Metal Partial vs. Flexible Partial: Which Do You Choose?
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- Опубликовано: 28 июн 2024
- If you’re looking for partial dentures, you’ll come across two types of partial dentures: (1) Cast metal partials and (2) Flexible partials, such as Valplast. So which is the better partial denture? While there is no clear winner, each partial denture offers certain pros and cons which you must be aware of. Dr. J reviews metal and flexible partial dentures to help you decide which is best for you and your mouth:
3:17 - Comfort
6:42 - Esthetics
8:44 - Durability
10:44 - Repairability
13:39 - Cost
15:23 - Dr. J's final thoughts
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So helpful to get your insight. At 68 having implants can get costly. I had 3 implants about 8 years ago and there great but considering the partial at this point. Thank you for your insight.
Thank you for the demonstration. Love your enthusiasm.
I have fun listening to your presentation, Dr.J!
The best thing about partial dentures (like contact lenses) is that it feels so good when you take them out.
LOL. I see what you did there. I mean you're right, natural teeth and dental implants are better than partial dentures. However, 90% of the world population can not afford implant treatment. Partial dentures are still very useful and will continue to be useful for many people for years to come.
Excellent, helpful video.
Thank you this was very helpful
20 Dec 2023..thank you for your channel. partial dentures are in my near future. i learned a whole lot watching this over and over. i'm 781/2. thank you again. ps subscribed
Ordered a DIY denture kit, made my own partial, and couldn't be happier with the results.
At least I've got something to carry me thru until I can afford to have one made at my dentist office.
Hi Jeffrey. I have had one patient who used a DIY denture kit in the past. He bought the kit online, I helped him with the molding, and his denture ended up fitting quite well. He came to me for extractions and crowns, but I did help him save some money with this DIY denture kit. For those of you going this route, it's important to make a really nice impression. DIY kits may produce satisfactory results for simpler cases, like one, or two, or three missing teeth. How many teeth did your DIY partial denture include?
@@johnjazayeri 6 teeth in a row (upper) right in the front.
What really helped was quickly dunking the finished product into the hot water and then putting the partial into my mouth while the material was soft enough to manipulate.
I would then take my fingers and press all over the partial to conform to the structure of my mouth, and I would also bite down, use my tongue, and do everything I could to get it to where it was most comfortable .
I would press on the palate until the material would push up against my existing jaw teeth, and when the material hardened it would hug those existing teeth and help the partial stay in place to where I didn't even have to use denture adhesive.
Best $98 bucks I ever spent, and the teeth look totally natural.
Everyone that has seen them couldn't believe I made them myself.
I know this is frowned up by most dentists, so it's great to see that you are more open minded about it and understand that for some folks it's their only option.
One thing for certain....once that gum material settles around a tooth, that tooth isn't going anywhere!
Although I do advise to take them out when you first start drinking hot coffee at least until it cools down a tad so that it won't soften any of the gum material which of course is activated by hot water.
Very pleased with the finished product and wish I would've learned about it sooner and saved myself the embarrassment of having no teeth in front.
@@jeffreyb6165 Who did you order from online? Thanks!
@@jeffreyb6165hi , who did you order from ? And how long did it last before you noticed it wasn’t fitting quite as well because of your other natural teeth shifting and bone loss , etc ?
Hi. Hope I can who you bought kit off??? Need to do 3 front teeth. Like flipper kinda thing. Thank you!!!
Great Explanation!
I like to chew So Metal is what I will choose. Thanks! 👍🏾😁
Same here 👌
Ok I have 1 tooth missing 10 years ago and i'm 40 I am worried about a bridge due to damage to teeth and implant also seems a bit brutal. I was thinking of a removable denture but not sure if correct and which one to use.
I forgot to mention. The VAL PLAST did not fit well when I first got then. My dentist filed them down for me a little bit. After a few days they still weren't right. I used a fine nail file myself on them. I only removed a tiny bit of plastic at a time. (you can take it off but not put it back.) It took over a month to get it right. My dentist told me of many of her patients that ruined their partials by being to aggressive.
Hi Ernest. Your dentist is right, you should never adjust your own dentures. Lol, it voids the warranty! Glad you were careful and able to fix it mostly by yourself. How many visits did it take to get the Valplasty partial to fit properly?
@@johnjazayeri p
On flexible denture, which kind or brand will be nontoxic? Thank you.
Thanks!
Hello po. How long do they make the Valplast ? Please let me know. Thanks
Just one visit. She did tell me to come for as many adjustments as I need. I didn't need them.. I knew how they needed adjustments. It was simpler to do it myself then explain what I needed. I filed them down about 10 times. At my next cleaning Dr. Klufus told me I should work for her training patients how to use their VA PLAST.
