DENTURES
Frequently Asked Questions
Getting Your Smile Back
Your Dentures
If you're like most people who are learning
about dentures, you probably have many questions. Dentures have been around for
many years. The earliest form of denture was introduced more than 2,000 years
ago. Today, dentures are of better quality and are more comfortable than ever
before.
Replacing missing teeth has substantial
benefits for your health and your appearance. A complete denture, also called a
full denture, replaces all the natural teeth and provides support for cheeks and
lips. Without this support, sagging facial muscles can make a person appear
older. And by replacing missing teeth, dentures improve a person's ability to
speak and to eat.
A denture is a removable
replacement for missing teeth and adjacent tissues. It is made of acrylic resin
(a plastic), sometimes in combination with various metals. Complete dentures
replace all the teeth, while a partial denture fills in the spaces created by
missing teeth and prevents other teeth from changing position. Complete dentures
are either "conventional" or "immediate". A conventional
denture is placed in the mouth after all of the teeth are removed to allow for
proper healing, whereas an immediate denture is placed as soon as the teeth are
removed. The drawback behind an immediate denture is that it may require more
adjustments after healing has taken place. An overdenture is a denture that is
constructed with special attachments to attach it to some retained roots or
dental implants so that it will stay firmly in place.
Who needs a denture?
Candidates for complete dentures
have lost most or all of their teeth. A partial denture is suitable for those
who have some natural teeth remaining. A denture improves chewing ability and
speech, and provides support for facial muscles. It will greatly enhance the
facial appearance and smile.
What happens when you get a denture?
To make a full conventional
denture when all teeth have been lost or all extraction sites have healed. An
initial diagnosis is made; an impression and wax bite are made to determine
proper jaw position; a "try-in" is placed to assure proper color,
shape and fit; and patients final denture is placed , following any minor
adjustments.
New denture wearers need time to get accustomed to their new teeth because even
the best fitting dentures will feel awkward at first. Most patients can begin to
speak normally within a few hours, many patients report discomfort with eating
for several days or weeks. To get accustomed to chewing with a new denture,
start with soft, easy to chew foods. In addition, denture wearers often notice a
slight change in facial appearance, increased salivary flow, or minor speech
difficulty.
How do you care for a denture?
A denture is fragile, so it is
important to handle with care. Remove and brush the denture daily, preferably
with a brush designed specifically for cleaning dentures, using either a denture
cleaner or regular soap and water. Never use harsh, abrasive cleaners, including
abrasive toothpaste's, because they may scratch the surface of the denture.
Don't sterilize the denture with boiling water or place it the dishwasher
because it will cause it to become warped. If you wear a partial denture be sure
to remove it before brushing your natural teeth.
When not in use, soak it in a
cleaner solution or in water. Get in the habit of keeping the denture in the
same safe and handy place to reduce the likelihood of misplacement.
Should a denture be worn at night?
While you may be advised to wear
your new denture almost constantly during the first two weeks even while you
sleep-under normal circumstances it is considered best to remove it at night.
Research has shown that removing the denture for at least eight hours during the
day or night allows gum tissue to rest and allows normal stimulation and
cleansing by the tongue and saliva. This promotes better long term health of
gums.
Follow up Denture Care
It is important to continue
having regular dental checkups so that we can examine your oral tissues for
signs of disease or cancer. As you age, your mouth will continue to change as
the bone under the denture shrinks or recedes. To maintain a proper fit over
time, it may be necessary to adjust your denture or possibly remake your
denture. Never attempt to adjust a denture yourself and do not use denture
adhesives for a prolonged period because it can contribute to bone loss. When in
doubt, give us a call.
What's the difference between
conventional dentures and immediate dentures?
Complete dentures are called
"conventional" or "immediate" according to when they are
made and when they are inserted into the mouth. Conventional dentures are made
and inserted after the remaining teeth are removed and the tissues have healed.
Healing may take several months.
Immediate dentures are
inserted immediately after the removal of the remaining teeth. To make this
possible, the dentist takes measurements and makes the models of the patient's
jaws during a preliminary visit.
An advantage of immediate
dentures is that the wearer does not have to be without teeth during the healing
period. However, bones and gums can shrink over time, especially during the
period of healing in the first six months after the removal of teeth. When gums
shrink, immediate dentures may require rebasing or relining to fit properly.
What is an overdenture?
An overdenture is one that
fits over a small number of remaining natural teeth that have been prepared by
the dentist. The prepared teeth provide stability and support for the denture.
We can determine if an overdenture would be suitable for you when we examine
your mouth and remaining teeth.
What will dentures feel like?
New dentures may feel awkward
for a few weeks until you become accustomed to them. The dentures may feel loose
while the muscles of your cheek and tongue learn to keep them in place.
