unhappy patient with the look or fit their dentures

Unhappy Patient with the Look or Fit of their Denture

CASE SUMMARY: Complete Dentures

by Carlos Castro, DDS, FACP, Board Certified Prosthodontist | Georgia Prosthodontics

Patient “Ellen” was 70 years old when she was referred to our office by her general dentist. She did not want to have dental implants, yet she expected a stable denture on the mandible.

Her diagnosis included:

History of ill-fitting dentures that were unstable and esthetically unpleasant. Some denture teeth had fractured in prior years.
Remaining alveolar ridges were severely atrophied, with loss of height and thickness.

Dentures patient before
Dentures Before case
Severely Atrophied mandibule Case Dentures
Dentures Patient After
Dentures after

Her treatment plan had the following steps:

  1. A complete diagnostic routine performed, including preliminary exploratory casts, photographs, and intraoral palpation of muscles of the floor of the mouth.

  2. Evaluation of her Vertical Dimension and speech tests. It was determined that she needed a new set of dentures at a restored Vertical Dimension.

  3. Preliminary impressions were made, custom trays fabricated, and a final impression with proper border molding to register the muscle insertions and activity around bearing areas.

  4. Artificial teeth arrangement was completed on a customized semi-adjustable articulator using a bilaterally-balanced occlusal scheme and tried in. Centric Relation records and proposed Vertical Dimension were tested.

  5. Final insertion of complete dentures, made from conventional acrylic base and IPN denture teeth to resist wear (see on next page), using our in-house Prostho Dental Lab.

Denture Case After Dr Castro DDS
Denture Case Try in and wax set up
Dentures Case after Dr Carlos Castro DDS
Final impressions Dentures
Articulation of Casts at proper Vertical Dimension

The primary challenge of this case was providing proper retention and stability of the dentures on a severely atrophied mandible without the help of dental implants.

Ellen was thrilled with her new dentures, and we sent her back to the referring office.


We refer patients back to their general dentist for regular hygiene unless advised otherwise by the referring office, depending on the patient and treatment.

You may have patients with dentures that bother them, even if they don’t always tell you directly, but you can notice they are uncomfortable or unhappy. They may want to consider a fixed prosthesis.

Let us know how we can help. Or, if you have comments or questions about how I treated Ellen from this example, please email my office at info@ImplantOption.com

Study Club In Prosthodontics
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Do you want another opinion on a complex case? Or to meet and share ideas?

There are many ways we can help each other by working together on complex cases and by sharing knowledge and experience.
With your reputation for quality dental care and our experience with restorative treatments, we can work together on advanced cases and both benefit!
If you’d like to meet to discuss a difficult procedure or talk on the phone about how we can help each other, please call or email our office with specific days and times when you are available to talk or meet.

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The Reconstructive Dentistry Team

Georgia Prosthodontics is a specialty practice focused on Implant, Cosmetic and Reconstructive Dentistry. Drs. Castro & Delgado have the training and private practice experience that makes treatments of complex cases more successful, including the following examples:

• Patients with severely worn/damaged teeth, missing all teeth, or with ill-fitting dentures can receive a full arch of natural-looking teeth to restore function & esthetics.

• Patients with congenital defects, a chronic condition, or traumatic injury can receive oral prostheses, which may be a combination of dental implants, crowns, bridges, or veneers.

• Patients with difficult anterior cases in the esthetic zone can receive single or multiple dental implants to replace missing teeth, or veneers or crowns to improve the appearance of their smile.

In addition, they have a private dental laboratory called Prostho Dental Lab. An in-house, experienced, and certified dental technician creates each custom restoration for referred patients from the best materials using the latest technology. To send an implant case to our dental lab, please visit: www.prostholab.com

Norberto Delgado DDS Atlanta
Dr. Norberto Delgado is a Prosthodontist and a TMJ specialist of TMJ Disorders and Orofacial pain.
Carlos Castro DDS Georgia Prosthodontics
Dr. Carlos Castro is the only Board Certified Prosthodontist cross trained in Dental Implant Surgery

Online Referral Form

Dear Doctor:

We appreciate your confidence in us. To refer one of your patients to a Prosthodontist you can either download our referral form or fill it out online and send it directly to us.

We look forward to hearing from you!

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and I have advised my patient to contact your office for consultation.

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Objective of Prosthodontic treatment

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