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Medical Forum / General / Dentistry / May 2005

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Dentures

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Cal Cat - 05 May 2005 06:33 GMT
What is a ballpark cost these days for an upper denture?
Are dentists who make dentures interested in the aesthetics of the denture,
or only interested in making sure they fit in your mouth?

In the past I've had two uppers made that look terrible and so I keep
wearing my old ones that look good, but now fit terrible.

How do you find someone who will work with you on how they look, besides a
good fit?
Charlie - 05 May 2005 10:39 GMT
The cost for a complete denture ranges from $400 to $2000 here in Upstate
NY, the low end being a same-day service clinic and the high the
prosthodontists.  And I wouldn't say that the low-cost ones are always of
poor quality - there's a lot to be said for "economy" denture service,
'long as the quality doesn't suffer - but I will say that a lot of the low-
cost services provide poor quality.  If you're in an area where there are
licensed Denturists, that may give you the best value for your money.

A competent denture provider will always optimize the fit, and educate you
on and provide good (hopefully natural) esthetics per your desires.
Joel M. Eichen - 05 May 2005 11:40 GMT
> What is a ballpark cost these days for an upper denture?

Medicaid pays dentists around $325.

A decent but serviceable denture could be $500-$600 while a good one (better
one) couild be $1,000. There is a guy at DentalTown who brags that he
charges patients $10,000.

Please remember this is all 95% workmanship and skill, not the actual cost
of the product!

From whatever you pay, the dentist pays a laboratory a portion of that to
actually fabricate the denture.

Joel

> Are dentists who make dentures interested in the aesthetics of the denture,
> or only interested in making sure they fit in your mouth?

They better be interested in BOTH!

Joel

>  In the past I've had two uppers made that look terrible and so I keep
> wearing my old ones that look good, but now fit terrible.

OKAY, what you need is a simple procedure known as "JUMPING THE CASE" which
some dentists will DENY can be done!

The dentist takes a rubber impression inside your old denture and ships it
off to the lab. In three days what comes back? Your old teeth set in a
completely new acrylic base!

I like Lucitone 199 (formerly Luxene) as it is quite unbreakable!

Joel

http://www.altadonics.com/dental_pros_faq.shtml
Question: This sounds like a "jump" denture. What makes the Assurance
Denture service so different?

Answer: "Jump" dentures only offer limited protection. What do you do when
the denture is lost and you don't have anything to "jump"! The Assurance
Denture service is not simply a denture duplicator, it is complete
protection from loss.

Here is a short list of some key benefits offered by the Assurance Denture
service that a denture duplicator can't offer:

 Neither the patient nor the doctor have to store an extra denture

 More than one denture can be produced at any time in the future on an as
needed basis without an extra patient visit.

 The Assurance Denture technique preserves the dimensional accuracy and
surface integrity of the denture long-term by using a compound that is
superior to alginate.

Question: What are some of the benefits for my practice?

Answer: The Assurance Denture service is:

 Profitable- By increasing the efficiency of your office the Assurance
Denture service can increase your revenue per minute run rate up to four
times over the process of making a replacement denture from scratch.

 Simple- No expensive hardware or equipment to buy or lengthy courses to
attend. One inter-office training session and you are on your way!

 Clean- All of the components used in the process are provided in a
self-contained kit. Nothing is needed out of you lab and no mess is left to
clean up. Just add water!

Now you can offer a replacement denture every 5 to 7 years like the ADA
recommends without having to start over every time. To go through the
complete 40 minute mould creation process and discover the many benefits of
offering the Assurance Denture service through your office, please contact
us to schedule your introductory meeting today!

> How do you find someone who will work with you on how they look, besides a
> good fit?

I found this on the 'net:

Jump Denture ... $400.

Joel

**

     JUMP DENTURE

     Replace all plastic, base only, use existing teeth
    $400
Dr Steve - 05 May 2005 13:15 GMT
Joel,

You describe a re-base.

A "jumped" denture is a complete duplicate with new teeth.

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>> What is a ballpark cost these days for an upper denture?
[quoted text clipped - 97 lines]
>      Replace all plastic, base only, use existing teeth
>     $400
Joel M. Eichen - 05 May 2005 14:41 GMT
> Joel,
>
[quoted text clipped - 4 lines]
> --
> ~+--~+--~+--~+--~+--

REPLY:

I am missing something ..... here is what I wrote ......

