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An older woman smiling at her reflection in a hand mirror while a hygienist stands beside her.
Rebuilding teeth

Dentures in Winchester

Full dentures, partial dentures and dentures held in place by implants, planned and fitted here. If you already wear a set, it can be copied digitally when it is damaged, or retrofitted to implants.

What is offered here
  • Full, partial and implant-supported

    All three are offered here, so choosing between them is one conversation.

  • A digital copy of the one you have

    A damaged denture, or one that simply fits well, can be copied digitally for a fast turnaround.

  • Retrofitted to implants

    A denture you already wear can be retrofitted to implants, so it stops resting on the gum alone.

Full, partial or implant-supported?

Which one fits follows from how many natural teeth you have left and what you want holding the denture in. The exam settles it.

Full, partial and implant-supported dentures, compared

Who it is for
Full denture No natural teeth left in that arch, or none that can be saved
Partial denture Some natural teeth still in place, with gaps between or behind them
Implant-supported No natural teeth left in that arch, and enough healthy jawbone to take implants
How it stays in
Full denture Rests on the gum, held by the fit of its base
Partial denture Usually clasps onto the natural teeth beside the gap
Implant-supported Attached to implants placed in the jaw
Day to day
Full denture Comes out for cleaning and at night; the fit is rechecked as gums and bone change
Partial denture Comes out for cleaning, and the natural teeth around it need the same care as before
Implant-supported Fixed or removable
What comes first
Full denture An exam and impressions or a scan, and any teeth that cannot be saved come out
Partial denture An exam and impressions or a scan, with the remaining teeth checked first
Implant-supported An exam and a scan, then the implants are placed and given time to heal into the jaw

Implant-supported is the full-arch option. The dental implants page covers it in full.

Full-arch implants

Immediate dentures

If the teeth you have left need to come out, an immediate denture can be made beforehand, from impressions taken while those teeth are still in place. It goes in at the same visit the teeth are removed, so you leave with a full smile and do not go without teeth while you heal. It also covers and protects the extraction sites while they close.

Because it is made before the extractions, it cannot fit as closely as a denture made afterwards. The gums and jaw change shape as they heal, so an immediate denture needs adjusting along the way, and once healing is done it is relined or replaced with a conventional one.

From the first visit to the final fit

A set of dentures is made in stages, and each stage is a chance to say what is not right before the next begins.

A patient reclined in a dental chair while a dentist in a mask and blue scrubs examines her mouth with a mirror.
  1. The first visit

    We look at your mouth, take x-rays, and talk through full, partial and implant-supported dentures for your situation. If teeth have to come out first, that is done here too.

  2. Impressions or a scan

    A record of your gums and any teeth that remain. It is what the denture is built from.

  3. The try-in

    Before the final set is made, you see how the teeth sit and say what you want changed: the shape, the size, the shade, how it looks when you smile.

  4. The fitting

    The finished denture goes in and the bite and the edges are checked. Anything that presses or rubs is raised at this visit rather than put up with.

  5. After you have them

    New dentures take getting used to, and sore spots and a changed way of speaking and eating are normal early on. Fit changes as gums and bone change over the years, so the fit needs rechecking from time to time.

When the denture you have is the problem

Start from the set you are wearing. What is wrong with it decides what happens next.

Cracked or broken

A broken denture still carries the shape of your mouth. A damaged denture can be copied digitally, which is the route to a replacement. Bring it in, pieces and all.

Loose or rubbing

Gums and bone change shape over the years, and a denture that once fit can start to move or leave sore spots. Bring it in and we will look at it, rather than leaving you to manage with adhesive.

One that fits well

If the set you have fits well, it can be copied digitally too. It does not have to be replaced from nothing.

Bring it in, and tell us what it is doing.

Dentures, before and after

Two patients of this practice, shown with their consent.

  • After: the same profile with the lips supported by new dentures.
    Before: a side profile with the lips sunken over loose dentures.
    BeforeAfter

    New dentures

    Her old dentures were so unstable they couldn’t hold her lips forward in their natural position. The new set supports the lips and the face again.

