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This guide will explain what options you have if you have a single missing tooth or a full arch of missing teeth. Denture, bridges and implant options are explained.
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Copyright MyDentureExpert© 2013. All Rights Reserved.
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The Perfect Fit
Teeth Guide
A guide for dental patients
Dentures
Loose teeth Missing teeth
Dental Implants
Written by Mr R Dedi, BDS London 2004
Dental Surgeon
Copyright MyDentureExpert© 2013. All Rights Reserved.
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The photographs demonstrating patient
treatments have been carried out by
Mr R Dedi.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Pure Luxury. Always.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Copyright MyDentureExpert© 2013. All Rights Reserved.
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Contents of this guide
Page Characteristics of Perfect Fitting Teeth
6
Your consultation visit with your
Denture Expert
8
Stages of denture production
11
Implant-retained dentures
24
Loose dentures
29
Natural looking dentures
40
Common questions patients ask
49
Information on gum disease
56
Other types of dentures
58
Dental bridges and implants
61
What our patients say
69
Location of our clinics
71
Special offers
75
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Perfect fitting teeth
Perfect fitting teeth should:
Feel secure
Look natural
Be firm
Provide a strong bite
Feel fresh in the mouth
Have a solid natural feel to them
Make you look 10 years younger than your
actual age
Make you feel confident eating
Give you a great smile
Enable you to taste your food on your
palate
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Denture wearing myths
Being a denture wearer:
Does not mean that you are old
Does not mean that you are poor
Does not mean you cannot socialise,
enjoy your food or be intimate with your
partner
Does not mean you have to put up with
ill-fitting and loose dentures
Does not mean you don’t have fixed teeth
options available to you
Well-fitting dentures do not have to be
taken out whilst you sleep
Copyright MyDentureExpert© 2013. All Rights Reserved.
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“What am I to expect at my
consultation visit?”
We will listen to you
Ask about your experience with
dentures and your dental health
Provide an assessment of your
mouth and existing denture set
Explain your problems in plain English
Discuss your treatment options
Discuss financial option arrangements
Copyright MyDentureExpert© 2013. All Rights Reserved.
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“Who will make my denture set?”
Two sets of people are involved:
1. Denture Expert Clinical Team
2. Dental Laboratory Technician
Your Denture Expert is the dentist who
will deal with your problem. He will carry out
the clinical aspects of your treatment and
ensure that the denture option you have
chosen is the one most suited to you. Moulds
and measurements will be taken and he will
work alongside the Dental Laboratory
Technician who will make the final denture.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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The Dental Technician
John Gerrard, Owner and Senior Registered
Dental Technician at
Bremadent Dental Laboratories
We have over 40 years of experience helping patients achieve the
oral care they deserve and we are experts in constructing dentures,
dental implant appliances, crowns and bridges.
We also offer enhanced solutions for bespoke denture cases,
including implant-retained dentures and Swissedent Natural
Dentures. For further information, please speak to your Denture
Expert.
We support dentists and their patients with excellent smile
improvements. I look forward to working alongside your Denture
Expert to provide you the very best dentistry has to offer.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Stages of denture production
It can take between 6-8 appointments to produce
the Perfect Fit Denture. More visits will be
required if you opt for the maximum stabilised
denture, which will result in a firm fitting
appliance.
In this booklet we have outlined the common
steps we follow at our Denture Clinic to make
the custom fitting denture set. These steps are
related to patients who require a full set of
denture teeth, but the same principle applies to
dentures which are fitted around existing teeth.
Examples of the care we have provided to our
patients are demonstrated in this booklet.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Visit one
Consultation stage
Assessment and planning of your care
Discussion of your ideal treatment plan and cost
Potential number of visits required
Answering your concerns
What you can bring to your consultation
Your existing denture set
A list of your current medication
Old denture sets if you have them
Old photographs of your smile, if you have
any
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Visit two
Mould taking stage I
A mould (impression) is taken of your gums. This is
made of a soft material but quickly hardens within 30
seconds of gently placing it in the patient’s mouth.
