Emergency dental care wheelchair bound patients.


Wheelchair bound patients come for emergency dental care in Kansas City and are extended the greatest of care.

Talk to a hospital orderly responsible for lifting patients who are unable to maneuver on their own, and they will tell you be careful of wrenching your back helping patients get in and out of wheelchairs.

Most dental or medical offices understand the need to have a family member or friend accompany the patient to assist in moving the patient in and out of their wheelchair.

Our dental team will tell you it’s a labor of love helping to transport patients in and out of an operatory or examination room back to a wheelchair.

Patients confined to wheelchairs develop great upper body strength attempting to balance and lift themselves throughout the day.

Become a stabilizing, steady support and assist where you can.

Special preparation may be necessary for those in oversized wheelchairs.

Older office suites may not have doors wide enough to accommodate large motorized chairs into examination rooms.

Well thought out before the patient’s visit, open areas can be used where large chairs are accessible to the office’s larger or open spaces.

Take the time to out think the problems of your day and you develop success for the office and the patient.

The dental office that treats geriatric patients should plan for treatment of the elderly, the majority of wheelchair bound patients.

Plan their treatment visits in the morning or early afternoon.

An agency that delivers patients all over town, had a new hire come to our dental office parking lot looking for a patient in a motorized wheelchair.

The lady patiently waited several hours for the agency to return to pick her up for a return trip home.

Our dental team administrator called the agency near the close of business who stated a young driver had pulled up to our door but did not see the patient and left due to his getting behind in the daily schedule.

The administrator was told to call the lady a cab and her motorized wheelchair would be picked up the following morning.

We gladly took the lady home learning a valuable lesson to check, verify and check again when patients are left by agencies who transport patients for a living.

This company it appears also has learned valuable lessons responding in a more professional manner and has grown transporting wheelchair bound patients with after hours dispatcher calls to ensure no one is left behind.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.   http://www.dentist4you.biz



Hairline fractures in dentures.


Hairline fractures in dentures should be repaired immediately to keep damage to a minimum.

As the acrylic bases of dentures become worn, stress fractures start to show during the normal wear and tear of the chewing cycle.

Separation of teeth and the supporting acrylic occurs because of a breakdown in the dental materials.

You will hear it stated on a regular basis tooth loss leads to bone loss. It also leads to stress and strain of the denture’s supporting material, acrylic.

On occasion older patients come into our emergency dental office with porcelain teeth used in the fabrication of their dentures.

Porcelain teeth wear away bone at a faster rate than what is normally used to replace a patient’s teeth.

Acrylic teeth provide a shock absorber effect, not near as abrasive on the remaining bone support.

It has been observed as bone is lost, the weakest portion of the denture is the area that is not supported.

Usually in the mid palatal area where a space develops under the denture is an ideal place to find fractures.

Solutions to severe fracturing of this area in the upper mid palatal region range from the placement of a metal mesh or full metallic palate.

The mesh gives added strength to the area most vulnerable to fracture.

Stress on the weak area is reduced placing a metal mesh.

On a few occasions the entire roof of the mouth is fabricated in metal like a cast chrome partial, greatly reducing the chances of breakdown in the roof of the mouth of the denture.

Yearly examination of the dentures check for potential fractures and normal wear.

One way to reduce fractures is to reline or reinforce dentures when space develops between the denture and remaining jawbone.

The higher percentage of fractures will occur in the upper denture due to the fact it normally spans the roof of the mouth for support is thin.

Lower dentures have a sturdy, bulky type of construction but are also capable of midline fracture due to a loss of bone.

The loss of bone causes the space underneath the denture base resulting in stress fractures of the supporting acrylic.

Take the time to visit a dental office for examination of your dentures and oral health.

Hairline fractures in dentures are a common occurrence as dentures age.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.   http://www.dentist4you.biz





Your teeth have been extracted and now you’re faced with problematic dentures.

Periodontal disease destroys the bone support of teeth resulting in their loos over a long period of time.

Toxins from the gum disease process force patients to consider the option of  removing teeth during advanced stages of periodontal disease.

The gum disease problem gets resolved ending the reign of terror inflicted upon patients who spend many hours in emergency dental care mode.

Making a transition into dentures may be trading one set of problems for another.

Dentures that are problematic will seem as though you have jumped from the frying pan into the skillet.

No one wants to trade one set of problems for another.

The goal of a dentist in the fabrication of dentures is to make them functional where there is a benefit provided in wearing them.

