A partial denture is a removable replacement for one to several missing teeth. It consists of denture teeth with pink acrylic that mimics soft tissue. Partial dentures offer an affordable way to replace teeth compared to fixed options, such as bridges and implants. Since the partials are removable they do not feel or function as naturally as the fixed options. It’s important to know what to expect with partial dentures because they can be challenging to get used to for new users.


A removable partial denture (RPD) can either have a framework made out of metal with some acrylic or can be entirely acrylic.
Metal based partials are more durable and thinner since all acrylic dentures need a certain amount of bulk to withstand breaking. The metal RPDs are better fitting but require tooth reduction. These partials need more appointments and time to make so they are more expensive. Four appointments or more are needed.
All acrylic partials, commonly known as flippers, are less expensive. You can get the flipper much faster, typically in two appointments. Tooth reduction is not needed. A flipper can be a permanent solution but it is usually a transitional RPD while healing after an extraction for a bridge or an implant to be placed. These partials can be delivered the same day as the extraction(s) so that you are never without teeth. Follow up appointments are then needed after delivering either type of partial. Sometimes several appointments are needed to get the fit and bite right.
RPDs stay in place by having a good fit with the tissue and remaining teeth. Metal wires called clasps wrap around some teeth to help stabilize the partial. The metal wires can be unesthetic if needed towards the front of the mouth.
Soft tissue changes occur when teeth are missing. The bone and gum tissue starts to resorb away. The partial no longer fits properly because there is a gap between where this tissue is now compared to where it used to be. A new partial may be needed or a reline can be done.
Relines are often needed to add material back to the partial so that it fits better with the tissue.


Common problems with partial dentures


It can be a hard transition for people to go from having teeth to loosing teeth and wearing a partial denture for the first time. Some patients do really well with time, but for others it can be a frustrating experience trying to adapt to wearing them.
Lower partials are difficult because the tongue will want to move the appliance all around and it may not want to stay in place.
Upper partials cover the roof of the mouth with a certain thickness of base material. Patients often have difficulty speaking and it takes time to adapt. They may also not be able to taste properly when the palate is completely covered.
Sore spots and ulcers are common side effects. When partials are first delivered they may be hitting on certain spots of soft tissue and require frequent adjustments. When RPDs are ill fitting they can rub the tissue the wrong way and cause sores. If you develop these issues, leave the partial denture out as much as possible, rinse with salt water and call our office for an appointment.
Difficulty chewing properly and eating certain foods are major problems. Partials offer nowhere near the chewing power that natural teeth or fixed options provide. Food may get caught underneath of the partial dentures.
Denture teeth are not as strong as natural teeth or fixed replacements and may need replacement when they wear down. They can also pop off from the RPD framework and need fixing. You will be without your partial for a full day while our local lab fixes the issue.
Other issues when you first get your partials include everything feels too bulky and increased salivation as there is something new in your mouth.
You cannot wear them while sleeping. By keeping your partial dentures in constantly you create issues such as bone loss at a more frequent rate, fungal infections, and increased risk of mouth sores.


What to expect with partial dentures


Removable partial dentures can be a great service for people who suffer from tooth loss.
A partial denture can look quite natural and bring confidence back to your smile by replacing the spaces from missing teeth.
It’s important to know the problems that can occur with them and have a realistic picture of what it may be like for you. They are no substitute for your real teeth or fixed replacement options. Often times the success of a partial can depend on a positive attitude and adaptability. There are some patients who do extremely well with partial dentures while there are some who cannot adjust and have a difficult time wearing them. It may take some patience and persistence with wearing a partial denture. Implants can be used with partial dentures to create a better experience. They help stabilize and keep the denture in place. They can be used to eliminate the need for the metal clasps that can be unesthetic. Implants can also prevent the bone resorption that will occur after teeth are taken out.


Caring for your mouth and partial dentures


Take your partial out to brush and floss your teeth thoroughly.
It is important to clean your partial. They can accumulate the same plaque and calculus that teeth do. Bacteria will penetrate the base and a bad odor will result. Run your partial under water and clean it with a soft toothbrush. Do not use toothpaste as it is abrasive to the RPD.
Be careful dropping your partial denture, even a short distance. The acrylic can break. Do not use super glue to fix it. Call to make an appointment for us to repair it for you.
Take your partials out and not sleep with them at night. It is extremely important that there is time for the tissue to stay healthy and recover from wearing the partial.
Store your partial dentures in water in a cup or special case. This keeps it from drying out and breaking down. Denture cleaner can also be used occasionally to help keep it fresh. Keep the partial out of reach of pets. Dogs love them and will treat them as if they are their chew toy.
Keep regular visits with Haeussner Family Dentistry. It is necessary to keep those remaining teeth healthy and cavity free. If other teeth are lost, it will impact your existing partial and you may need a new one. It is important to have routine cleanings, radiographs and exams. Bring your partial denture with you and it also can be cleaned at your appointment.