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Click to go to; SpecialsStandard Plus Dentures, One Day Dentures

SR-Ivocap Precision Injection Processing, Denture CareImmediate Dentures, Denture Relines, Cast Partial dentures,

Implant Supported Dentures, Denture Repairs,

Your First Dentures, Insured CoverageContact Us

Prices are subject to change without notice. Prices are posted for your convenience only and not offered as a quote for services.

Nothing Standard about our Standard Plus Denture:

Improved materials and upgraded procedures

means excellent value at a good price for you.

 

 2018 prices 

 

Single; Upper: $1475.00, Lower: $1525.00

First year that uppers and lowers are different prices!

Standard Plus dentures are our most common denture sold. They include Dentsply Portrait, Ivoclar or Heraus-Kulzer teeth. These teeth are all multi-layer, colour blended, high density acrylic which can last seven to ten years. All of them have been designed to look and function like natural teeth.

Our production protocol includes SR-Ivocap injection molding for all our new dentures.The material used for the denture base is Ivoclar High Impact injected acrylic that has additives in it that help it to withstand damage. I have been using this acrylic for over ten years and I am very impressed with the strength, flexibility, durability and colour fastness. For you this means strength, flexability, beauty and excellent fit, everything you want in a quality denture.

There are eight appointments needed to fabricate a standard set of dentures. Some may be combined to save time and travel.

Consultation; (10 minutes)

This appointment is used to "take a look" at the condition of your present dentures and oral tissues and discuss what treatment would be most suitable.

Examination and first impression; (30 minutes)

A more detailed look is taken of your situation and a treatment decision is made, using criteria important to you. Personal records are gathered about you and financial arrangements are made. The first impression is done with stock trays using alginate as a recording medium.

A deposit of 50% is required at this time. If you are covered by insurance your full portion is due.

Final impression; (30 minutes)

A set of custom impression trays will have been made for you and will be used during this appointment. The resulting impression is used to create a master cast of your oral tissues.

Tactile bite registration; (60 minutes)

Recording the relationship of your upper and lower jaw will take approximately one hour. You will also decide on a tooth shade.

First try in; (15 minutes)

The first try-in uses only the anterior upper teeth. You will be asked for your opinion and approval regarding the size, shape, colour and position of the teeth. After processing the teeth can not be moved. If there is someone whose opinion you value please bring them along to offer suggestions.

Second try-in; (15 minutes)

During this appointment you will have a final opportunity to see the full denture set up in wax. Once we have agreed on the esthetics of the denture it will be carved to look like mucosal tissue and the denture can proceed to processing. Do not proceed to finishing the denture if you are not very happy with it. Any changes to a finished denture can cost over $500.00 and will need to be paid for in advance.

The balance of your bill is now due.

Insertion; (30 minutes)

The denture is now complete and needs to be fitted to your mouth. Acrylic shrinks as the chemical reaction progresses and as a result some areas will be tight. These areas need to be adjusted so that you can wear your new denture without pain. You may need one or two more adjustments as you adapt to your new dentures.

48 hour check-up; (15 minutes)

This is your last scheduled appointment and it is used to make final adjustments to the denture base for comfort. Should you need further denture adjustments please don't hesitate to call and book an appointment. Adjustments are free for as long as you need them.

Annual recall;

As part of your ongoing maintenance program for your dentures and oral tissues we recall clients annually. The purpose of the recall is to record tissue changes, rates of wear on the teeth and re-equilibrate your denture(s). There is no charge for this service. If there is work required we will advise you to set up an appointment

Additional services available at regular fees; All extras must be paid for prior to starting.

Lower soft liner, $400 (Four hundred dollars) on existing dentures

Thermoplastic reline, $445 (four hundred and fourty five dollars) per arch

Our Price;

Our fees reflect the fairest value based upon the highest quality of materials, service and treatment options. 

Our Warranty;

We have a great deal of faith in our materials and our 20 years of experience and we are certain that your new dentures will look natural and fit comfortably, but if you are not satisfied with your new dentures please let us know.

