DALLA BONA ATTACHMENT DENTURE DALBO ATTACHMENTS CEKA ATTACHMENTS Que1. I have few teeth roots present in my lower jaw, what is the best possible dental Treatment for me. Que2. I have few teeth remaining in my upper and lower jaws, Do I opt for implants or a complete denture or attachment denture. Que3. Do I need to get my all teeth removed before getting a denture? Que4. Is complete denture better than overdenture or overdenture is better than a complete denture? Que5. What type of material is used in overdenture or dentures? Que6. What is attachment denture? Ans: If you have few teeth or tooth roots remaining and want to get a prosthesis/ denture for functioning(chewing) and aesthetics, then you have options which depend on the following Conditions : a). Whether the existing/remaining tooth structure can be saved by root canal, b). Whether root canal is required or not, c). Whether the teeth present in the strategic position d). Whether Tooth has good bone anchorage which will help in retention and support of the denture. If we can save the teeth or roots by RCT( Root Canal Treatment), If teeth have sound bone envelop and will definitely help in retention and support of the denture, then it is always advisable to go for overdenture or attachment dentures. It is always advisable to save your own teeth or roots and get overdenture instead of getting all of them removed for complete denture. Overdentures are always better than complete removable dentures. Advantages of overdentures can be summarized as: 1. Teeth or roots saved can help in supporting and retaining the denture, 2. Existing teeth will always send messages to brain for the type of food chewed (difference between hard-soft substance). Whereas implant supported dentures and complete dentures do not have sense of mechanoreceptors, because of absence of teeth in mouth. 3. Healthy teeth present below overdentures are like an investment for saving bone. Constant stimulation of bone through existing teeth, while functioning, helps maintaining bone height and width around the teeth, thus preserving bone volume. Whereas in complete dentures there is constant bone loss (atrophy)of the jaws due to which the dentures need to be re-fabricated after some time. In implant supported dentures, there is a constant bone loss around the implants although the rate of resorption of bone is less, as compared to the rate of resorption of jaw bone in people who wear Complete dentures, which limits the time period of the implant supported fixed teeth / dentures. 4. Overdentures are good choice of treatment who do not want implants. 5. Overdentures is a good choice of treatment for people whom any surgical procedure is contraindicated because of medical conditions. In case patient wants fixed teeth and has only 2-3 roots left then Fixed teeth over Implants are advisable. 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