unless otherwise directed by your doctor, always remove the dentures at night.
WHAT are dentures, really?
While this may sound like a silly question, it actually is a point most people do not well understand, and this commentary pertains to dentists as well.
Many dentists and especially the denture mills tell their customers dentures will replace your lost teeth.
THIS IS UTTER NONSENSE
Dentures are NOT a replacement for lost teeth — Dentures are a replacement for NO teeth.
Now, in English, what does this mean?
Before you lost your teeth, the biting force on your back teeth was about 175 pounds per square inch.
With say an upper denture and lower teeth, your biting force is about 75 pounds per square inch.
With full upper and lower dentures, your biting force will be about 35 pounds per square inch.
Without any teeth your biting force is less than 10 pounds per square inch. This is the NO teeth concept, in that dentures are a replacement for NO teeth, but they are not a replacement for anything else.
Therefore, you will NEVER again be able to bite with as much force as when you had all your teeth, and so, dentures CANNOT replace your teeth — all they can do is replace “NO” teeth.
Which brand of denture soaking tablets is best?
The brand we recommend is Efferdent Mint, and some generics do a fine job as well. This is a personal preference.
How often should a denture be replaced?
When a denture is well made, it has the potential of lasting a lifetime.
That is, if the acrylic was processed using Thermal or Thermoplastic Processing using pressurized injection of superior-quality acrylic, when the teeth are VERY durable and exceptional quality, when the denture as a whole was made correctly; that denture has the potential of lasting you the rest of your life.
MOST dentures created by BestFit Dentures should last you at least ten (10) years. The exception being the Economy having been designed as a temporary denture [the teeth will start wearing down in about 5 years].
Unfortunately, very few offices make dentures correctly, and so most:
a) Medium quality dentures will be replaced in about 3 years,
b) Denture mills junk is just that; junk. These should be replaced immediately.
As a side note, one needs to be able to read between the lines, meaning reading what is stated as well as what is not stated.
For example, a local specialist (Prosthodontist) supposedly possesses the training to produce exceptional quality dentures, but there is just one problem … they advocate replacing their denture every 3 years. Reading between the lines, what they are in fact admitting is while their prices are very high, their quality is not.
At BestFit Dentures, we believe you deserve quality as well as durability. Furthermore, we believe your denture should be reasonably priced.
How can you make a denture look natural?
1st, use acrylic shades matched to the ethnicity. Most denture mills use a one-shade fits all system, where that one shade really does not match anyone.
2nd and this is dependent upon the denture choice, use denture teeth that are natural in appearance. The BestFit Premiere of BestFit Dentures has these.
3rd and this is also dependent on the denture choice; contour the tissues to look like real gums.
4th and this is also dependent on the denture choice; the tissues closest to the necks of the teeth make a lighter color, mimicking what is found in natural healthy teeth and gums.
5th and this is also dependent on the denture choice; tilt or rotate individual teeth, or even remove a tooth (create a missing tooth).
Every single one of these is in use in my dentures. Without telling people I have dentures, few will ever guess. My “broken” tooth was mistaken for a real tooth in dental school, by a board certified Prosthodontist.
Why do you require all fees be paid when we order the denture, and not when it is delivered as with many other dental practices?
1. Once we begin a denture, we have ~$20 per denture in impression materials, ~$20 per denture in stone and plaster, and substantially more in acrylics, denture teeth and other materials, not to mention time and labor. By requiring payment as we do, we keep our prices low and are able to offer substantially better quality than any comparable priced denture or procedure.
2. The national rate of payments of money owed to dentists is 10.8%, which is dismal. This is unacceptable.
3. When you go to the supermarket and purchase food, do you pay for it immediately or do they allow you to take it home and eat it first? When you order food at a restaurant, do you pay on the spot or do you eat it, go home, then return and pay at your convenience? What then is the difference?
4. We offer a 30% discount when we are paid up front. For say the BestFit Premiere @ $2,000, the cash price is $1,400, a $600 savings. With such a substantial discount, there is a huge incentive to pay in advance.
For say that denture, you require a payment plan. We will take three checks, two of which will be post-dated, for the total price of $2,000 [no discount applies as we are not paid in full in advance].
In order to keep our prices very affordable as well as give YOU our customers the various price discounts, we must be paid in full as soon as possible.
Taking this from a different perspective, and in this case I will use one of the local denture mills as the example, and will compare the materials costs for the $399 dentures from them and $299 from us.