We simply ask that you give yourself (and your friends) time to adjust to your new appearance. If after ninety days of daily wear you still have concerns we will schedule appointments to rebuild your denture(s).


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Precision Dentures are not available. Our Standard Plus Denture is now produced using the same materials and techniques as our Precision Denture without the use of a facebow. Our price reflects the cost of higher quality teeth and injection processing and so may not be fully covered at stated percentages by insurance carriers. They are still a $650.00 saving over Precision Dentures.


The facebow technique used in Precision dentures originated about 1900. Recent studies have indicated that it does not change the success rate of non-attached dentures significantly. As a result we have blended the materials and techniques used in our Standard and Precision dentures into one service called Standard Plus Dentures. Our price is set between the two association recommended prices.

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One Day Dentures (Standard Plus Dentures only)

Complete upper and lower Standard+ dentures take about eight to ten hours to fabricate. Whether that time is compacted into one long day or expanded over two weeks has no effect on the quality or workmanship involved.  If you are in town for a limited time it is a good idea to prearrange to get your denture made the first day of your time here so that we can use the remainder of the time for adjustments and getting used to the new denture(s).  We usually need a weeks notice so please make arrangements as soon as you can.

We complete all the appointments that you need to be present for in one six to eight hour day, the rest of the time is processing which is done over the next evening or two. Unfortunately we can not offer the same service on partial dentures due to the metal framework.

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SR-Ivocap Precision Injection Processing

 

Included on Standard Plus dentures and partials.($190.00 value per denture)

Click the link to the right to see a short video on theSR-Ivocap system https://www.youtube.com/watch?v=mpXPY-aKoRU# 

The success of the SR Ivocap Injection System is based on its well thought-out technique. With conventional denture fabrication techniques, the chemical shrinkage of the polymethyl methacrylate during polymerization results in inaccuracies of fit. The SR Ivocap Injection System features controlled heat/pressure polymerization, during which the exact amount of material keeps flowing into the flask to compensate acrylic shrinkage. The SR Ivocap injection procedure permits the fabrication of high-quality dentures that fit outstandingly and are comfortable to wear.

INJECTION TECHNIQUE
The methyl methacrylate is pressure injected into the flask after mixing. The pressure remains unchanged during the entire polymerization process. In this way, denture base material is continuously pressed into the flask and compensates for polymer shrinkage, which is the main source of inaccuracies and the reason for later adjustments .

.ADVANTAGES AT A GLANCE

Denser acrylic is more stain and odor resistant

Fewer adjustments

Longer lasting dentures

Controlled polymerization with continuous compensation of the material shrinkage during the entire process.

The special injection procedure reduces the risk of system-induced increases in vertical dimension.

Heat/pressure polymerization provides good physical properties and a high degree of homogeneity.
The homogeneous SR Ivocap High Impact denture base reduces the risk of possible fracture.
No mixing or dosing errors due to predosed, encapsulated material preventing direct skin contact with monomers.

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Immediate dentures:  Upper: $1800.00   Lower: $1850.00


First year that uppers and lowers are not the same cost.

What is an immediate denture?

An immediate denture is a denture that is constructed before the teeth are removed and inserted by the dentist immediately after the extraction surgery.

An immediate denture is not an off the shelf stock item like an inexpensive t-shirt ready for use.

What is good about immediate dentures?

If you can not imagine going out in public without teeth, immediate dentures may be just what you are looking for. There is no waiting period for healing and limited opportunity for embarrassment in public. The immediate denture is inserted by the dentist right after he/she has completed the extractions. The anesthetic is still working and there is no pain. The new denture acts as a pressure bandage over the surgical wounds and helps reduce bleeding and speeds healing by protecting the area from debris.

What is bad about immediate dentures?

Immediate dentures must be considered temporary dentures with a useable lifespan of only one year. This is because during the first twelve months there are significant changes in the surface of the gums and even the relationship between the jaws may change. In this time the bone and tissue has healed and the first stage of bone shrinkage (resorption) has slowed. Resorption continues throughout life at the rate of one half to one millimeter per year per arch making relines necessary about every two years.