This hardened mould is sent to the Dental
Technician who converts it to a stone model. This
acts as the framework for the denture design.
A stone model of a patient’s gums
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Visit three
Mould taking stage II
From the stone model previously constructed, a
second mould is constructed using a special pink tray
that fits more accurately around the gums.
The pink coloured special tray fits over the gums so that a
more accurate mould can be taken
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Visit four
Bite registration and colour matching
This stage is very important as we involve our patient
to ensure the best material is chosen. It involves four
essential stages.
1. Recording the way your upper and lower
jaws meet
Some patients with denture problems do not have a
strong bite. For this reason the Denture Expert will
record the way your upper and lower jaws meet at
your most comfortable position.
He will ask you to gently bite down on the soft wax.
2. Making your smile natural
Your Denture Expert will record where the centre
of your front teeth should be in relation to your smile,
face and nose. This is to ensure that your smile looks
natural.
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3. Your Denture Expert will mark the
“canine lines”
Marking the canine lines gives the indication of your
facial features. This helps to choose the correct size
and shape of teeth for your denture.
4. Choosing the right colour and shade of
teeth
You have the chance to choose the colour and shade
of your teeth.
A tip is not to go for extremely white teeth as
your smile may look unnatural.
Choose light colour and a smooth texture to
achieve a natural feel and appearance.
On your next visit, you have the chance to see if
you have made the right choice with regards to
choosing the right set of teeth.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Visit five
The wax try-in stage
Our Dental Technician will carefully analyse the
information we have gathered from visit 4 and will
build upon the framework. In this visit you will have
the chance to preview your denture set to see what
they look and feel like in your mouth. In particular,
your Denture Expert will:
Give you time to feel comfortable with your mock
denture setup and to ensure that you are happy
with the shape and colour of your chosen teeth
Ensure you can talk comfortably with your mock
dentures
Make any changes if required
Once you are happy, we will send the design back to
the Dental Technician so that your denture set can
be made into a beautiful hand-crafted design.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Visit six
Fit of your denture set
We will ensure the dentures fit comfortably in
your mouth and you can smile all the way home!
Visit seven
Review appointment
When we have finished making your dentures,
our care for you doesn’t stop there. We invite
our denture patients back a week later to make
sure that everything is comfortable. Sometimes, a
minor adjustment is required which we do as part
of the service.
Aftercare
Our care for you continues once your treatment
has been completed. You will be invited for your
routine dental inspection visits to ensure that you
are happy with your new dentures. Minor
adjustments to your dentures can be carried out if
necessary.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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“What kind of teeth can I have on my
Perfect Denture Set?”
Gone are the days where patients were only offered
brilliant white or monochrome teeth. We give our
patients a choice when it comes to teeth selection and
smile design. There are many elements in choosing the
right set of teeth:
Size
Shape
Colour and Shade
Texture
Material
Individual characteristics
If a picture was taken of a natural tooth and enlarged
on a big screen, you will be able to see many different
colours, textures and characteristics on this very
tooth. It is to this detailed attention that our Dental
Technician works towards to provide a natural smile
on your new denture set.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Size
The size of teeth depends mainly on the size of your
face and your preference. If you are a petite individual,
your smile will not match your facial features if you
chose an unusually large set of teeth. Your Denture
Expert will help you choose the correct size.
Some patients prefer to have exactly the same size
teeth as their existing dentures because they don’t
want people to know that they have drastically changed
their smile. We can cater for this requirement.
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Shape
The shape of your front teeth matters. If you have a
narrow face and you choose bulky teeth, there will be
a mismatch in the final result and the denture may look
unnatural. Your Denture Expert will help you make
the right decision.
Colour and Shade
Your new denture teeth should complement the
colour of your face, lips and pupils. We don’t want the
teeth to be over-powering by choosing a completely
inadequate shade. We have got a selection of cloudy-
day, warm-ivory and naturally-white shades for you to
choose from.
