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Complete loss of teeth from one or both arches is a disabling condition which is usually managed by a conventional removable denture. Rehabilitation may be poorly tolerated by patients, particularly in the lower jaw, and is more difficult in situations when the anatomy of the denture-bearing area is less favourable. These situations may require specific prosthodontic or surgical techniques, or a combination of both. Prosthodontic solutions involve special impression techniques and the use of soft linings and it is vitally important to manage patient expectations in such cases. This article describes prosthodontic management options for dealing with the fibrous (flabby) anterior ridge and bony exostoses.
Clinical Relevance: Although tooth loss in the UK is diminishing, it is nevertheless important that dental practitioners are able to demonstrate good prosthodontic skills for managing an ageing population. Surgical correction of anatomical defects may occasionally be employed.
Article
Complete dentures can be challenging for both patients and the dental team at the best of times. Even well-fitting dentures require the development of some skill on behalf of the user (habituation) to maximize success. Factors such as chewing ability, dietary selection,1 speaking, smiling and socializing2 are affected by the loss of teeth and wearing dentures. Unfortunately, by their very nature, removable dentures will be less stable than fixed prostheses, which may result in greater dissatisfaction for the user.
The proportion of the population in the United Kingdom retaining some natural teeth is increasing. The 2009 Adult Dental Health Survey reports that only 6% of the adult population is edentulous compared to 37% in 1968.3 While this is encouraging news, it belies the fact that the complete denture wearers as a whole are getting older and becoming more frail. Therefore, the challenge of providing well-fitting dentures to a sizeable population will remain for the time being.
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