> The dentist takes a rubber impression inside your old denture and ships it
> off to the lab. In three days what comes back? Your old teeth set in a
> completely new acrylic base!
>
> I like Lucitone 199 (formerly Luxene) as it is quite unbreakable!

************************************************************

> Stephen Mancuso, D.D.S.
> Michigan, USA
[quoted text clipped - 107 lines]
> >      Replace all plastic, base only, use existing teeth
> >     $400
Dr Steve - 05 May 2005 14:59 GMT
We always have referred to replacing all of the denture base with new
acrylic while retaining the old teeth as a re-base.  Jumping a denture
duplicates the entire denture to give the patient a spare denture.

I'll ask my Dad next call to Florida, perhaps I have the terminology (for
"jump denture") wrong.

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>> Joel,
[quoted text clipped - 146 lines]
>> >      Replace all plastic, base only, use existing teeth
>> >     $400
Joel M. Eichen - 05 May 2005 15:10 GMT
> We always have referred to replacing all of the denture base with new
> acrylic while retaining the old teeth as a re-base.  Jumping a denture
[quoted text clipped - 4 lines]
>
> --

REPLY

Maybe ........ you could be right. Let's look into it
and correct what may be my misperception (all these years!)

What you call Jump Denture, I call spare denture or emergency denture.

The teeth are not fabricated separately and will not withstand maticatory
forces  for a long time with regular every day usage. Its like the DONUT
TIRE of the denture business. Its okay for emergencies but after 300 miles
it shreds.

Joel

> ~+--~+--~+--~+--~+--
> Stephen Mancuso, D.D.S.
[quoted text clipped - 157 lines]
> >> >      Replace all plastic, base only, use existing teeth
> >> >     $400
Dr Steve - 05 May 2005 15:40 GMT
I cannot find reference to the slang term "jump" in regards to denture
fabrication among my printed references here.  Unless I can support my
opinion, I will defer to Joel and say he is right.

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>> We always have referred to replacing all of the denture base with new
[quoted text clipped - 203 lines]
>> >> >      Replace all plastic, base only, use existing teeth
>> >> >     $400
Steven Fawks - 06 May 2005 14:13 GMT
Rebase, reline, and duplication are the only terms I have
ever heard or used (at least prior to hearing Joel speak of 'jumping').

That doesn't mean the term was never used or may still be used
in some areas.

JME,
Fawks

> I cannot find reference to the slang term "jump" in regards to denture
> fabrication among my printed references here.  Unless I can support my
> opinion, I will defer to Joel and say he is right.
Dr Steve - 06 May 2005 14:29 GMT
Might be a Mid-West thing.  Dad used to get "jump" cases written on Rx slips
back in the early 1970's.  I don't remember seeing it after that.  It was
mentioned in passing during dental school.  As was the term "Stayplate"

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
> Rebase, reline, and duplication are the only terms I have
[quoted text clipped - 9 lines]
>> fabrication among my printed references here.  Unless I can support my
>> opinion, I will defer to Joel and say he is right.
W_B - 06 May 2005 18:02 GMT
>Might be a Mid-West thing.  Dad used to get "jump" cases written on Rx slips
>back in the early 1970's.  I don't remember seeing it after that.  It was
>mentioned in passing during dental school.  As was the term "Stayplate"

partial stayplate; isn't that a flipper ?
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Charlie - 06 May 2005 18:50 GMT
Flipper, wasn't he a dolphin?  (Beat ya, Joel!)
Joel M. Eichen - 06 May 2005 19:20 GMT
> Flipper, wasn't he a dolphin?  (Beat ya, Joel!)

Flapper (we heard this at SMD) because
it makes a flapping sound as it moves in and out.

> --
> Message posted via http://www.medkb.com
Dr. Steve - 07 May 2005 02:52 GMT
>>Might be a Mid-West thing.  Dad used to get "jump" cases written on Rx slips
>>back in the early 1970's.  I don't remember seeing it after that.  It was
>>mentioned in passing during dental school.  As was the term "Stayplate"
>
>partial stayplate; isn't that a flipper ?

yes
..
Stephen Mancuso, D.D.S.
Troy, Michigan, USA

I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
Joel M. Eichen - 06 May 2005 19:20 GMT
> Might be a Mid-West thing.  Dad used to get "jump" cases written on Rx slips
> back in the early 1970's.  I don't remember seeing it after that.  It was
> mentioned in passing during dental school.  As was the term "Stayplate"
>
> --

How about a "WEDGE CASE?"

This is not a wedgie. That is what
you want to give the technician
when the denture does not fit.