You can now choose which shade of tooth best fits in with
your facial features
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Texture, material and individual characteristics
If you would like the Exclusive range of bespoke
teeth, we can arrange a consultation between yourself
and the Dental Technician.
You can have your denture teeth look extremely
natural by choosing your smile to have light stains,
blemishes, wear patterns, fine hairline cracks and even
small natural looking spaces between the teeth.
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You may want to bring in an old
photograph so that we can see what your
smile was like.
We can provide you a special instruction
sheet so that you can tell us how you
would like each individual tooth to appear.
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Implant-retained dentures
“What is a dental implant?”
This is a small rod of special metal which is neatly
tucked under the gum. You cannot see or feel it. It acts
as an anchor; a bit like a post in the ground. Various
components can then be attached on to the implant
head.
“Why would I need dental implants?”
If you have a gap between your teeth, a dental implant
will give you a natural looking prosthetic tooth without
cutting down healthy teeth adjacent to the gap. Using
the concept to attach components to the dental
implant, dentures can be stabilised so that they do not
rock in your mouth whilst you eat.
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The following pictures demonstrate recurring gum
infection and the patient’s request to enhance her
smile.
The upper front teeth have moved considerably
and have very poor aesthetics. This is
compromising the patient’s smile, confidence,
speaking and eating abilities.
The bad teeth were removed and the extraction sites healed
in a few days. Immediately after the procedure, the patient
was given a temporary denture so that she did not leave our
clinic without her smile. A further period of three months
was observed to allow new bone to grow into the area
where the teeth had been extracted.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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This picture shows where the teeth have been removed
This image shows the same patient’s upper palate and
a nicely healed gum area
Copyright MyDentureExpert© 2013. All Rights Reserved.
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4 implants where tucked neatly under the gum
in the upper jaw. The protruding gold components are attached to the
underlying implants. The denture will fit over these gold components, thus
providing maximum stability and comfort whilst eating.
The upper denture is attached to the gold components and is very stable.
A conventional denture was also made in the lower arch.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Happy patient at smile position
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“Why are my dentures loose?”
There are many reasons why dentures can be loose:
The lower jaw has less surface area so the
denture may not fit effectively
The action of the tongue can lift the denture out
of place
You may have lost your teeth due to
periodontal disease (loose teeth). In this
condition patients also lose the quantity of jaw
bone, which is vital to holding the denture in
place.
We have solutions for all these types of issues. The
following pictures demonstrate a case in which two
implants were placed in the lower jaw to stabilise
the denture.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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2 dental implants placed in the lower jaw. The
gold pieces are the male components which
are anchored on top of the implant head.
When you look at the denture from beneath,
there are two female components
embedded into the denture.
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The male and female components “lock” into one another,
which holds the denture into a locked position and
prevents it from rocking. The patient had
a similar treatment in the upper jaw.
The patient smiling.
The teeth were positioned with deliberate mild
imperfections so that the result appeared natural.
With precise planning, this case took a few months to complete.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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.
The dentures click into place.
The patient can remove the dentures to clean them
and they do not drop out whilst eating or
speaking. The patient can now sleep
with his dentures in his mouth.
There are many ways dental implants can help to restore a patient’s
confidence. The above cases illustrate some of the routine methods
we use at our clinic to keep dentures in a comfortable position.
There is no upper age limit to denture implant therapy. If you
can have a tooth removed in a dental clinic, then you should not have
any issues with implant treatment. Of course, having this type of
treatment involves thorough planning and execution. We involve our
patients in the process guided by our expert advice.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Various types of implant treatments
There are many types of implants, including
fixed teeth, which are permanently fixed in
your mouth. The optimum treatment is based
on the clinical findings as well as the patient’s
financial budget.
As a general rule, the stability of a
denture is increased in proportion to
the number of implants. A CT Scan of
your jawbone can indicate the optimum
number of implants that can be possibly
placed.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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“I am worried about having a
dental implant”
Naturally, most patients are anxious of having any form of dental
treatment. At our clinic, we do our level best to ensure that our
patient is our number one priority so that they remain relaxed and
calm.