We see patients who are in transition, attempting to adjust to wearing their new dentures.

A major concern that must be addressed is weight loss.

Nutrition can be achieved in the interim on a liquid and/or soft food diet.

Patients are encouraged to take smaller bites while learning to chew with dentures.

The chewing process is found to be more mechanical.

Taste of food may be compromised due to the full coverage of the palate with dentures.

Not every patient will successfully tolerate the transition.

With help and encouragement, dentures can be used to improve the overall ability to chew.

Patients are given expectations before the removal of teeth in order to understand the role of dentures in the replacement of natural teeth.

An exaggerated visualization of the ability to chew is observed watching a cow eating grass.

The cow makes a lateral slide then back to a semi – circle – kind of chewing stroke.

Dentures as stated provide a more mechanical up and down chewing stroke with the tongue securely holding the lower denture in a stable position.

This mechanical motion occurs due to a lack of adequate lower jaw bone.

Patients with adequate lower jaw bone approximate the natural chewing stroke similar to what was experienced before the loss of teeth.

Information in this post speaks to the patient having difficulty adjusting to dentures.

Be thankful if you received your dentures and in short order was able to masticate effectively.

Problematic dentures should not be given up on and can be tolerated as your dentist helps you through the rehabilitation process.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.   http://www.dentist4you.biz



Why Dentures Gag

Dental Technology
Repair of Dentures and Partials

The repair of dentures and partials for most cases is done within the same day.

Patients should call their dentist in the early morning to get a case repaired by midday.

Partials made with metal frameworks may require welding to get the most stable repair available.

Welding is necessary where metal clasps have been broken leaving sharp metallic edges.

The average lifespan of a partial or full denture is 5-7 years.

For this reason traditionally dental insurance carriers will replace a removable prosthesis after this span of time.

There are some parts that must be ordered if precision attachments are used as a system of stability for the prosthesis.

Dentistry has many solutions for the patient wanting to gain greater stability for their partial or full denture.

A patient was seen in my office with a lower denture that rested upon two bilateral cuspids, the cornerstones of the mouth because of their heavy root structure.

Lower dentures are known for their instability because of poor bone support and the shape of the horse shoe jawbone.

The tongue engages the lower denture very easily, unseating it from its resting position.

Instead of extracting the cuspids, they were used to gain greater stability for the lower denture.

The clinical crown of each cuspid, tooth structure that is seen above the gum line, was shaved down to the level of the gum tissue.

Root canals were performed to seal the remaining root structure.

With no nerve inside of these teeth, a male member or post type arrangement was inserted within the remains of the tooth.

In the underneath side of the denture, female or receiving members were placed.

Inside the precision attachments (tiny thimbles) the receiving members, are nylon circles that snap over the tiny towers embedded within the tooth.

This arrangement gives greater stability to the partial or denture.

In offices where these parts are not on hand and have to be replaced, ordering them overnight may add 24-48 hours to your delivery time.

Repair of dentures and partials is not always a routine experience because of the additional parts and service required for new technology.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.    http://dentist4you.biz

Reference: Precision Attachments Wikipedia



Savvy periodontal health is desired after dental visits.

Same Day Denture Services

Same day denture services are available for the patient who is willing to be on call for most of the day.

This service is well planned and best handled for patients who come to the office for an initial consultation before the treatment is rendered.

At the start of business in the morning patients who have come from considerable distances are ready to start the same day denture services process.

Patients are pleased to see the life-like naturalness of denture teeth.

Patients who are veteran denture wearers will be somewhat easier to treat.

Their old dentures are a good reference source. With the old dentures there is good information that can be duplicated in the new dentures.

Receiving a set of dentures for the first time can be overwhelming as patients have very high expectations.

New denture wearers need a support system with excellent communication to get the patient beyond the many pitfalls of new dentures.

Before contracting with a clinic to make your dentures, understand the meaning of the above statements.

You must be willing to comply with information provided by the dental clinic.

The information will keep your frustration levels to a minimum as the problems arise keeping you from throwing your new dentures out the window.

It is my opinion first time denture wearers are not the best candidates for same day denture services.

First timers should take it slow and matriculate through the normal process for fabrication of dentures where check steps  help to control the final product.

The normal process includes waiting until the gums and bone have settled usually approximately 2 months after surgical procedures.

While waiting for the tissue to remodel and firm up, a transitional denture can be constructed.