Because immediate dentures are constructed prior to extractions it is not possible to try them in to check on the appearance and make corrections. This can be problematic if the patient is anticipating a certain appearance and the result is different than expected. One of the goals of immediate dentures is to disguise the fact that major dental work has been done. The only way to achieve that goal is to reproduce the position and shape of the natural teeth as closely as possible. This means that the denture smile will be almost indistinguishable from your natural smile.

While you have been loosing teeth over the years your jaws have had to cope with increasing dysfunction. With fewer and fewer teeth contacting and more numerous spaces to contend with your jaw adapts by moving left, right or up closer to your nose. Your teeth may also adapt by migrating to fill spaces or over-erupting in order to regain usable contacts. The result may be an overbite that you did not previously have or a protruding chin or both. Either way this may not be the dental picture that you envision for yourself.

Immediate dentures require a significant amount of additional work on the part of the denturist and this is reflected in higher costs for the patient. Higher initial cost and the possibility of having to replace "new" dentures in twelve months because they do not look as expected may be enough of a reason to delay the purchase of dentures until there has been sufficient healing. Provision for try-ins is included in standard dentures to allow for esthetic changes. The initial healing period (closing of the tooth sockets) usually is completed in three to four weeks.

What do we recommend?

We want our clients to have the most promising opportunity to be satisfied with their dentures. We believe that waiting for a few weeks to allow for initial healing is the best choice. At that time we can construct a denture that incorporates physical changes due to healing, jaw orientation and esthetic wishes of the patient. Any changes in appearance can be seen at try-ins and corrected until satisfaction of the patient and denturist is achieved. A reline will still be required at about one year post extractions to compensate for continued bone loss. This choice also represents a significant financial saving for the client.

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Denture Relines

Dentures don't need relines because the tissue side has worn out but because the bones of the jaw have worn down due to the pressure from wearing dentures. If the dentures move a lot, this process is accelerated. This process is called resorption and accounts for 1/2 to 1mm of bone loss per year.  Keeping your dentures fitting as closely as possible and thus reducing movement will help preserve the bone in the jaw. That is the reason we recommend that relines be done every two to three years.

Soft relines $400.00

This type of reline has the consistency of a pencil eraser and is placed in the lower denture for comfort.  It is usually placed in a lower denture rather than the upper.  Soft relines are not as durable as regular relines and usually need to be replaced every year.  Often they are invaded by yeast or bacteria because they are more porous.

Regular relines $350.00

This reline is made from the same hard material as the denture base and simply refits the denture base to the gums by adding a thin layer of new material.

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Cast Partial Dentures; Depending on design, between $1800.00 and $2500.00

Many of the frameworks can now be printed by a computer! They are lighter, stronger, more flexible and resist metal fatigue longer. For the time being they are the same price.

A more accurate figure can be given after a consultation.  

Implant supported dentures; Starting at $2500.00 per arch plus parts

There are so many different styles of implants that quoting a set price is impractical. We would be more accurate if an appointment for a complimentary consultation was arranged and then we could discuss the different systems available

Before you get implants do your home work (or Googlework :)

The advice I am going to give here is only anecdotal but it is based on 20 years of dealing with good bad and ugly implants, weeks and years after they were placed. Talk to a qualified Prosthodontist, Periodontist, or dentist. Like many other health sciences dentistry is becoming so complex and the knowledge base so large that special branches have developed that focus in various areas. The specialist in this area is either a prosthodontist or a periodontist both trained extra years to be proficient in their special fields which includes implants. Dentists have years of training in lots of fields of oral health and many have taken extra post doctrinal training in implants. 

Some how, either accident, poor diet, poor oral hygiene and limited treatment availability contributed to your tooth loss. Back in the 30s' and 40s' dentistry was very different and the loss of teeth was considered inevitable. Many of these circumstances were just part of our up bringing. Today few mothers would put babys' to bed with a bottle never mind one filled with fruit juice. I grew up on Kraft Dinner and Twinkies and fried chicken, my kids did not. Lucky for me we had a good dental plan and a militant mom.

