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Dentistry/removable dentures

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Question
I need to replace a missing upper tooth (which is bordered by an implant and a crown. I don't want to get an  implant, + a crown's not an option.) Years ago I had a metal removable metal denture, but it hurt the roof of my mouth. (Please note: it was one solid upper piece,  not the 2 metal strips I've seen recently, which could allow the taste buds to be unencumbered + taste food). Since my previous experience with metal was unsatisfactory (so painful I did not wear it, nor was it ever adjusted satisfactorily...eventually I got an implant for that area.) I now think to try the flexible plastic removable denture. I need to get more input + feedback as to whether this would be more comfortable for me. Please advise me of patients' responses as well as your own opinion, if possible, as to the less painful option for daily wearing: metal or flexible plastic removable denture.

Answer
Dear susan,

Nothing is like your own tooth and root.  Having lost that, the next best thing is an implant and crown.  Since you don't want an implant, then next best thing is a cemented bridge which replaces the missing tooth by attaching it with crowns to your adjacent teeth.

If you want something removeable, then a flexible will most likely be more comfortable for you.  And the flexible is a bit more attractive than the metal with acrylic.  On the other hand, for some reason, flexibles, as they are made now, are difficult to adjust and polish.  So if they do not fit well at first, your dentist will have some difficulty adjusting it.  Acrylic and metal partials are usually much easier to adjust.

My patients are divided about 50/50 on which they like better.  If they have gotten used to metal/acrylic, they usually do not like flexible.  And vice-versa.  If a first partial, most patients seem to like the flexible better.

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Howard Finnk, D.D.S., P.A., CEO

Expertise

I am a Family, Implant and Cosmetic dentist. I will answer questions on any aspect of dentistry and matters relating to the smile, gums, jaws and lower face. Member American Dental Association, Florida Dental Association, Broward County Dental Association, and Atlantic Coast District Dental Association. I have served as District Council Member of Alpha Omega, as well as serving for one term as its President. I am also a member of The Vedder Honors Society, Broward Dental Research Clinic, and Mount Sinai Hospital Guild. I have served as a Volunteer for Project Dental Health and The Tri-County Dental Health Council.

Experience

Having attained over 30 years of clinical experience in private practice in Michigan, in 2001 I was re-certified by taking and passing the Florida State Dental Board Examination. After moving to Florida, I spent nearly 10 years re-honing my skills while working as an Associate Dentist for several large dental groups. In September, 2004, I was appointed Adjunct Clinical Professor at Nova University's College of Dental Medicine. I am certified in placement of Mini Dental Implants, and I am Director of The Florida Implant Center (floridaimplantcenter.com). On March 1, 2010, at the age of 62, I began all over again by buying a dental practice near my home in the Fort Lauderdale area. As sole owner and Chief Dental Officer of the new Nob Hill Dental Center (nobhilldentalcenter.com), I can now carefully provide dental care to patients who care, all within a caring, joyful environment. Over my career lifetime, I have provided thousands of diagnoses, fillings, crowns, bridges, root canals, periodontal treatments, TMJ therapies, partials, dentures and extractions, and dozens of implants for my patients. The only aspect of dentistry with which I have very little experience is orthodontics.

Organizations
American Dental Association, Florida Dental Association, Broward County Dental Association, Atlantic Coast District Dental Society, Vedder Honors Society, Broward Dental Research Clinic, Alpha Omega Alumni Association, and American Association of Dental Implantologists. Formerly, American Academy of General Dentistry, Michigan Dental Association, Macomb Dental Society, Detroit District Dental Society, Tri-County Dental Health Council (a charitable dental care organization)

Publications
"How To Save Money At The Dentist" Going to press soon.

Education/Credentials
Bachelor of Arts and Sciences in Psychology from Wayne State University Doctor of Dental Surgery from University of Detroit College of Dentistry Adjunct Clinical Professor, Special Needs Department, Nova Southeastern University College of Dental Medicine, Fort Lauderdale, Florida

Awards and Honors
Membership in The Vedder Honors Society

Past/Present Clients
HIPAA rules do not allow me to post this information.

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