It will keep the patient smiling while the gums are healing.

After the healing process you will have a better fit of the final prosthesis.

Dentists in KC see patients who are referred to as dental cripples because the bone support is close to non-existent.

It becomes very difficult to wear dentures when there is no bone support.

Same day denture services are great for treating patients who are veterans at wearing dentures.

From the Diary of my enlightenment,

A. L. Clark, D.D.S.    http://dentist4you.biz




Savvy periodontal health is desired after dental visits.

Savvy Periodontal Health Why Dentures Gag.

Why dentures gag is very problematic for patients that find it difficult to tolerate material in the posterior palatal area.

Denture clinics find it necessary at times to prescribe medication in order to get impressions taken for fabrication of the prosthesis

that replaces the missing teeth.

Many patients that gag at the appointment where impressions are taken can gargle with a topical anesthetic containing benzocaine

just before the impression material is loaded into the impression tray.

Benzocaine numbs the throat reducing the gag reflex.

Patients are asked to breathe through their nostrils for the time it takes the impression material to set into a solid state.

At the delivery appointment where the patient receives the new set of dentures, a decision is made to remove the palatal aspect

for optimum comfort or remove a minimal amount of acrylic from the most posterior aspect.

Why dentures gag is basically a factor of the upper denture.

Lower dentures that have over extended flanges can be reduced  for greater patient comfort as well.

Over extended denture flanges can cause the symptoms of a sore throat after muscles of the throat are impinged upon because  of denture

over extension.

Bite relationships where the teeth are out of balance and alignment can be balanced and re-aligned to better stabilize the dentures.

A good case is made for restoring the oral cavity with dental implants for patients with problematic dentures.

Dental implants allow the reduction of acrylic gum material to a minimal level and upgrades an oral prosthesis to a fixed replacement.

The reduction of acrylic gum material reduces the symptoms of gagging tremendously.

Not every patient wears a set of dentures successfully also a good case study why dental implants are so valuable in full mouth restoration and rehabilitation.

Dentures have served our patients for many years but will not handle every treatment situation.

It is understood not every patient will immediately be in a position to afford dental implants.

These statements will sow the seeds there is hope and treatment procedures available to you when you are able to improve your oral health.

Why dentures gag is a treatable problem for today’s patients who are looking for greater function beyond full dentures.

From the Diary of my enlightenment,

A. L. Clark, D.D.S.    http://dentist4you.biz

Why Dentures Gag

Why Dentures Gag


Dental Technology making a difference.

Problematic Bite Relationships


Problematic bite relationships in full dentures  cause patients to scurry from one dental center to the next.

Patients search for solutions that help improve their ability to chew.

Dentures are not a perfect system but aligned properly aid in the process of mastication.

I render emergency dental care in Kansas City.

Emergency dental care brings problematic bite relationships into the office.

Your dental emergency in KC will be treated in a professional manner.

Dentists maximize patient’s ability to chew making their dentures fit with excellent impression materials.

Bite relationship products used in our offices articulate your case to duplicate how the mandible and maxilla come together for a sound final set of dentures.

Mal-alignment of dentures can be corrected during the wax try-in appointment where the actual denture teeth are placed in a wax mould and checked in the mouth.

A young man came into the office and dentures were fabricated for the patient.

The most efficient way to register the bite relationship for veteran denture wearers is to mount the actual dentures on an articulator, using the dentures as custom trays.

An impression material is placed inside the old dentures for a better fitting set of new dentures.

It was noted upon mounting the case on an articulator the bite relationship was perfect.

One week later the patient returned to my office, wearing another denture that was made for him at an earlier time.

The denture made for him at an earlier time was removed and the new denture wax try-in was inserted.

The muscles of the maxilla and mandible had re-adapted to a bite position for the dentures made earlier.

The patient was allowed to simply sit in the waiting room wearing the new denture wax try-in for 20-30 minutes.

After that time re-evaluation noted the muscles had corrected the mal-alignment of the wax try-in.

Many times we as dentists return wax try-ins to our laboratories for a bite relationship reset to correct mal-alignment of dentures.

Try this simple technique when a bite relationship appears on target one week and problematic the next.

We all share our tips when discovered to help save time and frustration.

Patients that like the esthetics of one set of dentures and enjoy the chewing capacity of another, unknowingly cause problematic bite relationships for the new set being fabricated.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.    http://dentist4you.biz



Remain confident even during your most difficult days and you will succeed.