If you don't brush your gums and clean your dentures daily don't jump into implants. The most common reason for the loss of implants is poor oral hygiene. Implantitis is the infection of tissue around implants. It can sometimes be treated with antibiotics. There may be little or no pain involved before an implant comes out in your denture.

Develop the gum brushing habit before you invest 10 to 50 thousand dollars. It will help your implants last many years. See the dental professional of your choice two to three times per year for cleaning.

Oh and quit smoking. Smoking introduces so many toxins and dirt into your system that infection is far more likely.

Implants need to be treated kindly. Don't use them without your dentures (I had a client flatten the retaining balls on a  brand new implant, they had to be replaced) and don't over stress them too early. They also need to be well maintained regularly, nylon or silicone parts wear out in three to six months and need to be replaced. The denture also needs to be relined just as it would have before about every two years.

I prefer implant dentures that you can remove yourself so that you can continue good oral hygiene. They can be just as successful as secured unitized bar systems. Bonus... they cost less.

Google "dental implants" and you will find lots of information. Visit doctorspiller.com a website by a dentist in Texas, he has lots of information on everything dental written in English not dentaleze.

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Denture repairs Start at $125

If you have had an accident with your dentures they can be fixed quickly. Just stop by our office in Parksville and your repaired dentures will be ready for pickup usually in an hour or so.

Dentures can be broken by accidental dropping or plastic fatigue. Much like metal, plastics are damaged when they flex because this creates repeated micro-fractures. Like a coat hanger that will eventually weaken and break so will your dentures. You may not be aware of your denture even moving much less flexing but it happens with every bite. The best way to reduce the possibility of a fracture is to have your denture refitted every two to three years. A better fit results in less flexing and breakage. A tooth popping off is caused by the same type of repeated pressure, but in this case it is the bond between the tooth and the denture base that weakens and gives way. It is not the banana you just ate that took out your tooth but the nuts you love to nibble on often. My weakness is popcorn and I have to watch out for the unpopped kernels too.

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Your first dentures or partial dentures

If you are new to dentures/partial dentures this short outline will help clarify what you can expect in the first year or two. Whether your prosthetic was inserted right after tooth extraction or you waited for your gums to heal your early experience will be similar. I have not sugar coated anything but don` t be discouraged, over fourty million North Americans have learned to wear unattached dentures successfully and you can too. I am determined to make your experience as successful as it can be.

Your dentures or partial dentures will feel big, foreign and stimulate your salivary glands for some time. For anywhere from two hours to two weeks the six major salivary glands will work overtime. The extra fluid will float your new dentures off their foundation and make things more difficult. Eventually the excess production will stop and the saliva will help to create a seal.

The forces acting on your dentures originate from a number of sources: muscles, mucosal tissue, sticky foods, excess liquid, gravity, suction, adhesion, cohesion, design and occlusal forces. Some of these forces help to stabilize the dentures but most will dislodge them. The most obvious dislodging force is using the dentures to eat. Learning to balance food, dentures and biting forces and direct this pressure through a bolus of food that can only be felt indirectly through the denture base takes a lot of practice and perseverance. On average people new to dentures take about 90 days of daily wear (including meals) to begin to use their dentures properly. You won't master your dentures if you don't wear them when you eat. No two experiences will be the same; even if the dentures are made by the same person, too much depends on your anatomy. Much of your success will depend on your perseverance, the condition of the remaining ridges and the amount of space between your gums for artificial teeth. Your friend's advice may be helpful but the experience of someone who has been wearing dentures for ten or twenty years is not relevant to you.