The cost for their impression materials is about $1.50 – $2.00 per arch, compared to our $20 per arch. Their acrylic costs about $5, their teeth about the same. Our acrylic costs about $20, the teeth about the same.
All-in-all their production costs are FAR lower, and yet our prices to YOU are the $100 less, at $299 per denture.
Why? They have huge corporate overhead, as well as delays in payments from insurances, and this is the ONLY reason we are able to offer substantially better quality at a lower affordable price.
Why Do My New Dentures Stink? Where is that Foul Odor Coming From?
Sometimes within just a few months, some dentures from certain denture mills start taking on foul odors. Is there a valid reason? Is it from the denture itself?
The answer is “Processing.”
When low-grade denture acrylic is used AND when it is processed using Cold Cure, it contains tiny porosities; holes. These soon fill with food, which then begins to rot; hence the malodorous olfactory emanations — the stench.
Quite literally, the denture contains rotten food.
You might soak the denture in Chlorhexidine Gluconate 0.12% for a few minutes. This will kill the bacteria, therefore the stench, but is only a temporary solution, as the holes remain.
Also, that solution will cause the denture to stain.
My advice; seek monetary relief. In other words get your money back, and have a new denture made from somewhere else.
Specifically, insist the new dentures be made by high-pressure injection followed by thermal or thermoplastic processing, as this is the only system that eliminates this issue.
WHY do My New Dentures Discolor So Fast?
Some dentures made by different dental mills will discolor quickly, often within months. Is there a valid reason?
Certain offices are notorious for using acrylic that was meant to be used ONLY for repairs, for the actual denture.
These same offices often put a disclaimer in their warranty that any discoloration voids the warranty. Why? They know the denture will quickly discolor, usually to orange, within months.
Even worse, these dentures will soon take on a foul odor, due rotting food within the tiny porosities (holes) in the plastic.
These companies often advertise this denture as a “temporary” denture, which it is. Nonetheless this is wrong, as they should have disclosed the fact of HOW the denture is made prior to it being made and sold.
HOW to tell if your denture was processed using Cold Cure or Thermal Processing AND Contains Formaldehyde?
By now it is safe to assume you really do NOT want an unsafe denture, but how can you determine how your old denture was processed?
Ask the dentist who made it. Irrespective of their answer, well over 90% of all dentures are made using Cold Cure Processing.
Many labs advertise "Thermoplastic," yet when pressed they cannot even define the word. "Therm" means heat and "plastic" means a semi-liquid state — the solid material was heated until it became a semi-liquid — Cold Cure as well as Thermal started as semi-liquid, and thus heat did not change the physical state, which is a semi-liquid.
What were the instructions given you regarding the care for your denture?
If you were told to always keep the denture moist, never letting it dry out, this indicates the processing was probably not thermoplastic. Cold Cure as well as some Thermal processed dentures will distort (shrink) if allowed to dry. The error here is nylon dentures are also never allowed to dry, yet they were processed using thermoplastic processing.
If you received the denture the same day, the processing was not thermoplastic. Say from impressions to processing the denture takes six hours to make, processing takes two hours and cool-down takes about eight hours.
Do NOT try this at home: If you hold a thermoplastic processed denture to a flame, it will char, and in time melt. The other processing systems most often contain residual formaldehyde, and so will ignite and burn, especially if they are new dentures.
Do NOT use this test on a denture currently in use: Most well-equipped chemistry labs can perform a mass spectrometry gas chromatograph analysis. To simulate the environment of the mouth, the denture is heated to near boiling temperature of water (to simulate hot drinks), and the machine will determine if residual formaldehyde remains by testing the vapors released.
If your new denture is discolored (other than by environmental staining), the processing was not thermoplastic.
If your denture is thick and bulky, overall heavy, the processing was not thermoplastic and definitely NOT pressurized injected. Yes, sometimes we will deliberately make the material thicker, so as to push the lips out more, but the processing does not require bulk.
My recently-made denture does NOT fit and the bite is off. What should I do?
First and foremost, I will recommend that you at least TRY to have the denture corrected by the dentist who made the denture, if possible.
This dentist should check the bite and adjust if only slightly wrong. If the bite is far off, for example if the denture is hitting on one side only), that denture should usually be remade.
This dentist should check the fit of the denture; how well it adapts to the tissues. It is possible the denture only requires a minor adjustment. If the fit is far off the denture must be relined or remade.
