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Prosthetic Full Arch Dentures: Understanding the Process of Replacing All Teeth

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The Complete Denture Process
Full arch dentures are dentures that replace all the teeth in the upper and/or lower jaw. These types of dentures are also known as complete dentures. Creating full arch dentures involves a multi-step process that transforms the appearance and function of the mouth.

Initial Consultation
The first step is an initial consultation with a denturist or prosthodontist. During this appointment, the dentist will evaluate the health of gums and bone and discuss treatment options with the patient. They will take dental impressions and photographs for a wax denture try-in. A treatment plan and timeline are outlined.

Tooth Extraction
If teeth need to be removed, extractions are scheduled prior to final denture construction. Extractions allow complete dentures to rest directly on gum tissues without interference from remaining teeth. They also reshape the bone so that Prosthetic Full Arch Dentures fit properly. Post-extraction healing is important before final impressions.

Final Impressions of Prosthetic Full Arch Dentures
Once healing is complete, final impressions are made of the gum tissues. These impressions capture the shape and contours of the mouth and will be used to customize the fit of dentures. Ensuring accuracy at this stage results in a comfortable, well-fitting final prosthesis.

Jaw Relation Records
A bite registration is made to record the relationship between the upper and lower jaws during function like chewing and speech. This record guides positioning of artificial teeth to restore natural jaw function.

Wax Denture Try-In
A try-in denture is made of wax to allow evaluation of esthetics, phonetics, occlusion and comfort. Patients can check appearance when smiling or speaking. Adjustments are made until an ideal fit and jaw relationship is achieved.


Processing Prosthetic Full Arch Dentures
Once approved, the wax dentures are submitted for processing. Denture base materials like acrylic are used to encapsulate the artificial teeth into a single prosthesis. The dentures are cured, finished and polished.

Delivery and Adjustments
Final dentures are carefully delivered and patients are trained on insertion, removal and oral and denture hygiene. Follow up visits allow for minor adjustment or relining to ensure ongoing comfort as tissues adapt. Dentures may need periodic relines throughout life as bone resorption occurs.
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