You would think that having more bone would be a benefit but there can be too much of a good thing, at some point there is not enough room for dentures. If your gums are larger than average or more rugged than usual, the space available between the gums for dentures is reduced and until the bone heals and then rounds off, learning to use dentures may be a challenge. Your jaw operates comfortably within a vertical space of about fifteen millimeters so just opening wider does not solve the problem. The bone reduction will take twelve to eighteen months to reach a state that allows more than minimum room for artificial teeth. Some of the problem can be dealt with when extractions are done through bone reduction but most of the time all existing bone is left to round off naturally.

If gradual tooth wear and loss has led to reduced vertical space one of the consequences may be shortening of muscles and ligaments which may not be able to recover. This situation can also occur if a reline or new dentures are postponed for over two years. Dealing with these changes while they are small and reversible is one reason for relines. For the first year or so it is best to deal with these changes with replaceable liners called tissue conditioning because they will need to be done often and are less expensive.

You may develop sore spots or bite your cheeks and tongue with new dentures. This can be a problem whether you are new to dentures or experienced. Your muscles will adapt to the new shape of your oral cavity in time. If the problem persists beyond six months some occlusal adjustments can be done.

Unless your dentures are attached to implants they will move when you eat because the chewing force is easily stronger than any suction that will occur. This applies to partial dentures as well. Learning to use dentures is as much about discovering what you can not do as learning what you can do. Biting off hard or tough foods and chewing on one side will always dislodge dentures. You may be able to reduce the number of times they dislodge by counteracting these forces with your tongue. Food will seem to find its way under your denture all on its own. The food is actually being pushed there by your tongue and cheeks as part of the action of chewing. Remember your dentures and partials are not part of you so when they are pushed off your gums by some of the forces mentioned earlier food will also be pushed underneath. Artificial teeth are only 20% as efficient as natural teeth due to the pain limitations of the oral mucosa, you will take longer to eat a meal.

By changing the shape of your oral cavity your speech will also change. New patterns will need to be developed that compensate for the loss of room and sense of touch so that you speak clearly. Reading out loud for some time each day will help the situation improve faster.

Your new dentures will need maintenance to retain a close fit to your gums as they heal and remodel. Near the end of the first year the shrinkage of the bone will slow down noticeably. This is the time to get your first permanent reline , you will need a reline approximately every two years to replace lost hard and soft tissue. This bone shrinkage is called resorption and will continue for the rest of your life at a rate of about 1mm per year. In some cases a new denture is recommended due to large changes in your anatomy. The costs for these services is not included in the price for your first denture. The normal cycle for denture service and maintenance is; new denture---reline at 2-3 years--- new denture at five years. Some higher quality teeth may last long enough to have two relines done between denture replacement. The rate that relines need to be done depends on the rate of resorption of your oral tissue and the wear of the artificial teeth, the tissue fitting surface of the denture does not wear down.

I don't want to promise you something that can not be delivered but I will promise to work with you until your dentures are functioning as well as they can. In the end you will be one of fourty million denture wearers that can eat, smile and speak with confidence and comfort. For more information on dentures visit doctorspiller.com and follow the heading for dentures. The website is maintained by a dentist in Texas and it is written in easy to understand language rather than dentaleze. He also does not sugar coat anything so he and I have similar views.

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Denture Care

Even though you wear dentures it is still important to seek dental services regularly for evaluating your tissues and to examine the denture for proper fit, comfort, and function.

Dentures are made of tough, flexible plastics that can last for years with proper care and maintenance. The manufacturers suggested life span of new dentures is five years. Within that time you can expect to have the tissue surface refitted and perhaps one or two repairs due to accident or normal wear. With todays hardened tooth acrylics you may extend the lifespan to seven years by refitting them a second time.

Your dentures are porous like a sponge. While in your oral environment they soak up saliva, sugars, proteins, spices, odors, medications; everything that you put in your mouth as well as the ever present natural collection of viruses, bacteria, yeast and fungus. A thorough daily cleaning is required in order to keep all those micro-organisms and food sources at a tolerable level.

The best way to clean your dentures is with a denture cleaning solution in an ultrasonic tank. Rinse off any gross debris under running water and soak the dentures in your favourite denture cleaning solution.