How may I ask, what tool did you use to file down your valplast because at this point I was already thinking that because I thought I thought that I was the only one. I had them just adjusted three times in the last two weeks i just got them they are not quite how I would like them to be. Even tho they fit great it feels like its to much plastic on one side causing me to taste and feel more plastic on the top roof of my tongue and food is sliding off of it. Can you please tell me what tool instrument should I use I have a scalpel as well or would you consider something different. Thank You
I just used a wooden nail file. I just file it down a little bit. After a few weeks, they fit fine. @@koreaberry379
Hi doctor how many hours should i need to wear front lower single tooth denture to avoid shifting and does it cause gum recession?
I have a flexible partial but I have lost all my teeth but 2 I have one on each side can I get a partial that has the metal clasp cause I’m not mentally ready for a denture plate
Thank you. lots of good info. About 6 months ago my dentist recommended VAL PLAST. The reason, I only have one arm and hand that work. I have no problem putting the VAL PLAST in and out using only one hand. Some times my gums will bother me. That is usually because I was eating CHIPS and forgot to have my VAL PLAST in. Then I have to give my gums a rest with out teeth. All in all I really love my VAL PLAST
Hi Ernest. Glad you're doing so well with your flexible Valplast partials. I like Valplast partials as well. They are the strongest and most durable type of flexible partials. Good luck with your teeth!
How much did your cost
hi dr can i do implants with diabetic on control ?
Great!!!
Function is my concern and cost i need them to last at least 2 years i have front teeth not back an no dentist wants to give me what i want without trying to add more to my bill.
I have 1 upper incisors missing and an upper right back , however I have a couple of crowns upper that may break or come out. Val or partial metal
Thanks
You're welcome. Which type of dentures did you go for?
I am missing my two back teeth and am looking at a partial. But I don't want metal clips showing on my teeth. not sure what they would clip my partial to. good to know that I will have to have three or four alignments to get it right. that's good to know in advance. most people including myself can't afford implants. good to know the metal would be better for chewing. awesome.
Hi Victoria. Glad you learned something. Let me know how the denture fits and if you're happy with them once you've gotten used to them.
If teeth have been missing for awhile would that interfere with even gums for placement of a partial?
When you have several teeth missing, your remaining teeth start to shift into these gaps. For example, if you're missing a tooth in front of another tooth, the distal tooth starts to gradually move into the gap in front of it. Similarly, if you're missing a tooth opposing another tooth, the tooth opposing the gap will gradually move upwards into this missing gap. In fact, I've seen several cases where an upper tooth moves so far down into a missing gap underneath it that the tooth starts to chew on the lower jaw itself! Now mind you this happens over a few years, typically decades, and not overnight. However, if you've been missing multiple teeth for many many years, then you're remaining teeth will have shifted from their original position into a less favorable position. This may interfere with fabrication of your partial dentures. As a result, your dentist may have to modify remaining tooth surfaces to better accommodate the partial denture. In more extreme case, you would have to place crowns, or even perform root canal treatments, in order to bring teeth back into a favorable position. In the most extreme cases, you would have to remove teeth that are preventing fabrication of a new set of partial dentures (like the tooth that was hitting on the lower jaw!). Hope this helps answer your question and best of luck with your treatment!
Thank you so valuable
Thank you Linda. Did you decide to go with a metal or flexible denture? How did it work out for you?
@@johnjazayeri flexible thank you
How long after an extraction before final scan for partial
Storage: should they be kept in water? Or just a protective case? Do you brush them? #newbie😅
Hi Nicole. So you should remove the denture, place it in a protective case, and keep it in water when not using them. Don't leave them dry for extended periods of time. You can brush them, although be sure to use a softer brush or a denture brush to avoid scratching them. No toothpaste!
Do abutment teeth need to be filed down??
How do they attach the metal clips?
Hi Aloha. Metal partial dentures have clasps that hug your remaining teeth to provide for better retention and less movement. There are a series of changes that your dentist makes in order to better accommodate these metal clasps, such as:
- Rest seats: These are small holes added to teeth chewing surfaces to better accommodate the clasps.
- Guided surfaces: Your dentist will adjust teeth surfaces near gaps to allow for better denture seat and retention.
- Survey lines: After studying your teeth models, your dentist will trim down teeth so that the clasps seat closer to the gum tissue for better support.
These adjustments all require some irreversible trimming down of your remaining teeth. Luckily, we're talking about very little adjustment here, typically a millimeter here or there. However, these adjustments are irreversible. In other words, make sure that you're 100% committed to wearing metal partial dentures before undergoing these alterations. If you're planning on getting dental implants down the line, or considering flexible partial dentures as an alternative, then there is no need to modify your tooth surfaces.
