According to the National Institute of Dental and Craniofacial Research (NIDCR), 3.75% of adults 20 to 64 in the United States are completely edentulous. For the overall population in this age group, the average number of remaining teeth is 24.92 out of a total of 32 permanent teeth.
One of the ways to replace missing teeth to restore oral function and appearance is with dentures. Depending upon the needs of a case, dentures can be used to replace either a few teeth that have been lost or all of the teeth in the upper or lower jaws. In addition to reestablishing the look of a complete and natural smile, dentures also restore support to the natural contours of the face to eliminate the “sunken” appearance that results from losing multiple teeth. Whether teeth have been lost for reasons of tooth decay, gum disease, a medical condition, congenital anomaly, or trauma, dentures are an effective method of care.
Dentures are removable appliances that are designed to precisely and comfortably rest on top of the gums that cover the jawbones. They can be taken out of the mouth for brief periods of time to fulfill the oral hygiene requirements of maintaining the underlying tissues, cleaning the dentures, and sleeping.
Types of Dentures
The two main types of dentures are: full dentures and partial dentures. Both types are custom fabricated based on the exact specifications obtained from dental impressions and detailed functional as well as esthetic information provided by the dentist.
Full Dentures
Full dentures, which can also be referred to as, “complete dentures,” are designed to replace all of the upper or lower teeth. A complete maxillary denture, more commonly known as a, full upper denture, typically consists of a base that covers the roof of the mouth with a full complement of artificial teeth set around the section covering the dental arch. On the other hand, a complete mandibular denture, or full lower denture, is designed to accommodate the tongue and is horseshoe shaped with teeth set along the portion that covers the underlying dental arch.
Partial Dentures
A partial denture is a type of removable prosthesis that is designed to restore a complete and functional smile in cases where multiple teeth are missing or require extractions, while some healthy teeth remain in the dental arch. Custom fabricated for a precise fit and cosmetically pleasing appearance, partial dentures are typically secured and stabilized with clasps or precision attachments to select teeth adjacent to the edentulous areas. Depending upon the number of teeth being replaced as well as the functional and aesthetic requirements of the case, a partial denture can be fabricated from a combination of cast metal and acrylic materials, acrylic alone, or thermoplastic resins such as ValplastTM, Flexite®, Duroflex® and tcs®.
Dentures are removable dental appliances that replace missing teeth and the surrounding tissues. They consist of artificial teeth set into a supportive base that rests on the gums and underlying bone. Dentures restore the ability to speak, chew, and smile while providing facial support that can improve overall appearance.
Unlike fixed restorations such as crowns or bridges, dentures can be taken out for cleaning and inspection of the oral tissues. Some dentures are designed to work with dental implants or remaining natural teeth to increase stability and retention. At Stahl Dental Studio we evaluate each case carefully to determine the best denture solution for a patient’s functional and aesthetic needs.
Indicators that dentures may be appropriate include multiple missing teeth, extensive decay or periodontal disease that makes saving teeth impractical, difficulty chewing or speaking, and noticeable changes in facial support. A thorough clinical exam, updated X-rays or CBCT imaging, and a review of medical history help determine candidacy for partial or complete dentures. We also consider the condition of any remaining teeth, the quality of the jawbone, and the patient’s goals for comfort and appearance.
Alternatives such as fixed bridges or implant-supported restorations may be discussed when they are clinically appropriate and desirable for increased stability. The treatment plan is individualized to balance oral health, function, and long-term prognosis. Your dentist will explain the pros and cons of each option and recommend the approach that best meets your needs.
There are two primary categories of removable dentures: full (complete) dentures and partial dentures. Full dentures replace all teeth in the upper or lower arch and are indicated when remaining teeth are missing or must be removed. Partial dentures are used when some natural teeth remain and they often use clasps or precision attachments to gain retention from adjacent teeth.
Full dentures can be fabricated as conventional full dentures placed after healing, or as immediate dentures inserted at the time of extractions to avoid a gap in appearance during healing. Overdentures are a type of full denture that gains additional stability from retained roots or attachments over implants. Partial denture frameworks can be made from cast metal, flexible resins, or hybrid materials depending on design and patient preference.
Implant-supported dentures attach to dental implants that are surgically placed in the jaw, providing improved stability and retention compared with conventional removable dentures. This attachment limits movement of the prosthesis during chewing and speaking and can substantially improve comfort and confidence for many patients. Implants also help transfer chewing forces to the jawbone, which can reduce progressive bone loss compared with traditional, tissue-supported dentures.
