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Medical Forum / General / Dentistry / November 2006

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Advice Needed

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secndChildhood@yahoo.com - 15 Nov 2006 15:42 GMT
I need some advice in terms of teeth replacement.  I'm 55 and have most
of my molars missing on the bottom.  I have all the front teeth between
the two canines, and one molar #18.  The molars were removed due to
cavities and not from gum problems.  I would like to replace the
missing teeth.

About 10-12 years ago I had a partial made for the bottom.  I believe
it was the "flipper" -- it was made out of hard acrylic and had metal
prongs that attached to my canine teeth.   I tried this partial for
several months and could not get use to it.  I hated the metal prongs
around my teeth.  I felt that the prongs were destroying my teeth and
the prongs would periodically make the gums bleed when I was trying to
remove them.  Plus, it seemed like I had a speech impediment when I
talked.

My current dentist has suggested the new flexible partials.  Don't know
anything about them.  I'm curious about what others think about them.

Thank you.
Shirley
Mark & Steven Bornfeld - 15 Nov 2006 17:22 GMT
> I need some advice in terms of teeth replacement.  I'm 55 and have most
> of my molars missing on the bottom.  I have all the front teeth between
[quoted text clipped - 16 lines]
> Thank you.
> Shirley

    They work about as well as acrylic base partials, but aren't as stable
as cast steel frame partials (which alas also have metal clasps).
The problems with flexible partials is that they are difficult and
expensive to alter or repair.  I've also seen the base material go from
pink to orangey in some patients.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Newbie - 16 Nov 2006 19:52 GMT
>> About 10-12 years ago I had a partial made for the bottom.  I believe
>> it was the "flipper" -- it was made out of hard acrylic and had metal
[quoted text clipped - 18 lines]
>
>Steve

My removable prosthetics tech won't even do them.
They cannot be relined or modified. Cast frame with
acrylic bases is still the standard.

If made well they are comfortable and functional.
Mark & Steven Bornfeld - 16 Nov 2006 22:23 GMT
>>>About 10-12 years ago I had a partial made for the bottom.  I believe
>>>it was the "flipper" -- it was made out of hard acrylic and had metal
[quoted text clipped - 24 lines]
>
> If made well they are comfortable and functional.

    Obviously this patient was not comfortable.  My lab does
Flexiplast-type partials, but I've almost never done them.
    Have you tried something like Cu-sil or other elastomeric retainers?  I
haven't, though I have something sitting in my cabinet called Permasoft
which supposedly you can use to make Cu-sil type "gaskets" on a model.
I think I tried it once with lousy results.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

 
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