Joel

> ~+--~+--~+--~+--~+--
> Stephen Mancuso, D.D.S.
[quoted text clipped - 20 lines]
> >> fabrication among my printed references here.  Unless I can support my
> >> opinion, I will defer to Joel and say he is right.
Roy Brown - 07 May 2005 00:21 GMT
"Jump" was used locally. More so when porcelain teeth were the norm. You jumped
the teeth to a new base. Ergo, rebase.

Signature

Roy
rem NADA to reply

| Might be a Mid-West thing.  Dad used to get "jump" cases written on Rx slips
| back in the early 1970's.  I don't remember seeing it after that.  It was
[quoted text clipped - 12 lines]
| >> fabrication among my printed references here.  Unless I can support my
| >> opinion, I will defer to Joel and say he is right.
Dr. Steve - 07 May 2005 02:56 GMT
>"Jump" was used locally. More so when porcelain teeth were the norm. You jumped
>the teeth to a new base. Ergo, rebase.

Thanks Roy,

that would mean Joel is right and I was wrong.
..
Stephen Mancuso, D.D.S.
Troy, Michigan, USA

I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
Joel M. Eichen - 07 May 2005 12:17 GMT
> >"Jump" was used locally. More so when porcelain teeth were the norm. You jumped
> >the teeth to a new base. Ergo, rebase.
>
> Thanks Roy,
>
>  that would mean Joel is right and I was wrong.

Either way, "jump" is an old historic term and
has little meaning today. We either reline the
denture, rebase the denture (variations or gradations
of the same thing), or chuck the denture and make a new one!

Joel

> ..
> Stephen Mancuso, D.D.S.
> Troy, Michigan, USA
>
> I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
Dr Steve - 09 May 2005 19:01 GMT
My Dad used to do this:

If the patient really liked their old denture a lot, but needed a new one,
the dentist would take a wash impression in the old denture.  Dad would pour
a model, then invest it in a duplicating jig.  Sometimes skipping the model
altogether.  Then, return the denture to the dental office and patient.  Dad
would place brand new teeth of the same mould and shade and process the
case.  One impression, and he delivered a new dentures with same shade and
shape teeth in the same exact set-up, except that it fit good.  I was
thinking of this when I mistakenly called it a "jump" case.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>> >"Jump" was used locally. More so when porcelain teeth were the norm. You
[quoted text clipped - 18 lines]
>> I am writing on a Tablet-PC,so forgive me if the PC misreads my
> handwriting.
StovePipe - 07 May 2005 07:26 GMT
> > I'll ask my Dad next call to Florida, perhaps I have the terminology (for
> > "jump denture") wrong.
[quoted text clipped - 14 lines]
>
> Joel

Then you should be using heavy-duty ice and snow teeth instead of four
season steel belted teeth in your replacement denture.
SP
Signature

Finally: take out the TRASHH

Charlie - 07 May 2005 21:54 GMT
Personally, I think radial, steel-belted molars with a 40,000 chew warranty
are the best.
StovePipe - 08 May 2005 02:25 GMT
> Personally, I think radial, steel-belted molars with a 40,000 chew warranty
> are the best.

Mebby so.... Ah guess puttin' in re-treads would be the worst.
SP
Signature

Finally: take out the TRASHH

Dr Steve - 09 May 2005 19:03 GMT
Hey, don't knock re-treads to harshly.  I ran a set of mud-and-snow
re-treads on that ancient JEEP I had for 12 years.  I finally had to part
with them due to dry-rotting of the side-walls.  The treads were still
holding up great.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>> Personally, I think radial, steel-belted molars with a 40,000 chew
[quoted text clipped - 3 lines]
> Mebby so.... Ah guess puttin' in re-treads would be the worst.
> SP
StovePipe - 10 May 2005 05:07 GMT
> Hey, don't knock re-treads to harshly.  I ran a set of mud-and-snow
> re-treads on that ancient JEEP I had for 12 years.  I finally had to part
> with them due to dry-rotting of the side-walls.  The treads were still
> holding up great.