If this denture is a very recent purchase, other than minor adjustments, all expenses should be at the expense of the dentist.
Assuming the denture was made incorrectly and requires either the reline or a remake, if the dentist refuses to correct the denture you should at least ask that the dentist refund all or part of the denture cost.
If all else fails you might seek the advice of an attorney. He/she will require clinical proof the denture was made incorrectly. I would recommend you have accurate models made of your mouth, thus showing the fit and/or the bite is wrong.
At BestFit Dentures we would create a new set of dentures for you, as you need teeth. In addition we would create a duplicate set as well as duplicate models, showing the correct fit of our denture compared with the incorrect denture made elsewhere. A well-fitting denture with a correct bite must very snugly fit the accurate model of your mouth, and a non-fitting denture will not.
I hope this helps.
Now, having said this, I must state another fact:
We promise to deliver a denture that fits your mouth.
If the bones have resorbed such that the denture will not stay in, there is naught we can do. In this case you MUST use adhesives or you must have bone grafts and implants placed.
HOW can you offer a whopping 30% discount to customers paying by cash? Most offices only offer ~3%
Why do offices offer a 3% cash discount?
They do this to offset the credit card costs.
Why does BestFit Dentures offer our discounts? The answer explains how the "insurance game" is played.
Preferred Provider insurance plans will tell all dentists what amount they will pay for a procedure. The dentist then must either accept this reduced fee or opt out of the plan.
By offering multiple choices of say dentures, at least one of our models is usually (but not always) within the fee ranges that insurances will pay, WITHOUT having to reduce our fees. The customer then has the option of paying the difference and receiving a better denture.
Knowing this, the insurances tell us we may only offer ONE dentures choice, at the price they dictate. This is not acceptable to us.
In the case of Medicaid for example, they demand a 15% fee reduction, and yet still do not pay within the legal limit of 25 days. Many other insurances pay within 25 days, yet require greater than 15% fee reduction.
To compensate for any insurances pricing, we choose to offer even greater discounts to the customer. Why?
1. Because it is the right thing to do. We do not believe the insurances should receive greater price discounts than those of the paying customer.
2. Because we want to receive payment as soon as possible. By offering a HUGE discount, the customer will usually pay us immediately.
For a better fitting denture as well as the best denture for your money, don’t YOU deserve a BestFit Denture?
What are the Actual Prices of OUR Dentures?
Different dental / dentures offices post their fees differently, or not at all.
For their Economy denture, the posted fee from a local denture mill is $280, plus $25 for the exam, plus $25 for the denture adjustments (an average of 4 adjustments per denture), for a MINIMUM price of $405 per denture. Their warranty is poor.
The price shopper will not have the experience to understand this, until it is too late.
Most other offices do not even post their fees; they want you to come in to their office, pay for an exam, and only then will you discover how much your denture will actually cost. They figure once you come in and pay for an exam, you will already have time and money invested and will purchase the denture.
Many of these practices will accept insurances only for some procedures, and again the customer is not always informed up front.
ALL of these business practices are UNETHICAL; in other words just plain wrong.
HOW are we different? We post the honest price of the denture, and all initial exams are free. We accept insurances for all procedures.
Simply put, we seek to offer as much discount as possible, and to make everything as fair as possible:
Full price is $428.
Adjustments are free to the customer for the 1st 30 days WHEN we are paid up front.
Cash / Credit card / FLEX account / personal check price is $299, a $129 (30%) discount.
This denture includes a one-year pro-rated warranty.
This denture includes a FREE professional annual cleaning, FOR LIFE.
Full price to insurances is $1,072.
Adjustments are free to the customer for 1st 30 days WHEN we are paid up front.
Cash / Credit card / Telecheck / FLEX account price $750, a $322 (30%) discount.
This denture includes a three-year pro-rated warranty.
This denture includes a FREE professional annual cleaning, FOR LIFE.
BestFit Premiere Denture:
Full price to insurances is $2,000, and all adjustments are free to the customer, FOREVER, WHEN we are paid up front.
Cash / Credit card / Telecheck / FLEX account price $1,400, a $600 (30%) discount.
This denture includes a ten-year pro-rated warranty.
This denture includes a reline, usually done in about five years.
This denture includes a FREE professional annual cleaning, FOR LIFE.
For a no-hidden-fees, full-disclosure, down-to-earth, honest price, BestFit Dentures is the not only the best choice in dentures, BestFit Dentures is the only honest choice in dentures.
