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 Table of Contents  
REVIEW ARTICLE
Year : 2019  |  Volume : 9  |  Issue : 1  |  Page : 36-39

My dentures, my character


1 Department of Prosthodontics and Crown & Bridge, Bapuji Dental College and Hospital, Davangere, Karnataka, India
2 Depatment of Prosthodontics and Crown & Bridge, Bapuji Dental College and Hospital, Davangere, Karnataka, India
3 Depatment of Periodontology, Bapuji Dental College and Hospital, Davangere, Karnataka, India

Date of Web Publication17-May-2019

Correspondence Address:
Dr. Ritesh Kumar Singh
Intern, Bapuji Dental College and Hospital, Davangere-577004, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijohs.ijohs_61_18

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  Abstract 


The prime duty of a dentist is to provide the patient what he desires while keeping the functional modalities and esthetics in mind. The dentist should inform patient that dentures can be characterized according to their wish for better esthetics in permissible limits. Making a patient happy by meeting his expectations is superior criteria to excel in our field, as it is said “a happy patient reflects your hard work” each patient is evaluated individually with complete care and dentist should make a denture characterized for the patient.

Keywords: Characterization, dentures, edentulousness, esthetics, patient desires


How to cite this article:
Singh RK, Chetan M D, Shah R. My dentures, my character. Int J Oral Health Sci 2019;9:36-9

How to cite this URL:
Singh RK, Chetan M D, Shah R. My dentures, my character. Int J Oral Health Sci [serial online] 2019 [cited 2019 Oct 17];9:36-9. Available from: http://www.ijohsjournal.org/text.asp?2019/9/1/36/258579




  Introduction Top


Edentulism is a debilitating and irreversible condition and is described as the “final marker of disease burden for oral health.[1] About 7% of the population above 65 years, is suffering from edentulousness which accounts for about 12 million people in total.[2] About 91.2% population of India suffer from edentulousness.[3] The patient with complete tooth loss suffer from poor function such as speech, mastication, and compromised esthetic which greatly affects the quality of life.[4] The edentulousness can be restored by providing functionally and esthetically acceptable complete dentures. Esthetic value of artificial dentures can be elevated if dentist can alter the denture-based material by adding color and shades to match the natural, healthy oral tissue.[5]

According to a survey conducted by kenzovic concludes that patients wearing removable dentures considered the appearances to be the most important property of teeth which emphasize the esthetic.[6]

Denture characterization is the modification in esthetics of form and color of denture base and teeth to produce a more lifelike appearance.[7] Frush and Fisher stated that “the surrounding oral structures are of prime importance to replace what is missing” hence to provide the denture esthetics the dentures can be characterized.[8],[9],[10] The aim of this review is to discuss the various method of denture characterization.

Denture characterization methods:[11]

  1. Characterization by selection, arrangement, and modification of artificial denture
  2. Characterization by tinting the dentures base.


The various techniques of characterization are:

  1. Overlapping

    Characterization and arrangement of teeth can be achieved by overlapping of teeth. The arrangement of anterior teeth when lateral incisors are overlapped by central incisor which provide much natural profile to patient dentures [Figure 1][3]


  2. Stained gingiva

    Many patients consider the conventional coral pink color of dentures artificial look. Patient with physiological melanin pigmentation, pan chewing habits insist of having a similar color of dentures to mimic their original esthetics. Tinting of dental gum tissue can be achieved by adding brown pigments such as coffee to monomer and painted on the tissue surface [Figure 2]


  3. Gingival veins

    The dentures can be fabricated using chemical cure acrylic resin polymer powder that contains minute fibers which will appear more like blood vessels once the dentures are cured.[12] Painting dentures with a layer of white acrylic material and then curing it will give a wet denture like effect as they are covered with the layer of saliva [Figure 3]


  4. Denture coding

    The complete dentures are provided with a bar code or a quick response code during the process of acrylization either on the palatal soft-tissue surface or the denture flanges for the identification purposes, a database can be prepared on computers of patient details so that in any case the dentures are broken the details regarding patients oral cavity can be traced by scanning these codes [Figure 4]


  5. Attrited mandibular incisors with stained incisal edge

    Gradual attrition of teeth may occur physiologically with age, pathologically due to para-functional habit, incisal edges of the anterior teeth are usually attrited and usually have stained incisal edges. Old age patients often demand a denture with attrited incisors and stained incisal edges that is similar to the original tooth,[3] which can be mimicked by selectively grinding the incisal edge that will give the illusion of natural tooth [Figure 5]


  6. Fractured tooth

    Patients might have suffered with some kind of trauma resulting in fracture of the incisal edge, such minor fracture is often left untreated for prolonged durations becomes a part of patients routine appearance,[3] when such patients receive their partial dentures they may insist to mimic the same in partial dentures [Figure 6].
Figure 1: Overlapped lateral incisors

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Figure 2: Dentures with stained gingiva

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Figure 3: Gingiva with fibers incorporated in the denture-based material

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Figure 4: Maxillary denture with quick response code

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Figure 5: Attrited mandibular central incisors

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Figure 6: Fractured edge of maxillary central incisor

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These demands of the patient can be fulfilled by trimming of the incisal edges according to patient suggestion for realistic appearances.