The planning process for implant-supported prosthetics involves additional diagnostic imaging and close coordination between surgical and restorative phases of care. Not every patient is a candidate for implants; factors such as bone volume, medical history, and overall health are evaluated. When implants are appropriate, they can be used to support both full-arch overdentures and fixed hybrid prostheses depending on the clinical goals.
Fabricating a denture is a multi-step process that usually includes an initial exam, precise impressions, bite registration, and multiple try-in appointments to verify fit, tooth position, and shade. Laboratory steps involve creating a customized base and arranging artificial teeth to harmonize with facial features and occlusion. Careful communication between the patient, dentist, and dental laboratory is essential to achieve an outcome that is both functional and natural-looking.
Once the denture is inserted, the clinician will check the bite and make any necessary adjustments to eliminate sore spots or pressure points. Patients are typically scheduled for follow-up visits to fine-tune fit and comfort as tissues settle or remodel. If remaining teeth require preparation or extraction prior to fabricating the prosthesis, those steps are coordinated to ensure an optimal long-term result.
An adjustment period is normal when receiving new dentures, and patients commonly experience changes in saliva production, minor soreness, and altered speech patterns for a short time. It can take several days to weeks to adapt fully to speaking clearly and chewing comfortably, and wearing the denture consistently helps speed the adaptation process. If sore spots develop, it is important to return to the dental office so adjustments can be made to relieve pressure.
Eating with dentures often begins with soft foods and gradual reintroduction of firmer textures while avoiding chewing on only one side. Practice and patience help restore efficient chewing patterns, and reading aloud or conversing frequently can accelerate speech adaptation. Regular follow-up appointments allow the clinician to monitor healing and make refinements that improve long-term comfort and function.
Daily denture care includes rinsing the appliance after meals, gently brushing it with a soft brush designed for dentures, and soaking it overnight in water or a recommended denture-cleaning solution. Avoid using abrasive household cleaners or hot water, which can warp or scratch the denture base. Cleaning the mouth is equally important: brush remaining natural teeth, gums, tongue, and the roof of the mouth to maintain tissue health and reduce the risk of infection or irritation.
Remove dentures at night to give oral tissues a rest and to reduce the risk of denture-related irritation or infections. Handle dentures carefully to avoid dropping them and inspect them regularly for signs of wear, cracks, or loose teeth. If you notice persistent odor, staining, or discomfort, contact the dental office for evaluation rather than attempting home repairs.
Dentures can restore facial support and help reestablish a natural profile that may have been altered by tooth loss, improving the overall appearance of the smile and lower face. While dentures replace the visible portion of the teeth and support soft tissues, conventional tissue-supported dentures do not stop the gradual bone remodeling that occurs after tooth loss. Over time, changes in jawbone shape can affect denture fit, which is why relines or adjustments are sometimes necessary.
Implant-supported solutions can mitigate some degree of bone loss by transmitting functional forces to the underlying bone and helping preserve bone volume. Regardless of denture type, routine dental examinations are important to monitor oral tissues and remaining teeth, detect any pathology early, and advise on preventive or restorative measures to support long-term oral health.
The useful life of a denture varies depending on materials, wear patterns, oral changes, and how well the appliance is cared for. While high-quality dentures are designed for durability, the shape of the jaw and gums can change over time, which may cause a once-comfortable denture to fit less securely. When fit becomes compromised, a reline can reshape the tissue surface of the denture to improve stability and comfort without replacing the entire appliance.
Replacement is considered when the denture shows excessive wear, fracture, persistent fit problems, or when changes in oral conditions require a new prosthesis for optimal function and aesthetics. Regular dental checkups allow your clinician to recommend relines, repairs, or replacement at the appropriate time to maintain comfort, oral health, and chewing efficiency.
Routine evaluations are an important part of long-term denture care and generally include checking the fit and condition of the prosthesis, assessing the health of remaining teeth, and performing an oral soft tissue exam. Many clinicians recommend follow-up visits at least once a year, with more frequent checkups during the initial adjustment period or when changes in fit or comfort occur. These visits also include screening for oral pathology and guidance on preventive care to support overall health.
If you have specific concerns about fit, sore spots, chewing difficulty, or changes in appearance, contact the dental practice in Fair Lawn for an earlier appointment. Regular professional oversight helps extend the functional life of dentures and ensures that any necessary relines, adjustments, or treatments are performed promptly and safely. At Stahl Dental Studio we prioritize careful follow-up to help patients maintain comfortable, healthy, and attractive dentures.