How to care for dentures?
While browsing through the websites of some of my competitors, I came across a rather humorous bit of advice on cleaning your denture.
This office advertises "affordability," and advises denture wearers to "use a soft brush and a cleaning agent, such as soap and water …"
This is another example of people giving advice when they are otherwise not qualified to do so. In this case, advice was given on cleaning your denture that was written by someone who obviously has never worn a denture.
Why do I say this?
When I was young, whenever I said a "dirty" word, my mother would rinse out my mouth with lye soap, which is horrible tasting. Now, this denture practice advises denture wearers to always have this nasty taste in their mouth? Why?
My advice is based entirely upon what I do for my dentures:
Daily I soak them overnight in a mild denture solution, generally Efferdent or Polident.
Weekly I thoroughly clean the dentures using a very high quality brush designed specifically for dentures as well as denture wearers. I give one of these with each new Standard or BestFit Premiere denture I sell. While doing this I place a wash cloth IN the sink. This prevents the dentures from breaking if I should drop them.
Every few months I professionally clean my dentures. That is, I use an ultrasonic machine with a denture cleaning solution called BriteSmile, followed by professional scrubbing and polishing. This professional cleaning removes most stains and buildup, leaving the dentures looking new.
Thus, what I do for myself I advocate for you.
And NO, I do not wash my dentures with lye soap.
The Experiences of Adjusting to YOUR New Dentures
I will tell you true right now; it WILL be a challenge.
Have you ever tried to diet to lose weight, just to gain it back soon after? The only thing that worked for me is healthy foods and exercise. [The hypothalamus in the brain serves to regulate and maintain homeostasis, the norm]
Have you ever tried to break a long-existing habit, such as smoking? I used to smoke three packs a day, and one day I quit, cold turkey. It was agony, and I gained 30 pounds.
Dentures are foreign, meaning they are new to the body, and our bodies are designed to reject anything foreign, anything different. Until your body adapts to this foreign intrusion, adjusting to dentures will be difficult.
When first I received my dentures, I simply could not adapt to wearing them:
- I salivated [drooled] excessively.
- The tongue kept trying to push them out.
- My speech was slurred.
- It seemed as though I was biting my tissues every day.
- Every time I laughed or sneezed or coughed, the dentures would come loose.
- I had diminished taste sensation.
Eventually I simply gave up, refusing to wear them. I learned never to smile with my mouth open, to always speak with my lips almost completely shut. I learned to avoid being in public.
In time it was will-power alone that forced me to adapt to dentures, and with this adaptation I learned that many of the negatives were in fact positives in disguise:
- Excess salivation meant the food was easier to swallow, to digest.
- Tongue movements were the muscles learning about dentures.
- Slurred speech was adaptation from few teeth to a full set of teeth, and so I was learning to speak better, to properly articulate my verbage.
- Biting the tissues were the muscles adapting to the denture.
- In time the muscles keep the dentures in place.
- Almost all taste sensation is on the tongue, and now I seldom burn the roof of my mouth.
You may recall that when we made all those impressions of your mouth, we had you move your tongue around, while we massaged the cheeks. During your wax try-in appointment we had you sound out different letters.
What we were doing here was guaranteeing your tongue has sufficient room to move food around and swallow, as well as to speak. We were also adjusting the impression material to the muscles of the mouth, so that the denture would fit to these muscles.
Start with soups; foods that are easy to swallow. This will teach your body to swallow with dentures.
Move on to easily chewed foods, teaching your muscles to chew with dentures.
Initially, speak with your mouth semi-closed. This teaches the lips and cheeks to retain the denture while speaking.
Unless specifically instructed to do so by your dentist, NEVER use denture adhesives. Doing so forces the body to adapt not to the dentures but to the adhesives, and so without the adhesives the denture will never retain.
My best and final advice to the new denture wearer; be patient. Be VERY patient.
It normally takes 2-3 weeks to adjust to new dentures. If the bite was changed, it will take far longer.
Denture Teeth :: Which are the best [Part I of III]?
There are literally hundreds of different denture teeth available; an absolute myriad of choices and materials. With these many options, which to choose?
Part I — What are they made of?
Denture teeth are made of porcelain, composite, or acrylic.
Porcelain teeth set the original standard in esthetics; most like nature. They are very durable IF they do not break.
The downside though is porcelain is harder than natural teeth or bone, and as a result cause these to be resorbed (dissolved) at an accelerated rate, unless the porcelain teeth are opposing other porcelain crowned teeth.