Twelve years.... Douze ans..... on a set of retread tires... Isn't that
a tad 'Illegal'?
Inquiring SP's want to know
SP
Signature

Finally: take out the TRASHH

Dr Steve - 10 May 2005 13:28 GMT
I got rid of the little red Willys in 1986, so who knows?  I don't recall
ever having heard such a thing, but it is possible.  Those old WW II era
JEEPs did not go very fast.  I never had it above 68 MPH (I don't think it
would go an faster with the gearing it had).  Perhaps a lot of 80 MPH
driving would have heated up the tires enough for the retreads to begin to
fail.  Virtually all the miles I put on it were at 45 MPH or less.  Plus,
there is a huge difference in the quality of retreads depending on who does
the vulcanizing.  Just like with the old dentures.  [It took me a while to
get the dental connection going  <VBG> ]

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>> Hey, don't knock re-treads to harshly.  I ran a set of mud-and-snow
[quoted text clipped - 6 lines]
> Inquiring SP's want to know
> SP
Charlie  Oster - 10 May 2005 17:50 GMT
My brother is finishing a frame-up restoration of an 80's CJ7, gift to his
16 year old.

I sat in it the other day and, except for xtra gears, I coulda been back in
an M151A.  Might be dangerous (sits high, wide open, dinky roll bar, looks
like it likes to be driven sideways) as all get out (makes me clench*) but
FUN!

*lame attempt at dental connection
Dr. Steve - 12 May 2005 01:23 GMT
>My brother is finishing a frame-up restoration of an 80's CJ7, gift to his
>16 year old.
[quoted text clipped - 5 lines]
>
>*lame attempt at dental connection

Back in the late 1970's, and early 1980's there was a stupid trend of
shoving a big V8 into  CJ-5 and  CJ-7 JEEPS.  Too much power for the
chassis led to lots of upside down JEEPS.   It gave them a bad name.
My 50 HP  CJ-2 never was overpowered.
,  
..
Stephen Mancuso, D.D.S.
Troy, Michigan, USA

I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
Joel M. Eichen - 05 May 2005 15:14 GMT
OKAY, this guy agrees with me ..... USING EXISTING TEETH for jump denture...

"Family Dentist and MH Kaye Pavilion are home to health care, real ... ...
JUMP DENTURE. Replace all plastic, base only, use existing teeth. $400.
SUCTION CUP DENTURE. Add to new denture. $350. ADJUSTMENTS (after 30 days)
...
     www.italiancarsatpocono.com/dentserv.htm - 41k - Cached - Similar
pages

> We always have referred to replacing all of the denture base with new
> acrylic while retaining the old teeth as a re-base.  Jumping a denture
[quoted text clipped - 165 lines]
> >> >      Replace all plastic, base only, use existing teeth
> >> >     $400
Joel M. Eichen - 05 May 2005 15:22 GMT
There is very little reference either way .... "JUMP DENTURE" or "JUMPED
DENTURE" is a term that is rarely used any more. Its like "SWAGED CROWN" I
guess. No one knows or cares what that is!

Joel

JUST IN CASE .....

DEF. Form metals with a swage

FAQ's DOC'S Best Red Copper Cement
... The oldest recorded patient with a gold swaged crown and Red Copper ...
age 102 with the Red Copper cement exposed through her worn gold swaged
crown. ...
www.copalite.com/FAQ_re_ DOCS_BEST_CEMENT_and_COPALITE.htm - 25k - Cached -
Similar pages

> OKAY, this guy agrees with me ..... USING EXISTING TEETH for jump denture...
>
[quoted text clipped - 185 lines]
> > >> >      Replace all plastic, base only, use existing teeth
> > >> >     $400
Charlie  Oster - 05 May 2005 16:22 GMT
I'm just an OF who's an ex-tech, but:

A jump is a rebase, same teeth, new acrylic.  "Duplicate denture" is the
whole new shebang using the old CD as a matrix.

Luxene was vinyl based.  199 (great stuff, it's what I use) is PMM.

"From whatever you pay, the dentist pays a laboratory a portion of that to
actually fabricate the denture."  True of 99% of dentists, and nothing
wrong with that, but my CDs get cooked in the basement.
Joel M. Eichen - 05 May 2005 17:19 GMT
I thought Luxene IS Lucitone 199.

New name ..... for old wine! (whine).

The reason why I say this is that one repaired Luxene tooth pop offs with
acrylic. Vinyl cannot be repaired with acrylic as we know with Valplast or
Flexite dentures .....

Joel

> I'm just an OF who's an ex-tech, but:
>
[quoted text clipped - 9 lines]
> --
> Message posted via http://www.medkb.com
Charlie - 05 May 2005 20:15 GMT
Joel

This is one of those 'who gives a rat's a.s?' issues!

And you may be right, but I'm just OC enough that I called the only dental
tech in town I know who's been at it longer than I, and he also remembers
it as a vinyl. But, like, who cares?