Hi ,doctor I would like to know the best way to fix my upper four front teeth which are broken.
Hi Victoria. Sorry to hear about your broken teeth. Without X-rays, there's not much I can tell you. If the teeth are barely broken, you will need bonding. If they are a bit worse, you need crowns. If the teeth are damaged to the nerve, you need root canals. In the worse case scenario, you need to remove the teeth and place dental implants. It all depends on how much tooth structure is missing. Feel free to post your X-rays and I can guide you in the right direction.
Hi Doc,
Thank you for sharing your expertise about dentures.
Very helpful 🙏
Subscribe Done🤗👌
Hey I got some teeth cut out about two months ago and I was told to get the denture implants it just the teeth inside of the gum is that the right one
Hi Nelson. Which teeth did you have removed? Typically when you have missing teeth, you could get one of three treatments:
1. partial dentures
2. bridge
3. dental implants
You should do some research to see which one best suits your needs. Don't just go based on what your dentist or dental insurance suggest you need. Everyone has different needs. You should get the treatment that is best for your needs.
I got a valplast denture for my 3 upper front teeth. It is very loose. I can't eat with it. It keeps moving and falls out. Can it be glued in with denture glue
Hi James. Sorry to hear about your problems. Glue won't help much. Plus, you shouldn't have to use glue if you're only missing three teeth. I hate to tell you, but it sounds like you need to replace your Valplast partial. There really is no way to tighten a loose Valplast denture. Technically, you can heat the clasps and move them a tiny bit. Still, this only makes them a tiny bit tighter. If your brand new Valplast partial denture that only replaces 3 missing teeth is loose, then you should ask your dentist to make you a new one. Of course, you want to design it differently. The most common design error with these types of partials is that your dentures are too small. You're only missing three teeth so there's a chance your dentist made the partial small for a snug fit. This usually doesn't work. You have to cover the entire jaw to get sufficient retention. This allows for more suction against the gum tissue as well as the opportunity to add clasps in the front and the back. Make the denture bigger and add more clasps to it and it should fit just fine.
FYI, this is part of the reason why Valplast partials cost more (I'm sure your dentist cahrged you an upgrade fee for it). You can't really repair Valplast, so if the fit is off, you need to redo them. If this was a regular denture, your dentist might've been able to send a pickup impression (impression of the denture seated in the mouth) and have the lab add material to it. Unfortunately this doesn't work with Valplast partials. If Valplast dentures are loose, they almost always have to be redone. I hope this helps. Feel free to attach a photo of your denture so that I can better inspect it. Good luck!
Full dentures upper and lower can make flexible and what's cost it's प्लीज inform
Hi Aparna. Full dentures are usually not made from flexible material. There are higher quality resins, like high-impact, etc. but flexible material is reserved for partial dentures, not full dentures. The cost difference in the US is usually a few hundred dollars for the upgraded material.
What constitutes firm strong gum tissue?
Hi Aloha. Great question! Strong gum tissue, as I refer to it, is "keratinized gum". This is the pink/whitish, firm, thick gum tissue that appears around healthy natural teeth and continues to persist after tooth loss for a period of time. In contrast, weak gum tissue is non-keratinized gums, which is red, thin, and fragile. So how does it work? As you know, when you lose your teeth, you also lose some jawbone. Additionally, you also lose some of this keratinized gum tissue. Look in your mouth where you have missing teeth. Do you see a substantial amount of the thick, white-pink gum tissue? Or is it mostly red, thin gum tissue? This can be the difference maker in how well you do with your dentures. Keratinized gum tissue is much better at supporting dentures as it can withstanding biting forces. This is one of the first things I look at when I make someone a new set of dentures. Just a simple assessment of the patient's gum tissue, along with how much jawbone is remaining, gives me a good idea of how well the patient will fair with their new dentures. In fact, there are patients who are completely toothless, yet they continue to maintain a substantial amount of keratinized gum tissue. These patients tend to do much better with their dentures as compared to ones who have fragile, weak gum tissues. I hope this answered your question, and best of luck with your treatment!
Hi doc!
Im missing four molars in the upper jaw and Im thinking of using a metal partial denture but I have many doubts and fears.
Do the clasps damage the healthy teeth where they are attached?
Can I chew and eat well with it?
Is it definitely a good option today?
Thanks!
Hi Emilio. Partials, or partial dentures, are used by many patients to improve their bite. You are correct into thinking a metal partial can damage your teeth. You might want to consider a flexible one if that is your primary concern. Flexible partials are gentler on the teeth as compared to metal ones. Let me know if you have any additional questions.
Yes they do I have loss teeth from the medal ones
For a single lost bottom front tooth would you recommend a Maryland bridge over a metal partial? I have had a metal partial for two missing top front teeth for many years but not so keen for another partial if I can avoid it.
