Preparation of Mouth for Dentures

St. Louis Oral & Maxillo-Facial Surgery – MO

A denture is an appliance that is inserted in the mouth, replaces natural teeth and provides support for the cheeks and lips.

Most dentures are made of acrylic and can be fabricated two different ways.

  • A conventional denture is made after all teeth have been extracted and the tissues (gums) have healed.
  • An immediate denture is fabricated and inserted immediately after the teeth are extracted and the tissues are allowed to heal under the denture.
  • An upper denture has acrylic; usually flesh colored that covers the palate (roof of the mouth).
  • A lower denture is shaped like a horseshoe to leave room for the tongue.

 

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Soft Tissue Abnormality

Often there are tissue or bone abnormalities which require revision in preparing for dentures.

Digital illustration of a soft tissue abnormality before surgery
Before Surgery
Digital illustration of a mouth after surgery to remove a soft tissue abnormality
 After Surgery
Digital illustration of a cross section of a jaw with a soft tissue abnormality before surgery

Before Surgery

Ridge high and mobile with little bone support.

Digital illustration of a cross section of a jaw after surgery to remove a soft tissue abnormality

After Surgery

Denture well supported with attached gingival tissue and bone.

Excessive Tissue Growth

Excessive soft tissue may inhibit the fit of the denture and may require surgical revision. Removal of the tissue will provide better support for the prosthesis.

Digital illustration of excessive tissue growth before surgery

Before Surgery

Denture moves back and forth on mobile tissue.

Digital illustration of a mouth after surgery to remove excess tissue growth

After Surgery

With the Tuberosity removal the Denture is much more stable.

Bony Abnormality

Digital illustration of mandibular tori before surgery
Bony protuberances call Tori and Exostosis can inhibit the fit of a Denture and have to be removed.
Digital illustration of a lower jaw after surgery to remove mandibular tori
Mandibular Tori removed
Digital illustration of a lower jaw with dentures with adequate lingual flanges
Denture with adequate lingual flanges