Another huge detriment is they cannot adhere to any denture plastic, and so must be mechanically retained via grooves (called diatorics); they tend to fall out without these grooves.
Yet another detriment is they tend to easily chip and break. Also, it is nigh impossible to adjust them.
I never recommend porcelain teeth. Not ever.
Composite teeth have excellent esthetics, and in the opinions of many are the new standard in this category. They must be glued to the acrylic to stay in, and glue deteriorates over time. To stay in, the front teeth must be glued as well having diatorics.
Acrylic teeth are the same basic molecular composition as the acrylic denture. Thus they bond to the plastic at the molecular level and are the best retained. The hardened acrylics have excellent natural esthetics, and are ultra-durable.
Our 1st choice is acrylic teeth, our 2nd choice is composite teeth, and we never recommend porcelain teeth.
Denture Teeth :: Which are the best [Part II of III]?
In terms of overall durability and esthetics, these factors are determined by the degree of layering of the material:
Single layered acrylic teeth are the original teeth replacing porcelain, given the many detriments to the use of porcelain. These teeth are dull and lifeless, they have poor anatomy, and they wear down in 1-3 years.
In other words they are junk.
These are the teeth of choice for most economy and temporary dentures for the denture mills.
We refuse to use them.
Double layering gives much better esthetics and durability, as well as natural anatomy. These are the teeth of choice for intermediate-level dentures (price range of $400 to $650).
These are what we use in our lower-end dentures.
Triple-layering adds more life-like appearance, seemingly more "depth."
These are the teeth of choice for the highest-grade dentures from the denture mills, as well as most private dental offices.
Quadruple-layering results in teeth that are indistinguishable from nature, as well as lasting a lifetime. These are what we use in our BestFit Premiere dentures.
Denture Teeth :: Which are the best [Part III of III]?
The final determinant of esthetics is in the shape of the teeth.
Based on these characteristics, teeth manufacturers design their products for the Asian, American, or European markets, each with unique characteristics.
Shapes are determined by genetics. I clearly state these are BASIC generalities:
Asians in general have smaller teeth, usually flatter facially.
Africans usually have larger teeth, flatter facially.
Europeans usually have intermediate-sized teeth that are more rounded facially.
The American molds are generally flatter; the European designs are generally more rounded.
Most better quality American labs prefer American molds for the lower- to intermediate- price levels of dentures, and European molds for the top-of-the-line dentures.
While this is personal preference, I prefer the European molds for the simple reason they better reflect light from different angles. This light reflectivity gives more natural esthetics.
In other words, these European teeth appear more like real teeth, and the American molds really do look like dentures.
To YOU then is the choice: Do you want a denture that looks like a denture, or do YOU desire a denture that looks natural?
ALL our dentures are made using the European molds.
What questions should I ask the dentist who creates my dentures?
1. How long will it take to create my denture?
Less than two days does not allow sufficient time for either the technician or the processing. Therefore "same day dentures" will be greatly inferior in quality. While you may be in a great hurry, never accept same-day d
Unless special teeth shapes or shades or special restorations such as gold crowns need to be ordered, the denture generally does not require more than about 72 hours, and even these special cases usually take about one week.
Realistically here @ BestFit Dentures, it takes about 24 hours to create a set of dentures, not including time waiting for try-in appointments. This does not mean 24 hours after starting, you will receive your denture; 24 hours of clock time which does not always include night-time hours.
Those who consistently advertise more than a week are wasting YOUR time.
For example, a major competitor advertises they send their best denture (the only one where they inject the acrylic) to their NY lab, and this is partially true. They send to the NY lab, which then sends the denture to China to be processed. Why? Labor costs are lower, and so profits are then substantially higher.
2. How much will my new dentures cost?
The lowest local cost for denture mill dentures is $280 + exam ($25), and the highest cost we have yet seen is more than $6,000 for just one denture.
As each person is different, without an exam we cannot and we will not give exact prices over the phone. Our prices range (dependent entirely upon the options YOU choose) from $299 to about $2,000, and our exams are free. In other words, if all you need are dentures that fit correctly and you are less concerned with esthetics, the lowest-priced dentures may suit you just fine. If you want dentures that fit perfectly, look natural, and may last the rest of your life, then you want the best.
Since our exams are free, other than time and perhaps the cost of an x-ray (if you do not have current radiographs), it should cost you little to nothing to at least hear your options.