Hi. I would not recommend a Maryland bridge for closing posterior gaps. There is too much pressure which will knock the bridge loose or damage the anchor teeth. Plus, Maryland bridges are not that inexpensive. If you're going to go that route, why not spend a bit more and go for dental implants instead? I'd personally stick with either a partial denture or dental implants myself.
Hello Doctor 😊 You have a very clear and helpful content.I lost my 2nd molars on the lower part of my teeth.I refuse to get dentures for that and now that I also lost my 1st premolar on my lower left side I decided to get one.Im from Philippines anyway,my dentist told me to get flexible one but as I watched every video most of dentist advice to get the metal partial especially if you want to use it for chewing and in my case I know I lost those teeth for that and also my gums kinda low on the part where I lost my two lower 2nd molars.So please help me decide..thank you
I lost my two lower 2ndmolars each side 10 yrs ago.
Hi Ms. Reyes. Glad you found my video to be useful! I think you’ve figured this one out correctly. Metal partial will give you better chewing ability. It’s also easier to add teeth to, in case you lose more teeth in the future. Flexible dentures have their benefits. They look nicer, are more forgiving to neighboring teeth, and may be more comfortable. I think based on what you said, the metal partial is a better fit for your needs. Good luck with your new teeth!
Thank you very much doctor❤️😊
@@johnjazayeri hey Doc you answered his question and mine thx alot!!!
@@johnjazayeri o
Do partial dentures damage existing teeth and gums. And if yes which ones damage the existing teeth and gums the most. I prefer a dentures that doesn't cause damage too much. And i end up losing more teeth because if the dentures
Hi Siphozaki. Partial dentures do cause some damage to your teeth and gums over time. Cast metal partial dentures cause the most damage to your remaining teeth, especially teeth which anchor your partials. This explains why dentists often times place crowns on teeth that anchor metal partial dentures. Flexible partial dentures place more stress on your gum tissue and less on your teeth. This means more soreness of the gums in exchange for less damage to the supporting teeth.
It's true that partial dentures damage your remaining teeth, particularly teeth that anchor your partials. However, there's lots you can do to protect these teeth. Be sure to always remove your partial dentures at nights. Also, brush the teeth that anchor your partials very thoroughly, especially the tooth surface facing the missing teeth which is harder to clean. See your dentist regularly so that they can monitor the condition of your remaining teeth and fix them should they develop cavities. Do these things and you should be able to keep your remaining teeth for many years after receiving your partials!
This video is exactly what I needed. I had a metal partial that wore ridges into the teeth used as anchors. My gums are healthy and so will be switching dentists because they do not offer the flexible partials.
Hi doc. I have a partial for 4 consecutive teeth between a wisdom tooth and an eye tooth in the upper jaw. The eye tooth gets sore when I’m wearing the denture. After dinner I take it off and put it back on in the morning and the pain eases by then. Is it normal or it is going to disappear with time. I’ve only had the denture for about 3 weeks. Thanks.
Hi Andrew. It's not unusual to have some soreness and discomfort when you receive your new denture/partial denture. I would encourage you to wait it out, for a couple of reasons. First, it sounds like this is your first time wearing partials. There's a getting used to period, typically a few weeks to a few months. Don't panic! You need to break the dentures in. If your partials have metal clasps, they typically loosen up over time. You don't want to run back and forth to the dentist for adjustments during this period as you're getting used to your new teeth. If your dentist trims the clasps too much, then they will could end up being too loose. Or they may break. I recommend that you give it a few more weeks. So long as the pain is improving, I wouldn't rush it. Especially with an eye tooth, or canine as we call them. Canine teeth are very strong, they have huge roots and thick enamel. They can handle lots of pressure and are very unlikely to break because of having a tight denture clap.
Of course, if after another few weeks passes and you're still having pain, then it's time to go and see your dentist for an adjustment. Try to get as much out of your visit as you possibly can. Show the dentist exactly where it is that you're having pain and discomfort. Be sure to review your bite situation to make sure your bite is comfortable. Wear your denture as much as you can beforehand. I encourage my patients to sleep with their dentures if they can (normally you're not supposed to) before their adjustment appointment. This way, I can see exactly where the sore spots are located so that I can relive them. It's not unusual for denture patients to come for several adjustments. But you don't want to be the patient who comes for 20 or 30 adjustments either! Be patient, be detailed during your your adjustment appointments, and hopefully within a few months you're much more comfortable with your partial dentures. Good luck!
@@johnjazayeri Thanks very much doc. for taking time to explain the problem.
What conditions make someone a bad candidate for partials?
Hi Aloha. Here are a few factors that would potentially interfere with wearing partial dentures:
- Poor condition of your remaining teeth: Gum disease, decay, severe dry mouth, etc.