Household cleaners react with denture plastics making them weaker over time.

Why should I clean my denture daily?

Daily cleaning of your denture is necessary to prevent build-up of plaque, food, calculus (tartar), and stain which can cause:

  • problems with appearance or esthetics
  • mouth odor
  • irritation to the tissues under the denture
  • infections in the mouth

How do I keep my dentures clean?

Rinse the denture under water after meals to remove loose food debris.

Wipe lightly with a soft tooth brush to remove difficult debris. Don't brush your dentures like you are cleaning vegetables. The bristles in denture brushes and most tooth brushes are too hard and sharp for the soft plastic of dentures. After three to six months of scrubbing, your dentures will be harder to clean because the surface will have lost its sheen and plaque will stick even harder to the roughened surface.

Use a separate brush for cleaning any natural teeth you have.

The denture can be soaked in a solution such as Polident or a detergent with a chemical action that removes or loosens light stains and deposits. Rinse the denture with water afterward. These soakings can be done daily or several times a week. We carry Renew, Nu-Dent and Novadent, all are stronger cleaners.

Ultrasonic cleaning is very effective and will clean as well as an eight hour soak in fifteen minutes. We can order an ultrasonic unit for you for about $250.00. Anything cheaper does not last very long.

 

Some helpful hints:

When brushing the appliance do not squeeze it as this can break the denture.

Clean the denture over a sink half filled with water and place a towel in the sink to act as a cushion in case the denture should drop.

Do not soak or rinse the denture in hot water, this can distort the shape and fit of the denture. Use water from the tap not from the kettle.

Never scrape the denture with sharp instruments in an attempt to remove hard deposits. Instead, take it to a dental professional for them to remove the deposits.

Never use a hard bristled brush to clean the denture. This can scratch the finish of the denture.

Make sure to leave your denture out overnight, or out of the mouth for a period of three to six hours daily. Wearing them all the time without allowing your gums a chance "to breathe" can result in infections of the soft tissues under the denture.

When your dentures are not in your mouth, keep them in water or denture solutions. Unless you are storing them away they need to be kept in a wet environment in order to maintain the proper fit.

Not only do your dentures need maintenance, but care also needs to be given to the tissues under your denture.

The gums should be cleaned daily with a soft toothbrush or a washcloth. This removes the plaque and debris on the gums. It also massages and stimulates circulation of tissues.

It is very important to keep any remaining natural teeth free of plaque.

VISIT YOUR DENTIST ONCE A YEAR TO CHECK THE HEALTH OF YOUR GUMS AND REMAINING TEETH.

Storing old dentures to be used as a backup

 

Clean the denture or have it cleaned at a denturist office. Soak the denture in a solution of warm water and 1/2 tsp. of household bleach (not any other cleaning solution) for ten minutes, no longer. Rinse the denture well and allow it to dry over night. The denture will warp but it will be so little you won't notice. Put the denture in a plastic bag but do not seal it closed. Put a paper clip on it. Store the dentures in a safe place (I suggest your sock drawer, it is soft and protected). If you need to use them for an emergency, soak them in water for a few hours and they will return to their original shape just like a sponge. When you are finished with them re-clean them and store them away again.

 

Just a note about bleach and hydrogen peroxide: Daily use of these strong chemicals will breakdown the plastics of your denture and weaken them. They will provide a mid-level grade of disinfection which will kill most pathogens after ten minutes at concentrations of 100 parts water to 1 part bleach or hydrogen peroxide. Do not use them often. I suggest once, after a viral or bacterial infection or once every month for prolonged illness. Bleach will not remove plaque on dentures but it will kill it.

 

Denture Adhesives:

It takes a few tries to find the right amount of adhesive for your dentures. Too much adhesive can cause oozing. We strongly recommend you start with small amounts, and adjust later on.

 

To apply adhesive to your dentures:

  • Clean and dry your dentures.
  • Squeeze the tube from the top and apply adhesive in dashes or strips (as shown), not too close to denture edges.
  • Rinse mouth before inserting dentures.
  • Press dentures in place, hold firmly and bite down for a few seconds.