If you are a really nervous patient then we can arrange a visit from
a special doctor called an anaesthetist at the time of your
implant placement. The anaesthetist will give you a sedative during
the procedure so that you are relaxed and his team will look after
your well-being. You will need to bring a responsible adult who can
take you home after the procedure and you just need to rest for
the remainder of the day.
We will follow up your care by phoning you the next day to make
sure everything is going well and answering any of your queries.
Naturally, you are most welcome to come and see us if you prefer.
As a general rule, if you can tolerate having a tooth removed
at the dentist then you should also be a candidate for dental
implant treatment. Of course, dental implant treatment
requires precise planning and that is the reason your
Denture Expert will take measurements to ensure optimal
planning.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Problems with jawbone shrinkage
Jawbone shrinkage occurs when the dentures in
position are constantly pressing against the gum and
jawbone. Even if a conventional denture fits well when
it is first made, this denture may become loose over
time as the jawbone shrinks. When the next denture
set is made, there is less jawbone quantity and the
subsequent denture set may not have a tight fit.
Problems with jawbone shrinkage
Loose dentures
Painful dentures
Less biting ability
How to minimise jawbone shrinkage
Dental implants can minimise this jawbone shrinkage.
The pressure from the dentures is eased off from the
gums and supported by the implants. Jawbone
shrinkage is therefore minimised.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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“I have pain when I eat with my
dentures”
There are many reasons why dentures can be
painful on the gums:
You have dental disease and/or gum
disease
You dentures are not fitting accurately
over your gums
Your dentures are too small/big
Your teeth are loose
We would like painful dentures to be a thing
of the past. Dental implants secure the
dentures in position so that they do not rock
in your mouth.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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An alternative for loose dentures
If you have good remaining teeth in your mouth, clasps can
be added to hold the denture in position
The metal clasps wrap around the existing teeth. These
clasps can also be made in tooth coloured material.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Worried about having your bad
teeth removed and not being able
to smile?
Leave the planning to your Denture Expert. We
have completed hundreds of cases. We are also expert
in routine general dentistry and can take teeth out
painlessly with revolutionary local anaesthetic
techniques. We will give you special instructions to
follow prior to your appointment so that you have a
gentle dental experience. Teeth are removed with
gentle pressure so that the surrounding bone is not
disturbed. This also ensures that our patients heal
quicker. We want our patients to be relaxed and
stress-free when we are treating them.
If you have your front teeth removed, please don’t
think we will let you go without your smile when you
walk out of our clinic. It takes some mindful planning to
avoid this situation. The following page demonstrates a
case we have recently completed.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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This patient had loose front teeth which required removal. She was
very nervous and for obvious reasons did not want to go without
front teeth; neither did we want her to walk out of our clinic
covering her face:
The day her upper front teeth were extracted, a temporary denture
was provided so that the patient could smile. Please note, this
denture is not the final aesthetic denture but it was enough to see
the patient through for a couple of months until she was ready for
the final aesthetic denture. Nonetheless, the situation was a vast
improvement from her presenting issue:
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Natural looking dentures
The attention to detail our Dental Technician works to. This
includes the position of the teeth, the mild imperfections that the
teeth are set at and the stippling texture on the gums.
This denture was made with pink gums, but on a transparent base
Copyright MyDentureExpert© 2013. All Rights Reserved.
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The upper and lower denture sets were fabricated on this special
machine. It is called an articulator. It simulates the way the patient
puts their teeth together and the Dental Technician can even dictate
which teeth should contact when the patient chews their food. The
Dental Technician works alongside the Denture Expert to achieve
this result.
Fine attention to detail
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“My dentures look unnatural
when I smile”
You can choose which level of service you prefer
if you have a high aesthetic requirement. You have
the option to visit our Dental Technician’s
laboratory if you would like to discuss specific
denture characteristics, such as shape, colour and
texture of teeth on your final denture set.
