Periodontitis versus parodontosis

There are still dental professionals who use the old and wrong name for a periodontal disease – parodontosis. The correct name is periodontitis. – In former times bacteria couldn´t be proven because of wrong techniques-this was called parodontosis. In the last 25 years it is known that inflammation of the periodontum is caused by bacteria, […]

Gums as a reflection of our overall health!?

Gums as a reflection of our overall health? YES AND NO! Over and over again we read scientific and non scientific journals about vitamin deficiency and the consequences from it. As a result many people choose to take homeopathic medicine –a mistake most of the time! – 99% of gum diseases are attributed to plaque […]

Most common reasons for periodontitis

  – – – – – – – Most common reasons for periodontitis The most common reasons of pariodontitis are: Plaque accumulation due to poor oral hygiene, overhang restorations, ill fitting crowns Malocclusion Stress      Smoking Systemic disease such as diabetes, adverse pregnancy outcomes Fortunately all these factors are easily controlled by; Optimizing tooth brushing, by […]

Oral Rinses – are they useful in the menagement if Periodontitis?

 Is an oral rinse beneficial for patients with periodontitis? YES! An oral rinse is a useful purchase, unfortunately some doctors think it is not useful-with the argument that bacteria leaks into the periodontal pockets. That is incorrect for two main reasons; The bacteria moves only due to extensions Bacteria are harmless on their own. They are destructive only in mature plaque, causing a cavity or a […]

Periodontitis and saliva test-is it useful?

Periodontitis-saliva test? Yes and no! Our last discussion was about lasers, today we want to inform you about the saliva test. It is a common practice for some dental professionals to require that the patients with periodontal disease to undergo expensive saliva test prior to their therapy.    Congratulations! Now the patient knows that there […]

What does “dentures-supported by bones or mucous membrane” mean?

Depending on whether the masticatory force is initiated by bones (just like with your own teeth) or by mucous membrane. You differentiate from denture “supported by bones or mucous membrane”

It is called dentures- supported by bones, if  the masticatory force is located in the bones and the denture is hardly seated on the mucous membrane.

If  the masticatory force is primarily located in the mucous membrane and help remained teeth and/or implants (so called fixation elements) it is called dentures-supported by mucous membrane.

Often no fixation elements are used-  total denture. If fixation elements are used you call it a hybrid prosthesis. Better fixation can be improved through two implants. (pic. 1)You don´t need synthetic gums, but the masticatory force is not supported by these implants-so you see a mucous membrane supported denture placed on implants in this picture.

A denture-supported by bones is trend setting in industrial countries. The reasons are:

  • better comfort for the patient
  • prevention of damages on fixation teeth (partial dentures-a classical example of a mucous membrane supported denture-is fixed on remained teeth)
  • prevention of bone loss from the alveolar bone (Use it-or lose it)

Often a bone is not loaded naturally through a denture supported by mucous membrane (non physiological). The result is not only a bad fitting prosthesis, but also face changes (big lower jaw, small upper jaw). You can recognize bone loss because of recurrent pressure sores and/or a prosthesis, which is not fitting well anymore. The result is a denture lining-which compensate a bone loss.

Even if there are less bones left, a bone set up surgery can be made to use implants. Partial dentures and total dentures are implanted provisionally till the implants are healed.

Advantages of partial,- and total dentures opposite to implants are lower costs.

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