Dental tattooing, recessed gingival appearance, composite and amalgam restorations, spacing between the teeth, stippling, and festooning may also be incorporated in complete dentures.


  Discussion Top


The techniques applied to characterize the denture is a salient feature of more esthetically pleasing dentures.[11] The customization of dentures will ultimately result in boosting up the confidence of patient and also increase the acceptance of complete denture for their much realistic look.[13] Pound while treating the problem of phonetics by esthetics used dyes and tinted the denture bases making them appearing natural, appealing, and even more pleasing.[14] The techniques of characterization of dentures result in more tedious task to the dentist as each patient will have a different expectation with individualistic thought and varied facial appearances. Adopting such techniques in the clinic, a dentist should be aware of applying much stress on the characterization which can lead to a weaker strength and functioning of dentures; hence, these steps should be evaluated with the consideration which will not compromise the functional modalities of dentures.[15] A proper case selection and guiding the patient about the techniques, so that they must not have high and unrealistic desires from the dentist, the dentist should listen to what patient expects and accordingly supports his decision or make him understand why it cannot be fulfilled.[16]

The best a dentist can do is making the patient look as natural as possible. Many a times, demands from patient falls outside the boundaries of what we naturally consider to be a perfect denture hence patients are to be educated about the limitations of the technique. The characterization of dentures goes a long way in providing the patient with not beautiful but more realistic dentures.


  Conclusion Top


The dental practitioner should listen to the demands of the patient and accordingly customize the dentures uniquely, to fulfill the patient's demands. A dentist himself has to be aware and skilled enough in his work. The characterization of complete dentures provides infinite possibilities for the patient to make his dentures look as close to natural.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Cunha-Cruz J, Hujoel PP, Nadanovsky P. Secular trends in socio-economic disparities in edentulism: USA, 1972–2001. Journal of Dental Research 2007;86:131-6.  Back to cited text no. 1
    
2.
Marcus SE, Drury TF, Brown LJ, Zion GR. Tooth retention and tooth loss in the permanent dentition of adults: United States, 1988-1991. J Dent Res 1996;75:684-95.  Back to cited text no. 2
    
3.
Joseph S, Thomas S, Mathew S, Cherackal GJ, George AK. Characterization of complete denture-11 Case reports. SRM J Res Dent Sci 2015;6:60.  Back to cited text no. 3
  [Full text]  
4.
Albaker AM. The oral health-related quality of life in edentulous patients treated with conventional complete dentures. Gerodontology 2013;30:61-6.  Back to cited text no. 4
    
5.
Kemnitzer DF. Esthetics and the denture base. J Prosthet Dent 1956;6:603-15.  Back to cited text no. 5
    
6.
Knezović Zlatarić D, Celebić A, Valentić-Peruzović M, Jerolimov V, Pandurić J. A survey of treatment outcomes with removable partial dentures. J Oral Rehabil 2003;30:847-54.  Back to cited text no. 6
    
7.
McFee CE, Meier EA. A technique for enhancing cosmetics in immediate dentures. J Prosthet Dent 1974;31:585-90.  Back to cited text no. 7
    
8.
Frush JP, Fisher RD. The age factor in dentogenics. J Prosthet Dent 1957;7:IN1-2.  Back to cited text no. 8
    
9.
Frush JP, Fisher RD. Introduction to dentogenic restorations. J Prosthet Dent 1955;5:IN1-2.  Back to cited text no. 9
    
10.
Frush JP, Fisher RD. The dynesthetic interpretation of the dentogenic concept. J Prosthet Dent 1958;8:558-81.  Back to cited text no. 10
    
11.
Picard CF. Complete denture esthetics. J Prosthet Dent 1958;8:252-9.  Back to cited text no. 11
    
12.
Park BW, Kim NJ, Lee J, Lee HH. Technique for fabricating individualized dentures with a gingiva-shade composite resin. J Prosthet Dent 2016;115:547-50.  Back to cited text no. 12
    
13.
Proctor HH. Characterization of dentures. J Prosthet Dent 1953;3:339-49.  Back to cited text no. 13
    
14.
Pound E. Esthetic dentures and their phonetic values. J Prosthet Dent 1951;1:98-111.  Back to cited text no. 14
    
15.
Vig RG. The denture look. J Prosthet Dent 1961;11:9-15.  Back to cited text no. 15
    
16.
Bennett CC. Characterized immediate dentures. J Prosthet Dent 1961;11:648-56.  Back to cited text no. 16
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5], [Figure 6]



 

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