John Gerrard
Our Registered Dental Technician
Even our Classic range dentures have the high
quality natural looking teeth as standard.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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“I would like natural looking
dentures”
This patient had a poor fitting upper denture. Two bad teeth were
removed from the front:
This denture was made using our Express Service so that she could
have her smile back in a short period of time. If you look closely near
the gums, you can see the teeth are blending in neatly:
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Denture Aesthetics
This patient came to see us with a poor quality upper denture. The teeth
were too small and he had far too many gaps in between the teeth. A gold
crown had been added to the denture to give him some street credibility,
but the patient had since become a family man! The pink acrylic was
unnecessarily over-extended, which gave the appearance of an artificial
pink piece of plastic between his teeth:
The new denture was made on a transparent base so that the patient’s
gums could shine through when he smiles. Natural teeth were chosen in
accordance with the patient’s facial profile. A gap was deliberately placed
in the middle to even out the size of teeth so that nobody noticed that the
patient wore a denture:
Copyright MyDentureExpert© 2013. All Rights Reserved.
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The final result: The patient’s smile looked
natural and it was difficult to notice that he
wore a denture.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Smile improvement denture
This shows a picture in which the remaining upper teeth
were deemed to have a poor prognosis
The existing denture set was loose, painful and ruined the
patient’s smile
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After a thorough consultation, the patient and Denture
Expert both agreed that the remaining upper teeth had to
be removed. A new denture was constructed, as shown
above. This improved her eating ability and appearance.
The patient regained the confidence of smiling. She later
decided to be placed on to our implant waiting list to have
the fixed teeth option.
Before After
Copyright MyDentureExpert© 2013. All Rights Reserved.
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Face-fitting dentures
This patient is not wearing dentures. The facial features appear
“squashed” and the face is looking unnaturally old. This situation can
also be seen in patients with old denture sets.
10 years younger: The difference that face-fitting dentures can make
to the appearance. The face is looking more youthful, natural and
the facial creases have almost disappeared.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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“I have some teeth remaining. Do
I have all of them removed
dentures made?”
Some patients believe that if all their teeth are removed then it
will solve all their dental worries. In our experience, it is best to
keep healthy teeth and utilise them to hold the denture set in
place. The more teeth present, the more stable and comfortable
a denture will be. We will check to see if these remaining teeth
are healthy and have a good long term prognosis. Discuss your
options with your Denture Expert.
Later in this booklet, we have pictures of a case in which we
used the patient’s only tooth to help support the denture. This is
under the heading, “Telescopic crown denture”.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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“Do I have both upper and lower
denture sets made together or do
I just get one jaw completed?”
This depends on what your Denture Expert recommends and
what you feel comfortable with. The following pictures demonstrate
a case where both the upper and lower sets of teeth required
removal. However, we concentrated on the lower set first. By using
this simple approach, the following was achieved:
We were able to use the upper teeth as a reference point so
that the patient’s bite position did not alter.
We gave a patient the chance to get used to a denture because
this was the first time he was wearing a set.
The lower teeth were loose and required removal
Copyright MyDentureExpert© 2013. All Rights Reserved.
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The lower denture set was constructed up until the wax try-in stage
and the patient was happy with the setup. This was sent to be
finalised by our Dental Technician. The lower teeth were
removed and the new dentures fitted on the same day. The
patient was able to go home with his teeth and smile.
Lower denture fitted on the same day the front teeth were removed
Before After
Copyright MyDentureExpert© 2013. All Rights Reserved.
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“I have all/most of my teeth
missing in my jaw. What are my
options?”
There are many treatment variables, both with fixed
and removable teeth. Each option is dependent on the
patient’s financial budget and what is possible in their
mouth. Your Denture Expert will be happy to
discuss more at the time of your consultation.
There are variations with each treatment modality, but
these are the main ones we offer:
Denture only
Denture supported by 2 implants
Denture supported by 4 implants
Denture supported by 4 implants and a bar
Fixed teeth supported by 4 implants
Fixed teeth supported by 6 implants
Fixed teeth supported by individual implants
Copyright MyDentureExpert© 2013. All Rights Reserved.