Leadership of Alexander the Great

A formidable lesson is learned from the leadership of Alexander the Great.

Many successful leaders have gone and come since antiquity.

Alexander became the measure against which military leaders compared themselves.

Intelligence and a propensity to learn quickly how to defeat his enemies were strengths on the battlefield.

I render emergency dental care in Kansas City.

We are learning lessons daily how to deliver the best emergency dental dentures in KC.

A general is being discussed today that never lost a battle despite typically being outnumbered.

The leadership of Alexander the Great starts with his birth July 356 – June 323 BC., born in Pelle, located in Central Macedonia in Greece.

He was tutored by Aristotle until the age of 16. By age 30, he had created one of the largest empires of the ancient world, stretching from the Ionian Sea to the Himalayas.

Alexander is known in history as one of the most successful commanders.

His empire stretched from Greece to modern-day Pakistan.

Alexander broke the power of Persia in a series of decisive battles, most notably the battles Issus and Gaugamda, conquering the entirety of the Persian empire defeating Persian King Darius III.

He died in Babylon in 323 BC, the city he planned to establish as his capital.

Rumors about his death range from assassination through poisoning to declining health due to years of heavy drinking and severity of wounds.

On his deathbed Alexander’s companions asked him to whom he bequeathed his kingdom; his laconic reply was “to the strongest”.

Another story offered the more plausible story that Alexander passed his signet ring to Perdiccas, a body-guard and leader of the companion cavalry, in front of witnesses, thereby nominating him.

Not everyone will have the opportunity to sit at the feet of master teachers the caliber of Aristotle.

To learn from masters of this sort certainly would give you a head start on your competition.

A study of Alexander teaches he was respected by his men, a leader fighting right alongside in the heat of battle.

It takes superior strategy to defeat forces with greater numbers.

History reports Alexander protected his flanks with creative battle formations and used superior weapons.

The Macedonian phalanx, armed with the sarissa, a spear 6 metres (20 ft) long, had been developed and perfected by his father Philip II through rigorous training.

Alexander also recognized the potential for disunity among his diverse army which employed diverse languages and weapons. He overcame this by being personally involved in the battle, in the manner of a Macedonian king.

He adapted his forces to his opponent’s style. A case in point while fighting armies with charging elephants he opened his ranks to draw them in and unseated the soldiers with the length of the sarissa.

The leadership of Alexander the Great made this intelligent general more effective using adaptation and creative strategic planning under fire in the heat of battle.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.   http://dentist4you.biz

Reference: Wikipedia Alexander the Great



Cosmetic dentures are custom prostheses providing maximum esthetics for patients.

Most people wear dentures successfully after the decision has been made to remove the existing teeth.

There is a transition that must be made by the patient if the dentures are to be worn successfully.

You gain a psychological edge understanding the transition from natural teeth to dentures.

Decisions made to remove the remaining teeth are based upon what is best for the overall health of the patient.

I render emergency dental care in Kansas City.

Patients are seen in dentistry for a wide range of health concerns in the consideration of dentures.

Tooth loss from periodontal disease and rampant tooth decay can make the teeth non-restorable.

Planning the proper size, shape, color, and placement of denture teeth in the esthetic zone provides an important inroad for success.

There is an opportunity for input from the patient before the dentures are processed and finished by a dental laboratory.

The esthetic zone is determined by the teeth that show in the patient’s smile line.

Maximum artistic expression is desired to make the set-up of the case as natural looking as possible.

Dentists guide the fabrication of the case for proper presentation and function.

A major priority for the dentist is helping the patient to chew and providing the best possible smile for the patient.

Key to the correctness of the case is the importance of having the patient see the actual teeth placed in wax, inserted and viewed by both the patient and dentist.

Corrections to the case are much easier in the preliminary wax stage.

Cases fabricated as immediate dentures lose this valuable step for the patient.

Immediate dentures are made for patients not wanting to be without their teeth confronting daily work routines.

Immediate dentures must be re-fitted or relined as the healing process shrinks the tissue.

Lumpy, bumpy gums may take as much as a year to heal and remodel into a more stable base to support the dentures.

Stability is the key to successfully wearing your dentures.

Patients wanting additional support should consult with their dentist regarding dental implants.

This technology has been around over four decades with very high success rates.

Work with your dentist for maximum results in the planning of your cosmetic dentures.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.    http://dentist4you.biz