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14100 Cedar Road, Suite 210
Cleveland, OH 44121

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Posts for: November, 2015

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When you hear the word “dentures” you probably think of an appliance that replaces all the teeth on a dental arch. But there is another type: a removable partial denture (RPD), which can be a viable option for replacing a few missing teeth.

An RPD rests on the bony gum ridges that once held the missing teeth and are secured with clasps or other attachments to adjacent teeth. While lightweight, RPDs are designed to last for many years — they’re made of vitallium, a light but very strong metal alloy that reduces the RPD’s thickness. Recently, metal-free partial dentures are being used that don’t have the fit or longevity of the vitallium partial dentures, but are considered more of a cosmetic solution.

RPDs are custom-made for each individual patient to accommodate the number, location and distribution of teeth missing throughout the mouth. Their design must also reflect the health and stability of the gums and remaining natural teeth to ensure they won’t move unduly during normal mouth function, and will be as lifelike and unnoticeable as possible.

RPDs have been a mainstay in dentistry for many years and represent a less expensive tooth replacement option than implants or fixed bridgework. But they do have their downsides: because of their method of attachment to the remaining natural teeth they tend to accumulate plaque, which increases the risk of both periodontal (gum) disease and tooth decay. Their fit requires that they attach to the adjacent teeth that will cause some damage and lead to their looseness over time.

If you wear an RPD, there are some things you can do to decrease these problems. First and foremost, you should clean your RPD thoroughly every day, as well as brush and floss your remaining teeth to reduce plaque buildup especially at contact points. Be sure to remove the RPD at night while you sleep. And keep up regular dental visits not only for additional plaque removal but also to allow us to inspect the RPD for problems or wear.

An RPD is a viable option for improving mouth function and restoring your smile after multiple tooth loss. With proper care and maintenance, your RPD can serve you well for many years to come.

If you would like more information on removable partial dentures, please contact us today to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Removable Partial Dentures.”


By Lynda V. Butler, DDS
November 10, 2015
Category: Dental Procedures
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A few days before the Oscars, Vanity Fair magazine asked Academy Awards host Neil Patrick Harris to name his most treasured possession. Was it his Tony award statuette for best leading actor in a musical? His star on the Hollywood Walk of Fame? The stethoscope he wore while playing teenaged doctor Doogie Howser on TV? No, as it turns out, the 41-year-old actor’s most treasured possession is… his wisdom teeth. Yes, you read that correctly. “Oddly, I still have my four wisdom teeth,” Harris said. “I refuse to let them go or I’ll lose my wise parts.”

How odd is it for a 41-year-old to have wisdom teeth? Actually, not that odd at all. While it is true that wisdom teeth are often removed, there’s no one-size-fits-all approach to this. It all depends on whether they are causing problems now, or are likely to cause problems in the future.

The trouble wisdom teeth cause is related to the fact that they are the last molars to come in, and that molars are large in size. By the time wisdom teeth appear between the ages of 17 and 21, there often is not enough room for them in the jaw. Sometimes it’s because you may have inherited a jaw size that’s too small for your tooth size; and generally speaking, the size of the human jaw has evolved to become smaller over time.

If room is lacking, the adjacent molar (that came in earlier) can interfere with the path of eruption — causing the wisdom tooth to come in at an odd angle. The wisdom tooth can hit up against that other tooth, possibly causing pain or damaging the adjacent tooth. This is known as “impaction.” Sometimes the wisdom tooth breaks only partway through the gum tissue, leaving a space beneath the gum line that’s almost impossible to clean, causing infection. A serious oral infection can jeopardize the survival of teeth, and even spread to other parts of the body.

If a wisdom tooth is impacted, will you know it? Not necessarily. A tooth can be impacted without causing pain. But we can see the position of your wisdom teeth on a dental x-ray and help you make an informed decision as to whether they should stay or go. If removal is the best course of action, rest assured that this procedure is completely routine and that your comfort and safety is our highest priority. If there is no great risk to keeping them, as Neil Patrick Harris has done, we can simply continue to monitor their condition at your regular dental checkups. It will be particularly important to make sure you are reaching those teeth with your brush and floss, and that you keep to your schedule of regular professional cleanings at the dental office. All healthy teeth are indeed worth treasuring.

If you would like more information about wisdom teeth, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”




Lynda V. Butler, DDS

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