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“I have loose teeth but it does not
bother me”
It is not necessary for a patient to have symptoms or pain if they
have an existing dental problem. The same applies to decayed
and loose teeth.
It is best to remove diseased teeth, as soon as possible and
replace the gaps with dentures, bridgework or implants.
The consequence of keeping diseased teeth is that the jaw bone
is constantly fed with infection. This results in the overall loss of
jawbone. Loss of jawbone can have the following consequences:
Less jawbone for denture stability or implant placement
Aesthetic issues
Changes in facial appearance
We are happy to consult you about these problems
Copyright MyDentureExpert© 2013. All Rights Reserved.
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“How do I clean my dentures?”
We would recommend that after eating you rinse
your mouth (tap water is fine; you don’t have to
use mouthwash all the time). You can rinse your
denture set under running water. A soft brush can
be used to gently polish your denture set.
Hot water should not be used to clean your
dentures, as the plastic can warp.
There is no need to keep your dentures in a glass
by your bedside! Well-fitting dentures are
designed so that you can sleep with them in.
We provide our patients with a denture care pack
and cleaning kit when we have completed their
treatment.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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“My dentures are broken”
Dentures can break for various reasons:
Wear and tear
Heavy bite
Unstable dentures
Incorrect denture design
Weak plastic used
Even our Classic range dentures are
constructed with high impact acrylic as
standard. This means the plastic material is
stronger, smoother and more durable.
We offer a guarantee for all our
dentures against tooth breakage.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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“I think I have gum disease and
my teeth are loose”
A tooth is surrounded by jawbone. A tooth is similar to a post
embedded in the ground. Teeth become loose when the supporting
jawbone recedes around the teeth.
The common reason why the jawbone shrinks away from the teeth
is due to periodontal disease (more commonly known as “gum
disease”).
Periodontal disease is a very common disease. Some patients don’t
know they have this disease because it can present without
symptoms. The level of periodontal disease depends on various risks
factors and your medical health status.
Periodontal disease ranges on different levels of severity. On the
minor scale, a patient could present with a small level gum irritation
which can be solved by a scale and polish. On the other side of the
spectrum, patients can require extensive treatment to save their
teeth.
The good news is that most types of periodontal disease are
treatable, which maximises the survival of teeth. Regular visits for
gum and teeth cleaning and adopting good oral hygiene methods at
home minimise the rate at which the jawbone is lost from around
the teeth.
Copyright MyDentureExpert© 2013. All Rights Reserved.
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“Does mouthwash eradicate gum
disease?”
A mouthwash containing the chemical, Chlorhexidine,
is a strong antiseptic. It is common practice to use this
type of mouthwash if your gums are heavily inflamed,
but only for a few days. Prolonged use may cause the
following:
Teeth staining
Antimicrobial resistance
Temporary loss of taste
Mouthwash does not eradicate
gum disease
Please see your dentist if you think you have this
problem.
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Other types of dentures
There are other methods in which missing teeth can be
replaced. Each case needs to be judged on its merits.
High polish Cobalt-Chromium denture: Combined with high impact strength
acrylic and natural looking teeth
The denture sitting on the stone model
The denture sitting comfortably with
a snug fit in the mouth
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Telescopic crown denture: This is a denture that is held in by natural teeth.
It is important to hold on to healthy strategic
teeth rather than remove them. They can help
to “lock” the denture in position.
This is a picture of the last remaining upper tooth. The Denture
Expert identified it as being healthy and decided that was in the
patient’s best interest to keep hold of this tooth. A special gold
crown was placed over this tooth (telescopic crown). This is the
“male” crown.
This is a photograph of the denture when you are looking at the fit
surface, which goes over the gums. Another special crown is
embedded inside this denture. This “female” crown locks into the
male crown and this provides extra support. It is better if more than
one tooth is present, but in this case it was sufficient to provide the
extra retention.
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“Do I have metal or plastic
dentures made?”