  • After: a full, even set of dentures.
    Before: heavily decayed and broken teeth throughout the mouth.
    BeforeAfter

    Sedation, extractions and immediate dentures

    Every one of her teeth was failing. With sedation, the teeth were removed and immediate dentures placed.

See every case in the smile gallery
Why here

Start from the dentures you have

A denture does not always have to be replaced to be improved. Implants can hold a set you already wear in place, instead of leaving it resting on the gum.

Retrofitting is implant work, and Dr. Orr is an Associate Fellow of the American Academy of Implant Dentistry.

Call to Book

Whether yours can be retrofitted depends on the denture and the bone beneath it. An exam tells you either way.

Where our patients drive from
  • Watercolor of a creek spilling over low rock ledges below a stone dam, with spring woods on both banks.
    Decherd · 5 min
  • Watercolor of an open green meadow under a wide blue sky, with low hills behind.
    Cowan · 10 min
  • Watercolor of Tims Ford Lake, with a rocky shoreline and calm water under a bright sky.
    Estill Springs · 10 min
  • Watercolor of vineyard rows running toward wooded hills under a pale sky.
    Huntland · 15 min
  • Watercolor of Falls Mill, a brick mill with a large wooden waterwheel beside a creek.
    Belvidere · 15 min
  • Watercolor of Machine Falls spilling over rock ledges in the woods.
    Tullahoma · 20 min
  • Watercolor of the Sewanee Natural Bridge, a sandstone arch among trees.
    Sewanee · 20 min
  • Watercolor of a wooded valley seen from a sandstone ledge on the edge of the plateau.
    Monteagle · 25 min
  • Watercolor of a weathered gray barn beside a country road under a blue sky.
    Lynchburg · 25 min
  • Watercolor of a mossy limestone bluff above a woodland path.
    Manchester · 25 min

The questions that decide it

Do I need full dentures or partial dentures?

It comes down to what you have left. Full dentures replace every tooth in an arch; a partial denture fills the gaps between natural teeth that are staying. A third route, dentures held in place by implants, suits someone who has lost all the teeth in an arch and wants it to stay put. Which of the three fits is settled at an exam, since it depends on your teeth and your jawbone.

Can my current dentures be fixed to implants?

Often, yes. A denture you already wear can be retrofitted to implants, so the implants hold it in place. Whether yours can be depends on the denture and on the bone under it, which an exam decides. If you would rather start from the implants, the full-arch option is on our dental implants page.

Dental implants
Can a broken or damaged denture be repaired or copied?

Bring the denture in and we will look at it, whether it is cracked, broken, loose or rubbing. A damaged denture can be copied digitally, which is the route to a replacement, and so can one that fits well. Call ahead if you can, tell us what happened to it, and bring it in with all the pieces.

Will I be able to eat normally with dentures?

Eating takes some getting used to at first, and most people start with soft foods cut small and build up. How well it goes depends a good deal on how well the denture fits, which is the reason to mention it if something is rubbing. Our patient education article on what you can eat with dentures goes through it food by food.

How much do dentures cost?

A full denture, a partial and a denture held by implants are three different jobs, and teeth that have to come out first add to the work. Insurance changes the total as well. We can give you a figure once someone has looked at your mouth.

Does insurance cover dentures, and are you taking new patients?

Many plans cover part of a denture. We will do our best to check yours before anything is made, but please bring your plan details, and the patient is ultimately responsible for the cost. New patients are welcome, and a denture exam is an ordinary first visit. Insurance and first-visit details are on our patient information page.

Patient information
I am nervous about having teeth taken out first. Is sedation available?

Tell us when you call and again when you arrive, so the extractions can be planned around it and everyone you meet that day knows. We have weighted blankets if you would like one. And yes, sedation is available for extractions: nitrous oxide, oral or IV, for patients 13 and over.

Our sedation dentistry options

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