Dentures Prosthodontics Beaverton

Conventional dentures require four to six appointments over three to five weeks: initial impressions, custom tray impressions, bite registration, wax try-in (to preview the tooth arrangement), and final delivery. Immediate dentures (placed the day teeth are extracted) are fabricated before extraction and adjusted during healing. Implant-supported dentures add the surgical phase and healing time (3 to 6 months for osseointegration).

Quality dentures made with premium teeth and custom characterization are virtually undetectable. Natural variation in tooth shade, slight irregularities in alignment, and gum tissue coloring that replicates the patient's natural tissue all contribute to a realistic appearance. The wax try-in appointment allows you to preview and approve the appearance before final processing.

Adaptation takes time. Start with soft foods cut into small pieces, chewing on both sides simultaneously. Over two to four weeks, gradually introduce firmer foods. Conventional upper dentures restore reasonable chewing function. Lower dentures are more challenging. Implant-supported dentures significantly improve chewing ability — most patients eat a normal, varied diet within weeks of delivery.

New dentures often produce sore spots where the base contacts tissue prominently. These pressure points are identified and relieved during adjustment appointments — typically two to four adjustments in the first month. Persistent pain indicates the need for base modification. Well-adjusted dentures should not cause pain during normal wear and eating.

Every five to eight years on average. The denture base remains stable, but the underlying bone continues to resorb after tooth loss, gradually altering the fit. Relines (refitting the inner surface) extend usable life. Eventually, the cumulative ridge changes require fabrication of a completely new denture to maintain proper fit, function, and facial support.

Complete dentures replace all teeth in an arch (upper, lower, or both). Partial dentures replace some missing teeth while clasping onto remaining natural teeth for support. Partial dentures are only possible when healthy natural teeth remain to provide stability. The choice depends on how many teeth are present and their condition.

Conventional complete dentures: $1,800 to $3,500 per arch. Premium dentures with high-end teeth and custom characterization: $3,000 to $5,000 per arch. Partial dentures: $1,500 to $3,000. Implant-supported overdentures: $8,000 to $15,000 including implants. Insurance coverage varies. Detailed cost estimates are provided after the initial evaluation.

Well-fitting dentures should not require adhesive for retention. Thin adhesive application can improve confidence during the adaptation period. If you find adhesive necessary for basic function, the denture may need relining or remake. Adhesive is not a substitute for proper fit — it is an occasional supplement for specific situations (public speaking, dining out).

Removing dentures at night is recommended. Continuous wear prevents air circulation to the tissue, promoting fungal growth (denture stomatitis) and accelerating bone resorption. The tissue needs six to eight hours of rest. Clean dentures nightly and store them in water or denture solution to prevent warping.

The denture process takes 4-6 appointments over 3-5 weeks. Step 1: Comprehensive exam with diagnostic impressions. Step 2: Custom tray impressions for precise fit. Step 3: Bite registration and tooth shade selection. Step 4: Wax try-in to preview appearance. Step 5: Final denture delivery with adjustments. We use digital impressions when possible for faster turnaround.

Remove and rinse after eating. Brush daily with a soft denture brush and non-abrasive denture cleaner (not regular toothpaste, which is too abrasive). Soak overnight in denture cleaning solution or water. Brush your gums and palate with a soft toothbrush before reinserting. Annual professional cleaning removes calculus and stain that home care cannot eliminate.

Conventional dentures last 5-8 years before the ridge changes enough to affect fit. Relines every 1-2 years help maintain fit during that period. Implant-supported dentures last 15-20+ years because the implants prevent bone loss. The prosthetic teeth on implant dentures may need replacement every 10-15 years due to wear.

The wax try-in is a preview of your finished dentures. Denture teeth are set in a wax base that approximates the final form. You try them in to evaluate tooth color, shape, arrangement, smile line, and facial support. Changes are made at this stage — moving teeth, adjusting shade, modifying the gumline. Once you approve the wax try-in, the denture is processed into the final acrylic form.

Most denture fractures and broken teeth can be repaired, often same-day. The acrylic base is rejoined with fresh acrylic, and replacement teeth are bonded into position. Repeated fracture in the same location indicates an underlying problem — improper fit, insufficient base thickness, or excessive bite force — that must be addressed to prevent recurrence.

Yes. Partial dentures are designed specifically for patients with remaining natural teeth. The partial framework clasps onto healthy teeth for stability while replacing missing ones. If the remaining teeth are compromised, treatment planning may recommend extracting them and transitioning to a complete denture or implant-supported prosthetic for better long-term outcomes.