- Fragile gum tissue: Lack of sufficient keratinized gum tissue
- Jawbone issues: Sharp bony spicules or massive tuberosities
- Confidence issues with regards to wearing removable teeth
- Severe gag reflex and overall poor denture intolerance
Ill-fitting dentures can also pose a problem. However, not all partial denture problems stem from the fit and make of the partial dentures. You may not be able to wear your partials if you have gum disease, decaying remaining teeth, tender gum tissues, etc. You may find that despite redoing your partial dentures over and over, you continue to struggle and dislike your partial dentures. If this applies to you, they you should consider bridges, dental implants, or overdentures (snap-on-dentures) as an alternative to wearing partial dentures. Thanks for the question, and good luck with your treatment!
Hello doctor,
Doesn’t the implant supported bridge and the traditional bridge look same aesthetically ?
Except one is supported by the implants & the supported by the shaved good teeth, am I right ?
Hi Shema. Correct. Why do you ask?
@@johnjazayeri Thanks for promot reply. As mentioned previously was supposed to have 6 individual implants - upper front teeth but due to bone condition inspite of the bone graft, my dentist thinks it's best to do implant supported bridge instead, in the process of deciding two 3 unit bridges or one 6 Unit bridge. I reside in Vancouver BC or I would have liked to come in for an in person 2nd opinion from you.
Regards, Shema
I have couple pair of partial denture so do I have to keep the other one that I not use in water for year please help me understand
Hi Yer Moua. Well, it's true that acrylic does become more brittle if left dry for extended periods of time. One option is to keep your spare denture wet during periods of disuse. Another other option is to wear your spare denture occasionally, like once a week, to get them moisture using your mouth's saliva. Of course, this can be difficult if you have several backups. Having said that, I probably wouldn't worry as much, especially if you have multiple backups. In my experience, patients with multiple sets of dentures tend to favor one over the other, and that's the one they use most often. So just keep your backup dentures just in case you ever need them. However, focus on maintaining and caring for your primary denture, and keep this one moist overnight when removing it from your mouth, etc. Good luck!
@@johnjazayeri thank you so much dr you are the best to answer everyone my question is that do you know what is good for cleaning denture because I read that the polident cleaning denture is not safe to use
Hi I have 6 front teeth missing and was told a partial was the best to use. So will the metal clamps still show? Or should I get a flexible?
Hi Tay. A partial denture is probably the second best option for your scenario (dental implants are the best option, while a dental bridge is a no-no because the space is too large to support a bridge). If you choose to get a metal partial, they would have to place additional metal claps on the back teeth to avoid placing them on the front teeth. I prefer to put two clasps for the two molars on each side, for a total of 4 clasps. If they follow this design, there would be no need to clasp the front teeth. The problem is that the partial denture would become rather bulky and potentially uncomfortable. If you go for a flexible partial denture, then your dentist can place claps on the front teeth without worrying about it affecting your looks. This would definitely be the more aesthetically pleasing option. Either way, be sure to remove your partial denture and clean your remaining teeth so that they don't cause harm to your remaining teeth. Hope this helps answer your question and good luck!
Thank you
@@johnjazayerihi I recently extracted four upper front teeth, two on my upper right and one one my upper left. They recommended acrylic partial denture immediately. But it's uncomfortable and causing gag reflex. Will a flexible partial feel better. Or do I have to wait until the gum heals
Do partials need to clip to a crowned tooth ???
I
Hi Aloha. There is no need to place crowns on teeth used as anchors for partial dentures. Unless course, there's a medical need for these crowns. In fact, the best teeth to anchor partial dentures are always virgin teeth. These are teeth that have never been worked on before. When should you place crowns on teeth that support partial dentures? When your teeth have extensive cavities, failing fillings, fractures, etc.
I cannot wear full mouth dentures my mouth is so small I tried they gag me it was just too much in may mouth what do you recomend? I think I would like flexible dentures they regurlar dentures no way too much in mymouth
Hi Belinda. If you have full dentures (all teeth missing), then flexible dentures are not an option. Flexible dentures are only for those who are missing some but not all of their teeth. If you have all of your teeth missing, then you will get a resin-based denture that is not bendable or flexible.
So what are your options for making a full denture more comfortable? Well, you can ask your dentist to open up the palate on the denture (if it's the upper set). Doing this will reduce the gag reflex, but it also makes the denture looser. The only other option is to add a few dental implants to support your denture. These are known as snap-on-dentures, and you can learn more about them here: ruclips.net/video/dHu5kGSumaQ/видео.html
Good luck, and let me know how you resolve your issue!