3. How long do dentures last?
The denture mills advise their patients that replacing dentures every three years is the norm. A local "specialist" advises the same.
Well made, the denture should last at least five years, and with our best quality dentures, well over 10 years. Having said this, we recommend having the denture relined and adjusted every 3-5 years, but the denture itself should easily last at ten years or more.
Depending on the model selected, our teeth are warranted by the manufacturer for at least 12 years, and the acrylic will usually last even longer.
Therefore, if the office advocates replacing a denture every five years or less, LEAVE, because what they are telling you is their dentures are not made to last.
4. Does the dentist EVER recommend denture adhesives/glue to keep the denture in place?
Adhesives help to retain a loose-fitting denture. If this is the purpose, the denture needs to be relined or replaced.
Adhesives help retain a denture when eating certain foods. If this is the case, the denture needs to be relined or replaced, and dental implants may be considered.
Adhesives also cause the denture to become looser faster, as the tissues adapt to the extra space. Therefore, if the dentist advocates the general use of adhesives, leave.
Why then do some dentists recommend adhesives? They want you to buy another set of dentures as soon as possible, and denture adhesives will usually cause just this. That is, the adhesive itself will cause the denture to become looser.
We want our dentures to last as long as possible, and so we do not recommend adhesives. The only time we do is for dentures inserted immediately following surgery, and then only when we are planning on a hard or soft reline in the very near future.
Another instance where we recommend adhesives is when the bones have resorbed so far, the denture will not retain.
5. Which exact acrylic is used to create the denture?
Most acrylics are made with formaldehyde, a proven human carcinogen. This material remains in the denture after processing, and it does cause cancer.
Specifically, formaldehyde is a chemical used in making methyl methacrylate (MMA).
There exist very few safe acrylics, Diamond-D being one of these. A couple of others are GC Nature-Cryl HI20-ET and Heraeus Kulzer Paladon Ultra.
Unless the dentist can name and prove the use of one of these acrylics, you might consider having your dentures made elsewhere.
6. Which exact acrylic polymerization process does the dentist use?
For the best density as well as the thinnest / lightest / strongest dentures, a high-pressure injection process is required.
For the best overall consistency as well as the safest materials, thermal or thermoplastic processing should be used.
Using pressure after the acrylic is poured into the mold does not work near as well. This is how many Cold Cure dentures are made. If the dentist and/or the lab are using cold-cure and/or the pour technique, have your dentures made elsewhere.
7. How well will my dentures fit?
Unless the office is using ALL of these, the denture will not fit well:
- PVS or wax compound for the final impressions,
- a double-pour technique for models using ultra-accurate Zhermack Elite Model stone,
- injection-molding of the acrylic,
- thermal or thermoplastic polymerization of the acrylic under continuous pressure during the alpha-stage,
- slow controlled cooling at less than or equal than 1/2 of one degree per minute;
The denture will not fit well.
These are the secrets to a well-fitting denture, and every single system must be utilized correctly. Ask the offices what they use, and if they do not use these systems, have your denture made elsewhere.
8. How thin & light versus thick & bulky will my dentures be?
A trade-mark of the pour technique and of cold-cure dentures, dentures are thick and bulky. Never accept such dentures.
Pressurized injection (with thermal or thermoplastic processing) yields dentures that are thinner, stronger, and as more flexible. We use this system in every denture we deliver.
9. Does the dental office have a fully-equipped and staffed in-house dentures lab?
No matter how noble the intentions are of the dentist, if cases are sent to an outside lab, communications errors are made and overall control is lost.
The dentist may promise this and that, but the outside lab determines materials and techniques.
10. Does this office focus on dentures primarily, or is this just one of many services they offer?
Let's face it; practice makes perfect.
IF dentures are a sometimes thing the quality will not be as good as when dentures are an all the time thing.
Since the dentures office is a team, say myself being a whiz in dentures means little if we do not function as a team doing dentures each and every day.
At BestFit Dentures, it is my absolute belief as the founding dentist that none may whistle a symphony, but that it takes an orchestra, a team, to create art. Therefore, the single most important employee is everyone.
11. Having said that, is the practice emphasis on quality or on volume?
If the office is a franchise or even a denture-mill, the overall quality will usually range from very poor to intermediate. Is this what you want? Better yet, is this what you deserve?
What is the Time Required to Complete Your Denture?
One of the most often asked questions is, How long before my denture is ready?
