1683 Dixie Hwy Mitchell
Indiana 47446 | Directions

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New Beginning Dentures: The dentist in Mitchell with a unique process for denture success

A completely reimagined and redesigned method of making dentures.
Performed “one patient, one-at-a-time.”

I have helped patients solve their denture problems for almost forty years. Most of their difficulties stem from wearing dentures that are not well matched to their individual needs. This happens for many reasons. Diagnosing and designing solutions for these patients requires a unique approach that most dental offices cannot offer. In fact, I had to completely change the way I approach these cases in order to get consistently superior results. At the time it seemed radical, but now it seems like common sense. And it works.
  • A major reason for Denture Problems may be the fact that your dentures were most likely made by a dental lab technician that knew nothing at all about you. How could they without meeting you in person? Did your dentist send them a photo of your face, smiling from the front and side profiles, or an image of your old dentures in your mouth to see what could be improved? Did the lab understand how you move your jaws when you chew food, or speak certain words and sounds? Did they know what you did or did not like about your previous teeth? Did they know what specific design the chewing surfaces of the back teeth should be? There are several different moulds available, each with specific uses. Unless the dentist invested the time required to describe and specify all of these details on a written prescription form (which normally has a very small space for instructions), the lab probably made you a very generic average design denture that doesn’t meet your individual needs well.
  • Of course the most basic requirement for a good fit is accurate moulds of your gums and borders (the areas where your tongue and cheeks meet your gum ridges along the sides). It is critical that the muscles of the lips, cheeks, soft palate, and tongue are able to move freely around the edges of your dentures. It is not easy to record the full motion of these muscles when making an impression. Did the dentist have you make several movements of your lips, tongue, cheeks during the impression process? Was this impression made with special impression trays that were made to custom fit your mouth after a first round of impressions? Better yet, did you wear a previous denture or a new trial denture with a material in it to make a “time-lapse” recording of all the muscle movements within a week’s time of wearing the appliance? Many times dentures are made with a single brief impression without much attention to muscle movements. This leads to poor function and dentures that “jump” unexpectedly during certain movements of the mouth. A clue to look for is grooves along the edges of your denture where the muscle attachments have made room for their movement. If the edges are straight and smooth, there may have not been muscle movements during the impression.
  • Do the teeth seem to have an accurate “bite” in the center or do they come together unequally and slide to the side as you bite down? Do the front teeth click together when you are speaking? Do the back teeth seem to have a gap and not touch at all? Are you unable to get the front teeth together to bite thin foods such as lettuce? Do the teeth seem to tall and feel like they prop your mouth open? This may be a design problem. All of these issues stem from missed details in the setting up of the teeth into the correct positions and angles.
  • Do you get food trapped around the edges of your dentures? Many dentures are now made with poor contours of the gum areas of the appliances. The sides of the dentures that face the cheek should be concave (hollowed out) from just above the necks of the back teeth up to the rounded edge of the denture border. This hollow shape allows the cheeks to squeeze the food debris back down to be chewed further (too graphic?) or redirected into the center for swallowing. Many dentures for some reason now are made with sides that are rounded out (convex) as though a hot dog sliced in half was used as a model for the sides of the denture. When food gets above the curvature of the sides at the widest part, the cheek cannot retrieve the food and it packs up into the border and then under the denture. This is extremely common, and very annoying to experience.
  • Do you have trouble speaking with your dentures? Speech patterns can be very individualized. The positioning of the lips, tongue and teeth must be carefully measured and evaluated. If the denture teeth do not conform with the needed positions lisping, slurring, clicking, and indistinct pronunciation can result.
  • Do the teeth look false? If they are set too perfectly straight, almost anyone can tell they are denture teeth. Natural teeth always have slight imperfections in alignment. These are well documented and can be learned and used to great success in order to make dentures that defy detection. If the dentist does not request these details to be performed by the lab, the teeth will be set perfectly straight as the “generic denture”look. Many patients want this “perfect look”, so the lab will always be afraid to make anything with natural looking characterizations unless given written instructions by the dentist to do so.
  • Do you have chronic sore spots that defy adjustments to make them better? The main cause of troublesome sore spots is either an inaccurate impression or inappropriate arrangement of the chewing teeth. There are distinct indications for each approach. If the ridges are flat, there is a way to set the back teeth for that problem. If the ridges good, there is a way to make the most of that trait. If they are somewhere in between flat and good, there is a specific way to set teeth for that situation. Unless the dentist stipulates the chewing teeth details, the lab may use whatever system they are most familiar with instead of what you actually need.
  • Do your dentures look drab and lifeless? You may have a denture made with inexpensive denture teeth that are single-layered and have little to no translucency to give them depth and natural light reflections. There are now beautiful teeth available that are made in several layers with varying light transmission, reflectivity, fluorescence and subtle surface contours that are quite beautiful and offer great realism. Beyond that we can now even individually customize teeth in new ways. If a patient wants teeth that match their age of 75 years, the teeth will need to look like they have been serving the patient a long time. It is now possible to recreate subtle crack lines, decalcifications and other time-created nuances that make the teeth match the natural teeth of a patient that age wonderfully well. Senior patients who are concerned with their appearance love this approach.
  • Some or all of these factors may be a part of your denture problems. It is important to realize that the dentist that makes a denture that is not performing well will likely not be able to diagnose what is wrong with the teeth. A second or third opinion may be required before you find help.

This is "what" I do:

  • I start with a telephone or computer FaceTime consultation with the patient, to understand every aspect of his or her needs, problems, and preferences.
  • Next is an in-office consultation (if needed) before actual treatment. Most people like to meet in person at least once prior to starting.
  • Although I can follow a typical series of weekly appointments, I greatly prefer to dedicate my full concentration to one patient at a time for the 48 to 72 hours it takes to finish that individual’s dentures. We typically achieve the equivalent of three appointments on day one, and three more on day two. The patient is usually able to begin wearing the completed new dentures late the second day or by the third day. We arrange local accommodations for patients traveling long distances.
  • A crucial component of this method involves the patient guiding me in setting their front teeth for preferred smile appearance. I set the anterior teeth one at a time, working as a doctor/patient team. The patient considers each added tooth and gives me feedback, as I try various modified tooth positions to let them see several different “looks.” (See “What makes teeth look natural.”)
  • Once we finalize the smile, I work in the lab on alignment and design of chewing teeth. After trying those in, we are ready to finish the appliances. The patient is free to see local sights, and relax during this time.


New Beginning Dentures
Rating : 5 5 Stars
I doubt that there is anywhere you could get a service better than this. Everyone is so kind and considerate. I have had a lot of work done that was not too comfortable, but everything was done to make it easier and with kind understanding. They are wonderful.
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