A randomised cross-over study with a validated assessment tool was used to assess patient satisfaction and oral health related quality of life after the delivery of two sets of dentures: one set had an enhanced aesthetics. There was a significant increase in patient satisfaction and oral health related quality of life when baseline data was compared with both types of replacement dentures. Some patients preferred the prostheses with enhanced aesthetics, although all patients reported significantly increased satisfaction with their new dentures; these findings are explored. No difference was seen in the outcome variables between the control and aesthetic dentures and sequence of delivery showed no difference.