Heritage Hill

Denture Clinic

Which is better - fixed or removable implant dentures?

Fixed implant dentures, bridges or hybrids claim to replace your teeth, and as such, they satisfy a need to abate the psychological trauma of learning that you are losing all of your teeth.  In the long-term, a fixed prosthesis costs far more, takes much more time to maintain, and tends to promote poor oral care as the wearer cannot take them out to clean them.  Yes, you can brush them like you would natural teeth, and use a waterpick to rinse under them, however it is impossible to rinse away all of the food, bacteria and sloughed-off cells.  The eventual result is odour and a poor taste in the mouth.

With a little patience, it is my opinion that a far better solution is a removable denture or bridge that snaps onto the implants.  It is not loose in the mouth, as someone promoting a fixed solution may claim.  I can customize how strongly your denture is held in place; four implants can require as much as 32 lbs. or as little as 2 lbs. of force to remove your appliance.  Cleaning and all maintenance is a breeze when compared the fixed solution. 

Why should I choose Heritage Hill Denture Clinic - what makes you different?

Heritage Hill Denture Clinic was founded on the principle of offering the highest lever of long-term care.  I am in control of all aspects of your care; and this is how the denturist profession was founded.  Before the denturist profession was established, the only way to get a denture was to go to a dentist who would do all of the clinical work.  The dentist would then pass off your case to a lab technician to perform the laboratory side of the process, after which it went back to the dentist.  Your case would pass back and forth until the denture was completed.  Many years ago, some technicians noted deficiencies in the clinical work that made the lab side very difficult or impossible to provide a good product.  They lobbied the courts demonstrating improved patient satisfaction when one person was in control of the entire process from start to finish; the courts agreed.

Over time, denturists have increased their scope of practice and acquired the right to have lab assistants and technicians.  Ironically, some now function only as clinicians, utilizing lab staff to perform the laboratory work.  These high-volume assembly-line style practices tout how many staff members, years of combined experience and number of locations they have as being a benefit to the patient.  They may have clinicians, lab technicians, receptionists, treatment plan coordinators and advertising & promotion departments.  This machine cannot take a breath, slow down and pay attention to the details.  There are far too many moving parts and paycheques to issue.  They have to plow forward no matter what.  If someone is absent or sick, someone else will need to do that job as well as their own.  A denture is an individual work of art and science.  It requires attention to detail that an assembly-line worker can easily be unaware of.  The focus of this style of practice is profit, not the patient.  I have witnessed this approach first-hand and will never operate in this manner as a result.  

Assembly lines are useful for making cars, TV's and cell phones, but when employed to build a custom product, like a denture, an assembly line results in an inferior product.  I work with one person at a time, focusing on your specific needs and wants.  We will discuss all aspects of your case to the extent you wish to and I will inform you of any limitations and what to expect.  I do everything from start to finish and am meticulous in its execution.  I am the professional responsible for your care and I do not rely on anyone else to produce your denture; I use no low-paid staff nor employ an assembly-line approach.  Your satisfaction and care is too important to me.

Is the extra cost of high quality teeth and materials worth it?

Yes, but be careful what you are paying for.  The cheapest teeth are made in a mold using one type of plastic.  They are simply poured into the mold in one step.  These teeth have no character - they are just a solid block of plastic, so look fake and wear quickly.

Better teeth are made in multiple stages using layers of different colour and translucency.  There is huge variation in the quality of the teeth made using this method.  Simply being a four-layer tooth, for example, does not mean that you have a good quality tooth.  Some do look very good but are still soft and will wear quickly.

The teeth I use exclusively are a three-layer tooth that looks very natural and realistic, and is the hardest tooth available, resulting in very good wear-resistance.

How should I clean my dentures?

For starters, do NOT use Polident.  Although it is known for killing bacteria, within 30 minutes of the denture going back into your mouth, the bacteria is recolonized so you are left with a denture covered in both the old dead bacteria and the new bacteria.  This product can also turn your denture orange over time.

The best way to clean a denture is to remove it from your mouth, thoroughly brush it on all surfaces, inside and out, using a denture brush with water and original formula Palmolive or Sunlight dish soap.  Rinse thoroughly and return it to the mouth or place in a denture bath for storage.  That's it!  For most people, most of the time, this is all that is required.

As plaque or stain accumulates on your denture, the best cleaner to use is a product called Renew or Nudent.  These are not available through drug or grocery stores.  At this time, they are only through your dental care provider.  Soak your dentures in this solution after following the cleaning instructions above.  After soaking, repeat the cleaning instructions and return it to the mouth.