I lost my front tooth my dentist recommended a full denture but I thought it was a lot of plastic for one tooth what about my taste buds
Hi Todd. Ok, so let me get this straight. You have all of your upper teeth, except for one front tooth? If that is the case, then you will be receiving a partial denture not a full denture. I think what you mean is that your dentist is planning on making a full sized partial denture that will cover your whole palate (roof of the mouth). Yeah, I wouldn't want that in my mouth either LOL. I would ask him or her for a more conservative partial denture design. You should also look into dental implant, or a more budget friendly option known as Maryland bridge, which are much smaller than a partial denture, especially if you're only missing a single front tooth. Good luck!
i am about to have my 1 front tooth removed. What type of denture are u going to recommend to me doc?
There are 3 types of partial dentures generally speaking. Let's review the different scenarios:
1. Acrylic resin partial: These are the weakest and cheapest types of partials. I would not recommend these for long-term use. Acrylic partials are great if you need something to wear for several months until you receive dental implants or a bridge. Otherwise, acrylic partials break easily and won't last you very long.
2. Metal cast partial dentures: These are a great option to replace missing teeth. These dentures could last a long time and are very sturdy. If esthetics is a concern, talk to your dentist to place the metal clasps in the back.
3. Flexible/Valplast dentures: These are also a good option to replace missing teeth permanently. Flexible dentures don't have metal, so they are more esthetic. Some people find them more comfortable, especially if you only have a single missing front tooth.
Hope this answers your question. Let us know which partial you choose and how it works for you!
@@johnjazayeri Hello po. Matagal po ba magawa ang flexible/ valplast ? I want to replace my front tooth # 9 .
Mga magkano po ba magpagawa. Thanks po.
Can the metal version be painted pink? Same colour as mouth? I've been wearing a metal one for years but the biggest issue is the metal is obvious when anyone sees the top of your mouth
Hi Peter. There really is no effective way to hide the metal that shows on cast metal partial dentures. Sure there are little tricks that the labs can use to cover the metal or reduce the exposed metal, but the metal will still show if someone is looking closely at your smile. If you truly want a partial denture without metal then you should probably opt for the flexible option or get a fixed alternative (bridge, dental implant).
@@johnjazayeri Hey John, thanks so much for the reply. I've worn dentures since around 14 y/o. I've worn a few different types, gravitating towards the metal version I've had the last 6 years or so. I liked how thin it is! Certainly pros and cons to all dentures. I've looked into implants and am certainly interested. I've heard some really good things but also the odd story of either the surgeon missing the right angle or body rejection. What are your thoughts on implants from your professional perspective?
I plan to possibly have my front four teeth removed for a partial (can’t afford implants or caps which led to this scenario), would the metal partial be very visible since the clasps would most likely be around my canine teeth?
Hey there. You can have the denture extend to the back teeth and place the clasps on the back teeth only. This would require some planning and discussion with your dentist. You can also opt for a flexible denture with pink clasps in the front. These are the most common ways of getting around a metal clasp showing on your front teeth!
Can a metal clasp attach to an existing implant tooth?
Hi there. The best way to mix dental implants and dentures is to use the implant to secure the denture with a connection. This is a process called implant-retained dentures or snap-on-dentures. I have a separate video on this topic that you can check out. Basically, you place the dental implant. Then, you use a Zest locator (suction type) or ball attachment with a male and female part to connect the denture to the dental implant.
The other solution that people consider is to place a crown on top of an implant and attach a denture clip to the implant tooth. Unfortunately, this is not a good idea. Dental implants and dentures don't mix too well. This is because implant is a rigid object while dentures are removable. You can not use a rigid object to stabilize one with lots of movement. This will cause implant failure. Therefore, I would not recommend placing a firm metal clasp on a dental implant tooth to support a denture. You can use a passive clasp to secure the denture, but that won't help out much and defeats the whole purpose. So in conclusion, your best bet is to use the implant to stabilize the denture using the snap-on-denture technique. I hope this helps and good luck with your treatment.
@@johnjazayeri thank you for your reply, I will look into that!👍🏻
Thanks for video. I'm considering nesbit partial. Cleaning practice not issue. Concern about metal materials leaking into oral/body blood system. Adverse effect happen alot?
Nesbit dentures do not contain metals, they are plastic/nylon based.
@johnjazayeri appreciate you taking time. I read that some studies indicate if don't have dentures and have teeth missing greater cognitive decline and increase in dementia.
My front 3 is missing is it good flexible
Hi Akhtar. Sure, that's a good option. The clasps will not show much, as they will match your gum color. Since it's not used for chewing, they'll feel nice and comfortable in your mouth as well.
Some are saying the newer Acetyl Resin partials are as strong as metal but look much better and are more comfortable... is that your experience...