The denture base material can be made of metal
(Cobalt-Chromium) or plastic (high impact
acrylic). Your Denture Expert will choose the
best material for your case.
Metal denture bases are firm, durable and have a
solid feel to them. However, they are mainly used
when the remaining teeth are in good condition
and have an adequate bone support around them.
Plastic denture bases are predominantly used in
those cases where the patient does not have any
teeth or where the remaining teeth have
reasonable prognosis. In order to emulate the
metal strength, we use high impact acrylic on
the dentures we provide.
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Fixed options for missing teeth
The following pages explain the other ways in
which a patient can have the fixed teeth
option.
This section is summarised in a table which
briefly outlines the advantages and
disadvantages for each treatment option type.
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Fixed bridge
A dental bridge is permanently glued in and does not need to be
removed by the patient. The teeth either side need to be healthy to
support this type of bridge.
This photographed area is the patient’s lower front missing teeth
The missing teeth have been replaced. Good colour matching
techniques means that no one will know the patient ever had missing
teeth.
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Independent Dental Implants
These are a permanently fixed option. The reason why they
are independent is that no adjacent healthy teeth need to be
cut down to provide a natural looking smile.
This young patient had two missing front teeth. Providing a
bridge would have meant cutting down the adjacent teeth.
This should be avoided, if possible, as cutting down healthy
young teeth may lead to further problems in the future.
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He wore a two-tooth denture which was loose and
ruined his smile
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Two dental implants were placed in his mouth to replace the missing
teeth. The above picture shows the supporting posts on the stone
mould. These posts were transferred to the mouth to fit over the
implants.
Two high quality crowns were fabricated over the two metal posts.
This is what the crowns looked like on the stone mould. These
crowns were transferred to the mouth.
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Final result: Implant crowns blend in with the
natural teeth
Before After
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“I have a single missing tooth.
What are my options?”
There are many treatment variables, both with
removable and fixed teeth. Each option is
dependent on the patient’s financial budget and
the health of the remaining teeth. Your Denture
Expert will be happy to discuss more at the time
of your consultation.
The following table briefly mentions the
advantages and disadvantages of each treatment
option.
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Advantages
Disadvantages
No
treatment
No further treatment may be
requested from the patient
1. The bone will continue to
shrink in this area
2. Teeth opposite and adjacent
to the missing tooth may
start to drift towards the
gap
3. Potential for future bite and
occlusal discrepancies
Denture
1. Can be made using our
Express Service
2. Cost effective option
3. Good treatment
option to replace a bad
tooth at the front of
the mouth on the
same day it needs to
be taken out
1. The bone around the
missing tooth will continue
to shrink, unless stimulated
by a dental implant
2. Some patients may not like
the idea of wearing a
removable appliance
Fixed Bridge
1. Fixed solution
2. A cosmetic bridge
maybe possible
1. Should ideally be
implemented if the teeth
either side of the gap need
to be crowned
2. Risk of “killing” the nerve,
especially in young teeth
Implant
1. Fixed solution
2. Permanent
3. Improves the bite and
chewing abilities
4. Cost effective option
long term
5. No need to cut down
adjacent teeth
6. Excellent treatment
option to replace a bad
tooth at the front of
the mouth on the
same day it needs to
be taken out
Cost maybe a prohibited factor for
the patient. However, we can offer
a Pay Monthly scheme
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Patient testimonials
Keith Sutherland
I’ve had treatment on my lower set of teeth. The denture fits quite
comfortably and I am very pleased with the result. I will be
recommending Mr Dedi to my family and friends.
Donald Jayne
I’ve had two dental implants placed in my upper jaw by Dr Dedi. I
unreservedly recommend him as a dentist. His patient care and
technique in working struck me as of the highest order. I have no
hesitation in recommending him to people who want this kind of
work done.
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Denture Consultation
We will carry out a thorough assessment and happily explain
what is involved at each step.
Each patient’s treatment is unique and it is for this reason your
Denture Expert will ask what you would ideally like to achieve.
If you have any old photographs of your smile, please bring them
in. Also bring a list of your current medication.
