What Are Dentures
A denture is a removable replacement for missing teeth and the tissues connected to those teeth. It is made of acrylic plastic and sometimes porcelain and metal materials. A denture closely resembles natural gum tissue and teeth.
Complete dentures replace all of the teeth, while partial dentures fill in the spaces created by missing teeth and prevent other teeth from shifting position. Complete dentures are “immediate” or “conventional.” An immediate denture is a complete denture or partial denture that is inserted on the same day, immediately following the removal of the natural teeth. The immediate denture acts as a Band-Aid to protect the tissues and reduce bleeding after tooth extraction. The conventional denture is ready for placement in the mouth about 8 to 12 weeks after the teeth have been removed and the gum tissue has healed.
Who Needs a Denture?
A partial denture is for people who still have some of their natural teeth. Dentures are not just for elderly patients. Patients of any age may lose some or all of their teeth and may require a denture of some sort. Because teeth are a permanent part of the body, tooth loss can have an emotional impact on some people.
What Happens When You Get a Denture?
The denture process takes about one month and five appointments: the initial diagnosis is made; an impression and a wax bite are made to determine vertical dimensions and proper jaw position; a “try-in” is placed to assure proper color, shape and fit; and the patient’s 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. While most patients can begin to speak normally within a few hours, many patients report that it takes time to get used to chewing with your new teeth.
To get accustomed to chewing with a new denture, start with soft, easy-to-chew foods. You may experience a slight change in facial appearance during your adjustment to your dentures. This is perfectly normal and is not permanent.
Should a Denture Be Worn at Night?
While you may be advised to wear your denture almost constantly during the first two weeks – even while you sleep – under normal circumstances it is considered best to remove it at night and soak the denture in cleansing solution or water. Research has shown that removing the denture for at least eight hours during either the day or night allows the gum tissue to rest and allows normal stimulation and cleansing by the tongue and saliva. This promotes better long-term health of the gums.
What Can Be Done If My Dentures Are Loose or Not Fitting?
Sometimes ill-fitting dentures can be relined to allow the denture to sit better over the gums. Implants may also be used to better secure your denture. This is called an “over denture”. An over denture rests directly on your gums and is retained by implants placed into your upper and/or lower jaw. The over denture, which is removable, is secured to your implants through retentive attachments incorporated into the denture.
Implant-retained tissue supported dentures are currently recognized as the minimum standard of care for fully edentulous patients.
How Do You Care For a Denture?
- Denture adhesives may be recommended, especially for the first-time denture wearer. Adhesives may improve the retention and stability of dentures for those with minimal bone support or small ridges. Stability of the denture will help the wearer’s confidence.
- Remove and brush the denture daily with a denture cleanser and a brush (one specifically designed for cleaning dentures or a soft toothbrush).
- Avoid using boiling water to sterilize the denture, because hot water can cause the denture to lose its shape.
- If you wear a partial denture, remove it before brushing your natural teeth.
- When you’re not wearing the denture, soak it in denture cleanser or water.
- To avoid misplacing your denture, store it in the same place after removal.
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