Ok now I know you're in Cali I have no ins but I get a military pension hope I can afford a partial denture 👌
My husband is retired Navy. Did you see if the VA. Will make your partial ?? I know not all VA Hospitals have dental clinics. Worth shot. I have few healthy teeth. But I am hoping they will just pull all of them for me.
Can popcorn be eaten with a nesbit denture. I had one lower tooth in back extraction. Thanks for video!
One tooth posterior dentures are not too comfortable. Their only purpose is to keep your remaining teeth from shifting. You can chew on it, but you won't find yourself using it that often if the denture is only replacing a single posterior tooth.
@@johnjazayeri thanks
Hi, I lost 5 teeth number 26-30. My dentist is working on a metal partial denture, and when I tried it, it was uncomfortable and first and foremost, I could sense that it can damage the remaining teeth. Can I be a candidate for a flexible partial denture? Thank you!
Hi there. I would recommend sticking with a metal partial denture if you have these teeth missing (26-30). Flexible partial dentures move way too much and are even more uncomfortable than the metal ones. You are correct to think that the partial dentures will destroy your remaining teeth because they will! Especially the lower anterior teeth which are weak teeth to begin with. There is not much you can about that. Be sure to remove your dentures at nights to give your remaining teeth a break and brush them really well.
@johnjazayeri ,thank you so much for detailed answer!!
Thanks for the informative video. I just recently purchased a single tooth valplast partial denture. And it was one of the best investments I’ve made for my health. Ran me $850 (For one tooth) but well worth it.
Your single front tooth??
@@dshry8923 Nah my back molar
Hi , could you please let me know , how does it feel after using it for a while now ? Regarding comfort , chewing etc .
Does valplast feels more natural in terms of how it fits the mouth and gums ? Thanks
@@kvna3048 it feels pretty comfortable… After a while you get use to it… Chewing not too bad…
Would it cause issues if someone had a upper flexible partial and had an acrylic bottom partial as well? Wasn’t sure if they both needed to be the same kind.
Hi Steve. I don't see any reason why you can't mix and match different denture material. You might have a few front upper teeth missing which favors a flexible upper denture, and not as many front lower teeth missing where you choose a lower metal based partial denture. Talk to your dentist and evaluate your budget to make the best decision. I suggest that you reserve the more expensive flexible partial for where you have front teeth missing since a pink claps is much more esthetically pleasing.
D5225 should be flexible with NO metal wire clips, correct? My provider quoted and was approved for D5225, but had a D5820 made for me. Tooth #14, with all other teeth in excellent shape, so the flexible should work fine. I had made a temporary myself from polymer, but it's malleable, so I needed something more substantial that won't collect bacteria like the polymer does. He was paid more for billing the D5225 after write-off, than the total cost of a D5820 without any write-offs. I truly believe he committed fraud, because we discussed it, with photos, many times and I don't want metal in my mouth. He knew that. I have a strong sensitivity and everything tastes like it, plus it gives me dry mouth. When he stuck it in my mouth without letting me look at it first, if it hadn't impaled my cheek, I may not have realized it was the wrong thing, until I saw and felt that big ole steel wire when I smiled! I'm not smiling any longer 😕 😡
Aaannnddd.... the gum material covers half of the little tooth they embedded into it. I have no internal bite surface, only a bulbous pink gum inside my mouth, pressing on my tongue and only flattening out food, but not cutting it, since it doesn't make contact with the burn tooth.
- Extremely Disappointed
Why do you just disregard acrylic partials ? What you say is just not true in my experience. I have had an acrylic top partial, 2 front and 1 side for 10 years, then 2 more acrylics with 2 front and 2 side, over the next 20 years, with only one repair, and no other significant problems. Thats 3 acrylics partials for 10 years each with only one minor repair. I can also eat anything I want. That is hardly what I would call a throw away temporary solution. If they are made well and fit well they are indeed a viable option, and have been for a long time for millions of people. It is also what a great many people can afford. When a dentist says "you shouldn't let cost steer your decision", it is time to find another dentist. Reality is that only a fortunate few are in a position to choose implant based solutions, and for many even the costs of metal or flexibles is not an option. To just not include Acrylics as a viable option just wrong.
Hi Brian. Thank you for sharing your experience. It's not so much that I disregard acrylic partial dentures, it's just that I wanted to make a video to compare metal cast vs. flexible partials. These two types of partials are the ones that cost patients money, in terms of upgrade fees, and patients are interested to know more about the pros and cons of each type of partial denture. In dental school, they teach us that acrylic partials are for temporary use. In fact, we refer to them as stay plates or flippers. Luckily, yours ended up working as a permanent solution which is great. This is usually the case when you're missing only front teeth, or maybe one or two back teeth at most, as is the case with your mouth. If you're missing multiple posterior teeth and need a partial denture for chewing purposes, then an acrylic partial will not help much. Hope this helps and I'm glad your acrylic partial has worked out for you for such a long time.