Helpful Hints:

  • Keep the cap and nozzle dry so the opening does not clog
  • Keep the tube at room temperature for easy application
  • Apply adhesive evenly and spread over the entire surface in a thin transparent film, this is not a cushion
  • Follow the manufactures recommendations, some adhesives require you to close your teeth together for 5-10 minutes to allow the material to react and set in order to work properly.

Eating with your new dentures

Just as an artificial limb is intended more for aesthetics than function, dentures are meant to improve your chewing ability beyond just using your gums and do not function nearly as well as natural dentition. Your bite force with natural teeth was near 200 lbs. per square inch. With dentures that force is reduced to 25-30 lbs. per square inch because your soft gums hurt when you bite too hard. As a result you will take longer to eat a meal. Lining up dentures and food so that you can chew takes some practice. I usually suggest that 90 days is the earliest that you should expect to become proficient with your dentures. Implant supported dentures increase your biting power to 180 lbs.per square inch and move very little, that is why we recommend them.

Here are some hints from my patients:

  • Start to learn and practice with soft foods and gradually introduce firmer foods over a period of weeks
  • Cut your food into small bites about 1/2 inch across
  • Try to chew on both sides at the same time so that uneven pressure does not dislodge the denture
  • Bite foods off in the canine area rather than the front your denture is more stable there
  • When biting off foods don't pull the food away from your mouth as you bite, work your way through it first.

You may bite your tongue or cheek with new dentures, after about two weeks you will find that you don't anymore, your muscles have adapted to the new shape of your dentures

Your diet

Although some foods like nuts, vegetables and salads may be difficult to eat try to keep them in your diet. Many carbohydrates (potatoes, bread, corn peas, snacks) are easy to eat with dentures and become a large part of the diet. Don't give in, stay healthy with a varied diet.

Denture Maintenance:

As time passes your jaw bones change shape due to wear from the movement of your dentures and the natural smoothing off of the tooth sockets. The first twelve to eighteen months the bone will change quite rapidly. There will be enough bone remodeling every three months that it may be necessary to refit your denture. This will be done 3 to 4 times in the first year. Aadapting the denture to accommodate for those changes by doing relines is very expensive. A more economical choice is a temporary liner called a tissue conditioner. It is less than half the cost of a reline and is removable so that another liner can be added later. Tissue conditioner costs $125.00 each time and we do the first one free.

 

About two or three years after your first permanent reline you will need another one. By then your bone and soft tissue will have changed enough that your denture is loose and moves when you use it. When your denture moves it is wearing down the bone supporting your gums and contributing to accelerated bone loss. Keeping your denture fitting well slows bone loss. You may not be in pain or feel that you need any work done because your denture does not hurt but ignoring this part of maintenance means very poor performance later in life when not much can be done. Keep up on relines, usually you get new dentures, one reline and then new dentures again because the teeth have worn down too much. You may get two relines if you have chosen high quality dentures.

 

Dentures usually last five to ten years depending on your diet. The more expensive Standard Plus denture may last up to ten years with proper care. It is advisable to get your dentures checked at least every year so that the teeth can be adjusted (if you chew mostly on one side, like most people)

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Explaining your Insurance coverage

One of the recent changes to our fees is the separation of insurance filing charges and denture service charges. Just like a "Form Fee" charged by your doctor. Not all insurance carriers are willing to pay such charges so they are passed on to you.

Your dental insurance coverage is a contract between you and the insurance carrier. Please be aware that you are personally responsible for all fees. We will help you fill out forms and will forward them to the proper companies as a courtesy to you. If payment is assigned to us we will apply all funds received on your behalf. If there is a balance owed we will notify you and request that you contact your carrier to settle the matter as well as make arrangements for payment. In the event of an over payment you will get a refund cheque.

Insurance quotes are rarely accurate please view them as a very rough guideline.