Don’t forget to bring your current denture set to your
consultation visit!
WE ARE HAPPY TO PUT AN
AFFORDABLE FINANCIAL
PACKAGE TOGETHER FOR
YOUR DENTURE AND
IMPLANT TREATMENT. WE
ALSO OFFER PAY MONTHLY
PACKAGES.
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DENTURE CONSULTATATION
&
LOOSE & MISSING TEETH CONSULTATION
FIND OUT HOW WE CAN HELP YOU
To be seen at our Hertfordshire Clinic call:
01923 221039
To be seen at our East London Clinic call:
0208 558 1122 or 0208 558 1199
Mention that you would like a “Perfect Fit consultation” when you call to
book your appointment. If we are busy, please leave a message with your name
and number and a member of our team will call you back and provide you the
information you require.
Saturday and after work slots can be arranged
for your treatment appointments
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Hertfordshire Clinic
Herts Dental Practice
34 Woodford Road
Watford
Hertfordshire
WD17 1PA
01923 221039
www.hertsdental.co.uk
info@hertsdental.co.uk
2 minute walk from Watford Junction Station and Clarendon Road
Behind the KPMG building
Come out of Watford Junction Station and walk left
Parking available on the practice driveway
Pay and display street parking
Car parks around the practice
Watford Junction Station car park
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East London Clinic
Cedars Dental Practice
775 High Road
Leyton
London
E10 5AB
0208 558 1122
0208 558 1199
Next to the new Leyton Leisure Centre
Opposite Leyton Bus Garage
2 minute walk from Tescos
Come out of Tescos and walk right
Parking available on nearby residential roads
Nearest tube stations are Leyton Underground (Central Line) and
Walthamstow Central Underground (Victoria Line)
The practice has ground floor clinics and is wheelchair accessible
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The Denture Expert
Mr R Dedi, BDS London 2004
Dental Surgeon
Principal Dentist at Herts Dental Practice
Associate Dentist at Cedars Dental Practice
My Denture Expert
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SPECIAL OFFERS
For a limited period, the next 10 implant denture patients
will receive:
1) A FREE initial consultation and denture
assessment (this amount will be deducted
from the final treatment estimate)
2) Once treatment agreed: a FREE personalised
written treatment care plan and cost estimate
3) FREE digital X-ray
4) FREE jawbone CT Scan
5) Upgrade to the PREMIUM range dentures at no
extra cost
6) 5% off your total implant AND denture
treatment when you PrePay
FULL SET OF UPPER OR LOWER
TEETH
From £1000
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Comparison for a full set of upper
or lower teeth
The following table shows the range of dentures which
are available to you.
The Exclusive denture range includes individual tooth
characterisation and gum pigmentation, including the
option of porcelain teeth and “Natural worn teeth”.
Consultation with our Senior Dental Technician
arranged at his offices. The exact price for this type of
denture depends on your individual aesthetic
requirements.
A quotation is available for dentures
and implants to fit around existing
teeth. Please enquire at your “Perfect
Fit consultation”.
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Denture
range
Classic
Premium
Exclusive
Stability
denture
Maximum
stability
denture
Face-fitting dentures
High-impact acrylic
Choice of teeth
colours
Cosmetic
Consultation with
Dental Technician
×
Natural tooth
positioning
×
Choice of gum
shades
×
Choice of gum
textures
×
Upgrade to
Exclusive range
option
×
×
Not
Required
Natural looking
Ivoclar teeth
Individual
characterisation
Guarantee
Spare denture set
option
Soft cushion gum fit
option
Pay monthly option
Future implant
option
Not
required
Not required
1 year recall
appointment
Free
Aftercare
appointment
Free
Aftercare
appointment
Included
Included
Included
Chewing
strength
guaranteed
Dependent
on jaw
bone
Dependent
on jaw bone
Dependent on
jaw bone
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FULL SET OF
UPPER OR
LOWER
TEETH
From £1000
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Implant-retained dentures
Chewing
strength
guaranteed
Recommended