It is not unusual to
experience minor irritation or soreness. You may find that saliva flow
temporarily increases. As your mouth becomes accustomed to the dentures, these
problems should diminish. One or more follow-up appointments are generally
needed after a denture is inserted. If any problem persists, particularly
irritation or soreness, be sure to call.
Will dentures make me look
different?
Dentures can be made to
closely resemble your natural teeth so that little change in appearance will be
noticeable. Dentures may even improve the look of your smile and help fill out
the appearance of your face and profile.
Will I be able to eat with my
dentures?
Eating will take a little
practice. Start with soft foods cut into small pieces. Chew slowly using both
sides of your mouth at the same time to prevent the dentures from tipping. As
you become accustomed to chewing, add other foods until you return to your
normal diet.
Continue to chew food using
both sides of the mouth at the same time. Be cautious with hot or hard foods and
sharp-edged bones or shells.
Will dentures change how I
speak?
Pronouncing certain words may
require practice. Reading out loud and repeating troublesome words will help. If
your dentures "click" while you're talking, speak more slowly.
You may find that your
dentures occasionally slip when you laugh, cough or smile. Reposition the
dentures by gently biting down and swallowing.
How long should I wear my
dentures?
We will provide instructions
about how long dentures should be kept in place. During the first few days, you
may be advised to wear them most of the time, including while you sleep. After
the initial adjustment period, you may be instructed to remove the dentures
before going to bed. This allows gum tissues to rest and promotes oral health.
Generally, it is not desirable that the tissues be constantly covered by denture
material.
Should I use a denture
adhesive?
Dentures are made to fit
precisely and usually do not require use of an adhesive for comfort. In an
emergency, denture adhesives can be used to keep the dentures stable until you
see the dentist, but prolonged use can mask infections and cause bone loss in
the jaw. Likewise, a poorly-fitting denture, which causes constant irritation
over a long period, may contribute to the development of sores. If your dentures
begin to feel loose, or cause pronounced discomfort, see your dentist
immediately.
How do I take care of my
dentures?
Dentures are very delicate and
may break if dropped even a few inches. Stand over a folded towel or a basin of
water when handling dentures. When you are not wearing them, store your dentures
away from children and pets.
Like natural teeth, dentures
must be brushed daily to remove food deposits and plaque. Brushing helps prevent
dentures from becoming permanently stained and helps your mouth stay healthy.
It's best to use a brush designed for cleaning dentures. A toothbrush with soft
bristles can also be used. Avoid using hard-bristled brushes that can damage
dentures.
Some denture wearers use hand
soap or mild dishwashing liquid, which are both acceptable for cleaning
dentures. Avoid using other powdered household cleansers, which may be too
abrasive.
The first step in cleaning
dentures is to rinse away loose food particles thoroughly. Moisten the brush and
apply denture cleanser. Brush every surface, scrubbing gently to avoid damage.
Dentures may lose their shape
if they are allowed to dry out. When they are not worn, dentures should be
placed in a denture cleanser soaking solution or in water. Never place dentures
in hot water, which could cause them to warp.
Ultrasonic cleaners are also
used to care for dentures. However, using an ultrasonic cleaner does not replace
a thorough daily brushing.
Can I make minor adjustments
or repairs to my dentures?
You can seriously damage your
dentures and harm your health by trying to adjust or repair your dentures. A
denture that is not made to fit properly can cause irritation and sores.
If your dentures break, crack,
chip, or if one of the teeth becomes loose be sure to call. We can often make
the necessary adjustments or repairs on the same day. A person who lacks the
proper training will not be able to reconstruct the denture. This can cause
greater damage to the denture and may cause problems in your mouth. Glue sold
over-the-counter often contains harmful chemicals and should not be used on
dentures.
Will my dentures need to be
replaced?
Over time, dentures will need
to be relined, remade or rebased due to normal wear. To make a rebased denture,
the dentists uses the existing denture teeth and makes a new denture base.
Dentures may need to be replaced because a mouth naturally changes with age.
Bone and gum ridges can recede or shrink, causing jaws to align differently.
Shrinking ridges can cause dentures to fit less securely. Loose dentures can
cause health problems, including sores and infections. A loose denture also
makes chewing more difficult and may change your facial features. It's important
to replace worn or poorly-fitting dentures before they cause problems.
Must I do anything special to
care for my mouth?
Even with full dentures, you
still need to take good care of your mouth. Every morning, brush your gums,
tongue and palate with a soft-bristled brush before you put in your dentures.
This removes plaque and stimulates circulation in the mouth. Selecting a
balanced diet for proper nutrition is also important for maintaining a healthy
mouth.
How often should I schedule
dental appointments?
We will advise you about how
often to visit. Regular dental check-ups are important. We like to check your
mouth on a regular basis to see if your dentures continue to fit properly. We
also examines your mouth for signs of oral diseases including cancer
With regular
professional care, a positive attitude and persistence, you can become one of
the millions of people who wear their dentures with a smile.
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