I do remember using repair acrylic on it, which worked kinda farshtunken.
kureforcrohns@sbcglobal.net - 05 May 2005 21:17 GMT
The classy Yiddish was good for a laugh. (among the tears).

Gail

> Joel
>
[quoted text clipped - 8 lines]
> --
> Message posted via http://www.medkb.com
Joel M. Eichen - 06 May 2005 02:15 GMT
> Joel
>
> This is one of those 'who gives a rat's a.s?' issues!

REPLY

Probably so!

Joel

> And you may be right, but I'm just OC enough that I called the only dental
> tech in town I know who's been at it longer than I, and he also remembers
[quoted text clipped - 4 lines]
> --
> Message posted via http://www.medkb.com
W_B - 05 May 2005 20:25 GMT
>True of 99% of dentists, and nothing
>wrong with that, but my CDs get cooked in the basement.

Used to cook mine at home in the kitchen but
don't have time to do that now.
Used to do the baseplates and set ups too.

Long time ago.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Charlie - 05 May 2005 20:35 GMT
Nice - dental artistry, arranging teeth....a dying art amongst dentists,
you ask me, judging from the recent grads. Taught little or not at all in a
lot of schools?  Maybe it's for a lack of denture patients?  And that's
gotta be a good thing.  Buuuuuut........
W_B - 05 May 2005 20:12 GMT
>Joel,
>
>You describe a re-base.
>
>A "jumped" denture is a complete duplicate with new teeth.

We call that a 'skip-a-denture'.

Impressions and jaw relations taken in the old set.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
W_B - 05 May 2005 19:14 GMT
>What is a ballpark cost these days for an upper denture?
>Are dentists who make dentures interested in the aesthetics of the denture,
>or only interested in making sure they fit in your mouth?

Fit, function, and esthetics are all part of good prosthetic treatment.

> In the past I've had two uppers made that look terrible and so I keep
>wearing my old ones that look good, but now fit terrible.
>
>How do you find someone who will work with you on how they look, besides a
>good fit?

Ask friends or go back to the doc who made the one you like.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Roy Brown - 06 May 2005 05:35 GMT
Or bring both dentures. Say this is the last denture someone made that fits, but
I don't wear it because I prefer the look of my old denture that does not fit
well. Then ask if they can make a denture that fits as good as the new one and
looks as good as the old one. Most times it is possible, sometimes you have to
compromise.

Signature

Roy
rem NADA to reply

| >What is a ballpark cost these days for an upper denture?
| >Are dentists who make dentures interested in the aesthetics of the denture,
[quoted text clipped - 14 lines]
| Take out the G'RBAGE
| wubbabubbazG@RBAGEyahoo.com
Cal Cat - 06 May 2005 07:34 GMT
Thank you, I think that's what I'll do.  The ones I don't like pull the
middle of my upper lip up towards my nose. People said I looked like I
smelled something bad.  Don't want to go around looking like that!

: Or bring both dentures. Say this is the last denture someone made that fits, but
: I don't wear it because I prefer the look of my old denture that does not fit
[quoted text clipped - 20 lines]
: | Take out the G'RBAGE
: | wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen - 06 May 2005 10:25 GMT
Without seeing the denture, I know the
flange is too high. Besides, there needs
to be relief cut in the midline to allow
the frenum to move freely.

Joel

> Thank you, I think that's what I'll do.  The ones I don't like pull the
> middle of my upper lip up towards my nose. People said I looked like I
[quoted text clipped - 37 lines]
> : | Take out the G'RBAGE
> : | wubbabubbazG@RBAGEyahoo.com
Cal Cat - 06 May 2005 22:15 GMT
Thanks for that info - I will write it down and take it to whatever dentist
I go to for my new dentures.

: Without seeing the denture, I know the
: flange is too high. Besides, there needs
[quoted text clipped - 48 lines]
: > : | Take out the G'RBAGE
: > : | wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen - 06 May 2005 10:24 GMT
Sadly, a 1975 study in New York State
revealed that 75% of the medicaid patients
who had replacement dentures constructed,
went back to their old dentures!

Try telling that to patients!

Joel

> Or bring both dentures. Say this is the last denture someone made that fits, but
> I don't wear it because I prefer the look of my old denture that does not fit
[quoted text clipped - 24 lines]
> | Take out the G'RBAGE
> | wubbabubbazG@RBAGEyahoo.com
 
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