The answer is dependent upon certain factors which YOU alone are in control of, as well as factors that we are in control of.
Which denture have you selected? That is, the Economy, the Standard, or the BestFit Premiere? Each of these requires substantially different sets of time to complete.
All of these require about 2 hours completing the impressions of your mouth, pouring and trimming the models, making the base-plate and applying the wax rims.
All of these require about 1 – 2 hours for the wax try-in phases.
From here though the different dentures widely vary in terms of the time needed to make the denture:
The Economy and the Standard each requires about 2 hours to set teeth, then 30 minutes additional time to finish, then about 12 hours to process and cool.
The BestFit Premiere requires about 9 hours total time before processing, plus about 12 hours to process and cool; for a total of about 21 hours.
Thus, the BestFit Premiere will usually be delivered no sooner than the next day or the day after, depending on when it was begun.
The stated times to deliver the denture are also dependent upon your availability for the try-in appointments as well as for the delivery of the denture. For example, you are called in @ say noon and it takes you 3 hours to arrive, this just added 3 hours to the total time.
How do dentures affect speech?
Speech involves many muscles and nerves, as well as the teeth and tongue in perfect harmony, the effect being distinct and recognizable sounds. It is a significant part of our daily lives.
When first you receive your new dentures, patience is key. You must be willing to re-school your mouth to speak with the new appliances that are your teeth. Normally this training period lasts about two to four weeks, all depending on how extensive were the surgery and the restorations.
Unintentional whistling usually means an excess of air is passing through or between the teeth. This can be caused by an excessive overjet (overlap ) of the upper and lower front teeth. Often heard when elucidating the "S" sound, the groove in our tongue causes over-enunciation, creating the whistle.
The perfect "S" is when the upper and lower teeth are closest to one another with the tongue immediately behind.
Also, when the upper palate is too thin or when the rugae (bumps in the upper palate) are not present, a whistle may develop.
Lisping is the opposite of whistling. This is when you are trying to form the "S" but instead is heard a "SH."
This means insufficient air is passing over the teeth. It is often caused by too thick of a palate.
Insufficient tongue space results in a slurring of the speech, as well as difficulty eating and swallowing. A most excellent method of checking this is when the back teeth are hitting during speech.
Made in the USA :: Does this Really Matter?
In the years immediately following WWII, America was greatest because it was a manufacturing powerhouse. As time progressed this manufacturing greatness has gone to China.
In years gone by, Made in the USA was the epitome of excellence, but many greedy manufacturers took advantage of this with the American public, selling garbage but with that all important sticker, Made in the USA. As a result, Made in the USA became synonymous with get something lousy and pay more.
Dentistry is no different.
Today, most raw dental materials are manufactured overseas, but does this then mean the final product, in this case the denture, should be as well?
With a well-known national chain with offices in this area, their lower-grade dentures are made locally, but their top of the line dentures "officially" are made in another state, and unofficially are shipped to China for manufacturing. Their dentures are not made correctly.
At BestFit Dentures, all our dentures are made right here in our in-office lab. We believe that Made in the USA should be the epitome of excellence, and this is what we strive toward. As we expand to other markets, all our products will continue to be made right there in that office.
YES, Made in the USA does mean something, at least to us.
Changing the Bite :: What is the Adjustment Period?
The normal bite for an individual has the Maxillary incisors (upper front teeth) at a slight angle outward and external to the Mandibular incisors.
The blue line shows the relationship between the upper and lower molars.
This is called Class I.
In Class II, the lower jaw is retruded, giving a buck tooth appearance:
Notice the lower molars as well are retruded in relation to the upper molars.
This is a standard Class II, whereas some cases are extreme.
In Class III, the lower jaw is extruded (pushed forward):
Again, notice the lowers molars are extruded as well (in relation to the upper molars). Again, this is a standard Class III, whereas there are extremes.
When teeth are lost, the bite often collapses. This then causes an (overclosed) overbite, which in pictures appears the grandpa/granny look of a collapsed bite.
With all of these and more, we can correct with dentures, usually, assuming
the cases are not too severe.
For say the overbite, we will open the bite 2-6 mm.
For the Class II we move the lower teeth forward and/or the upper teeth back. For Class III it is the opposite.
What then are the ramifications of drastically changing a person’s bite?
Instead of taking 2-3 weeks to adjust to your new dentures, it may take upwards of 6-12 months.
During this time a LOT of patience will be needed.