Glad I saw your comment. I'm currently deciding how to replace a missing front tooth and I ruled out the cheaper flipper because everybody says it's temporary. Nice to know it can last quite awhile.
Everyone is different. Acrylic denture is way uncomfortable for me too bulky and makes me talk with a lisp it's horrible, in my opinion
Can popcorn be eaten with type of denture. I had one lower tooth extracted last month.
What type of metal is used? Does it leech?
Hi Bella. The metal used for partial dentures is a mixture of cobalt, chromium, nickel, and other base metals. These metal alloys are considered fairly safe, biocompatible and durable. There are occasional patients who may have sensitivity or allergic reaction to these metals, although it is quite rare. Patients who don't fare well with these metals should consider flexible dentures (metal-free) or dental implants instead.
@@johnjazayeri Thank you much!
👌👌
I had metal partial and it was
Painful !! I took it back
My mouth got sores
Hi Roxanne. I am sorry to hear that! Did you replace the dentures? Or are you planning on getting dental implants instead?
Same , and as well as sores I had a horrible metallic taste almost blood like 🤢. I got it replaced and am happy now 😊
@@suesmith3744 What did you replace it with ? I thinking of getting a flexible denture ? Thanks for the answer.
😀😀👌
Metal sounds good but I hear the metal damages the existing teeth - shouldn't that be a priority when choosing?
Hi again, Kayleen. I think we can all agree that it is not right. However, sometimes dentists are running behind, so make another appointment for a follow-up and further adjustment. It's always best to wear your dentures for a week or so before getting lots of adjustments. I usually limit my adjustment visits for a new denture to 15 minutes. Then, I see the patient every week or two until they are used to their new teeth. Getting used to a new denture is like riding a bicycle and takes some time. Good luck and I hope to get used to them sooner than later!
@@johnjazayeri Braces, retainers, crowns, and implant crowns all take time to get use to - partials and dentures work the same way but they should not be so painful that they cause these red spots nor should they move around so freely that you can't talk or chew. I would think.
Metal partials can ruin the teeth that they clip onto.
Hi John. That is correct. Metal partials put lots of pressure on your remaining teeth and cause the teeth to go bad quickly. Most people know about this. But let me ask you, where do you think the pressure and forces go with flexible and valplast partial dentures? They don't transfer to the teeth since the clasps are not as powerful. Instead, they get transferred to your gum tissue. This explains why flexible dentures tend to be more painful than metal ones. The chewing forces have to go somewhere, either your teeth or your gums. This is why it's hard to say which denture is best for you. Patients with thick gum tissue can handle flexible dentures very well. However, those with weak, fragile gum tissue tend to struggle with flexible dentures.
Thanks for watching my video! Feel free to put your questions in the comments below and I'd happily answer them. Want to schedule an appointment to see me? My offices are located in Southern California (Orange County). Click below to schedule an appointment:
San Clemente Office: www.oceansightdental.com/book-your-appointment-online/
Newport Beach Office: genuine.dental/
Good video thanks, but to much talking, could have edited it down to a easy 10 minute video, but thanks for the info
Thank you recently our cousin, a nice dentist very talented made us a plastic bendable partial for molar uppers I was wondering what adhesive to use if any? I have excellent gum tissue however I have crowns etc thank you Sheila Hunter IMDb @kittywaymo love your clear explanation!😻🐾🐾
Hi Bruce. Glad you're doing well with your flexible partial. If your partial denture is fitting well, don't use any adhesive. If it's moving around, try using some sort of denture glue (Fixodent or Polygrip are the most common ones). Denture glue doesn't impact your teeth and crowns in any negative way, so long as you clean them daily and brush your remaining teeth. How does your cousin like being a dentist? And good luck by the way!
Hello thank you for your kind reply. It is actually Bruce Hunters' wife⁹⁸ writing Sheila Hunter (@kittywaymo on RUclips )but Bruce & I have together accounts etc my husband is my 8th cousin via European royals #SaxeCohburg #Stewart #Tudor For example our 13th grandfather is king Henry Bruce inherited awesome teeth & mine are great minus some failed root canals Our sweet Cousin loves being a dentist as well as our amazing nephew also a general dentist, DMD He works in Italy at the moment hes in the Air Force- I'm a professional actress and stand in
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Hi doc i have one front lower tooth incisor missing which is the best option metal flexible or valpast please reply
Hi. Valplast. Smaller, more esthetic, more comfortable. Good luck!
@@johnjazayeriHi doc how many hours should I wear valpast to prevent shifting and it cause gum reccesion if it's cause how to prevent so it will not cause gum reccesion