Insurance carriers promote their coverage as a percentage of fees recommended by the Denturist Association of British Columbia or set up independently by the carrier. That percentage is not related to the fees at Accura Denture Clinic. This creates coverage discrepancies between one billing system and the other. 90% coverage by your carrier may only be 75% of the actual fee charged. Carriers do not calculate each claim, they pay a set dollar amount for each service. My denture fees are higher than insurance carriers are willing to cover. This is because of the high quality of the artificial teeth I use and the improved method of processing. My dentures are more likely to last seven to ten years with proper care and maintenance than a "Standard" set of dentures. Click on "Standard Plus" Dentures at the top of the page for details.

Private insurance companies may:

  • cover a portion/percentage of the cost based on their own fees not those of the clinic or the denturist association.
  • base their payments on fee guides from previous years
  • disallow specific services
  • change percentages and coverage based on negotiations with employers
  • change percentages and coverage based on employment status, age or marital status.
  • have privacy protocols in place that prohibit them from communicating with anyone other than the insured. In that case all preauthorizations will be sent to the client and must be brought to the office to be billed later.
  • not recognize paperwork as a legitimate fee
  • not be willing to send the denturist office any payments(called non-assignable). In this case you pay the full amount and are reimbursed directly by the carrier.
  • consider a denturist a "specialist" and refuse payment because only general practitioners (dentists) are covered

 

Example 1
  Denturist Fee Guide Insurance A Insurance B
Complete Dentures $2800.00 $1162.50 $1680.00
Regular Reline $350.00 $160.00 $265.00
Fracture Repair $140.00 $72.00 $97.51

These examples are from two government bodies yet the prices are not the same because one is federal and one is provincial. Private insurance carriers such as Sun Life and Great West Life have different pricing again.

 

Sorting out what the final cost to the patient will be can be a puzzle because often there are additional fees billed from other providers that a denturist is not aware of.

Example 2

If a plan has a total annual limit of $2000.00 regardless of the type of service and a client comes to the denturist office for a new partial but has recently had a bridge placed, the amount available may no longer be sufficient to pay for the insurance portion of the partial.

Example 3

A plan has an annual limit of $1000.00 based on their fee guide. Although this seems to indicate that there is $1000.00 available that is not the case. The payments are based on the companies fee guide so only that percentage of the fee will be paid. If a repair costs $140.00 and the fee guide in use only pays $72.00 for that service the insurance provider will not pay the $68.00 difference even though the total is within the annual limits.

Very often the payment that we receive from insurance carriers is different from what we expected. Sometimes we are paid more and we issue you a refund cheque. If we feel the carrier has made a mistake we will contact them and attempt to sort out the billing error. When the payment we receive is less we will make you aware of it and set up a time for you to pay the balance. If you feel that your insurance carrier is in error please contact them and discuss your situation with their client support team.

Multiple Coverage

Some people have coverage from two or more carriers. Usually if both persons in a couple are working they are covered by their own insurance AND their spouses. Many special conditions apply and carriers are not obligated to explain them to providers due to privacy laws. A recent case, Primary insurance ( carrier of the person being treated) 100%, secondary insurance (Spousal coverage) 100%, great plans right? No. Charges are $2,900.00 for services. The first plan has an annual limit of $1000.00 the second plan will not pay more than the primary plan. The result is the primary plan pays only $1000.00 and the secondary plan by billing small fees first only paid $800.00 Balance owing $1,100.00. Not a nice surprise when preauthorizations indicated full coverage.

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Specials:

We carry three different kinds of denture cleaner that are stronger than what you can buy over the counter.

Renew........$10.00

Nu-Dent......$10.00

Nova-dent...$10.00

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Nanaimo                                                                             Parksville
           
The Nanaimo Clinic has gone mobile.                         #302- 885 Island Highway W
We will do house calls until we have located              French Creek Landing 
 a suitable location. The phone numbers are still:     T: 250-586-0443
T:250-751-8588                                                               F:250-586-0440
F:250-586-0440                                                               E: info@accuradentures.com
E: info@accuradentures.com                                      


 

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