Posts for tag: dentures
Generations have depended on dentures to effectively and affordably replace lost teeth. But they do have a major weakness: They contribute to jawbone loss that creates not only mouth and facial problems, but can also ruin a denture’s fit.
Bone loss is a normal consequence of losing teeth. The biting forces normally generated when we chew stimulate new bone to replace older bone. When a tooth is missing, however, so is that chewing stimulation. This can slow bone replacement growth and gradually decrease the density and volume of affected bone.
While dentures can restore dental appearance and function, they can’t restore this growth stimulation. What’s worse, the pressure of the dentures against the gum-covered jaw ridge they rest upon may irritate the underlying bone and accelerate loss.
But there is a solution to the problem of denture-related bone loss: an implant-supported denture. Rather than obtaining its major support from the gum ridges, this new type of denture is secured by strategically-placed implants that connect with it.
Besides the enhanced support they can provide to a denture restoration, implants can also deter bone loss. This is because of the special affinity bone cells have with an implant’s imbedded titanium post. The gradual growth of bone on and around the implant surface not only boosts the implant’s strength and durability, it can also improve bone health.
There are two types of implant-supported dentures. One is a removable appliance that connects with implants installed in the jaw (three or more for the upper jaw or as few as two in the lower). It may also be possible to retrofit existing dentures to connect with implants.
The other type is a fixed appliance a dentist permanently installs by screwing it into anywhere from four and six implants. The fixed implant-supported denture is closer to the feel of real teeth (you’ll brush and floss normally), but it’s usually more costly than the removable implant-supported denture.
While more expensive than traditional ones, implant-supported dentures still cost less than other restorations like individual implant tooth replacements. They may also help deter bone loss, which may lead to a longer lasting fit with the dentures. Visit your dentist for an evaluation of your dental condition to see if you’re a good candidate for this advanced form of dental restoration.
If you would like more information on implant-supported dentures, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Overdentures & Fixed Dentures.”
Perhaps you’ve heard the old saying: “Take care of your dentures and your dentures will take care of you.” Well, maybe it’s not that old—but it’s still a sensible notion. Maintaining your dentures by routinely cleaning them and having them checked for fit will improve their longevity.
There’s one other thing you should include on your maintenance routine—avoid wearing your dentures 24/7, especially while you sleep. This bad habit could lead to some unpleasant consequences.
For one, wearing dentures continuously can accelerate bone loss in the jaw that eventually causes your dentures to lose their comfortable fit. Bone loss is a natural consequence of tooth loss because the bone no longer receives the stimulation to grow transmitted by the teeth during chewing. Dentures can’t transmit this stimulus; what’s more, the pressure they place on the gums and underlying bony ridges could make bone loss worse. You can relieve this gum pressure at night by taking them out.
Dentures can also become a breeding ground for bacteria and fungi that cause disease, irritation and unpleasant mouth odors. Taking dentures out at night deprives these microorganisms of a prime opportunity to carry on business as usual—and it’s also a great time to clean your dentures. People who sleep with their dentures in their mouth are more likely to have gum or oral yeast infections and higher levels of proteins produced by white cells that increase inflammation. That could contribute to other diseases throughout the body.
Besides taking your dentures out at night, you should also practice other daily hygiene tasks. Remove your dentures after eating and rinse them with clean water. Brush your dentures daily with a soft-bristled brush and dish or antibacterial soap or dental cleanser (no toothpaste—it’s too abrasive for denture surfaces). Be sure you clean your gums and tongue every day too. When your dentures are out, store them in clean water or preferably an alkaline peroxide-based solution.
Removing your dentures at night and these other good habits will help extend the life and fit of your dentures. It could also help keep the rest of you healthy.
If you would like more information on denture care, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Sleeping in Dentures: A Habit that Can Cause Health Problems.”
You probably can’t remember a time without your teeth — and can’t imagine life without them. But now it’s a reality: one by one your teeth have become casualties in a long-standing war with dental disease until now they’re all lost.
Total tooth loss (edentulism) can be difficult in more ways than the loss of function — it can be psychologically traumatic as you must now transition from natural teeth to dentures or other restorations. To add to the stress, you probably won’t be able to obtain your permanent restoration immediately because the extraction sites must heal.
To help you with this transition and provide a means for you to have teeth during the healing period, we may fit you with an appliance known as an immediate denture. With these temporary teeth replacements, you can maintain your smile appearance, chew food and speak unimpaired.
Initially, immediate dentures should fit well, but over time your gums will tend to shrink as they heal. This can loosen the dentures’ fit and make them uncomfortable to wear. If the healing process is still ongoing and you still need to wear the immediate dentures, they can be relined with more denture material to fine-tune the fit.
At some point, though, we must consider creating a new, permanent set of dentures. When your mouth is fully healed, we can make a more accurate impression that we can then use to construct your new set. There are also other options, such as using dental implants to support a denture or a fixed bridge. This option will only be possible, however, if you have sufficient bone available to fully support it, which we might also be able to augment with grafting.
Immediate dentures serve a worthwhile purpose, but only for a temporary period. We’ll be happy to discuss all your options with you to help you find the right permanent solution that fits both your mouth’s condition and your financial ability.
If you would like more information on transitioning to teeth replacement, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Immediate Dentures.”
Today, dentures are designed to be comfortable and functional, offering an appearance that is very close to your natural teeth. Dentures can improve your smile and facial appearance, as well as re-establish your ability to chew and speak. In addition, it provides support for your facial muscles, which helps prevent facial drooping, to greatly enhance your smile and appearance. There is a denture for everyone’s lifestyle.
Begin With Soft Foods
Remove Dentures Every Night
Handle with Care
Know What Not to Bite Into
How much do you really know about Revolutionary War hero and famous disturber-of-the-peace Paul Revere? Take this quiz and find out! True or False:
- Paul Revere cried “The British are coming!”
- Paul Revere rode to Concord, Massachusetts.
- Paul Revere practiced dentistry.
The first two answers are false: Revere, like most colonists, considered himself British at the time (but might have said “the regulars” are coming); and he never made it as far as Concord, though one of his midnight-riding companions did. The last statement, however, is true: When things got slow in his regular trade of silversmithing, Revere hung out a shingle to broadcast his skills as a dentist.
“Paul Revere can fix [teeth] as well as any surgeon dentist who ever came from London, he fixes [dentures] in such a manner that they are not only an ornament but of real use in speaking and eating,” his advertisement in a Boston newspaper is supposed to have read. Revere specialized in fitting dentures made of metal and walrus ivory in his patient’s mouths. (There is no record, however, that he ever worked on George Washington’s false teeth.)
The practice of dentistry has come a long way since 1776. But the ideal set of dentures — one that’s both aesthetically pleasing and fully functional — remains a valid goal today. But now, instead of going to a metalworker, you’ll visit a denture specialist: your dentist.
We understand that dentures need to have a perfect, comfortable fit so they can do their work. That’s why we take the time to make an individual mold of your mouth as the first step of the process. Then we choose prosthetic teeth in the shape, size and shade that’s right for you. When everything is satisfactory, the dentures will be custom-fabricated in a dental laboratory using high-quality materials that are lifelike and durable. Finally, we will make sure that your new dentures look, feel and function the way they should.
If you have older dentures that no longer fit as they should, come in to our office for a check-up. It’s sometimes possible to repair or re-line dentures; in other cases, it’s best to have a new set made. Ill-fitting dentures aren’t just uncomfortable — they can also lead to oral infections and nutritional difficulties.
For more information about dentures or denture repair, please contact our office to schedule a consultation. You can learn more in the Dear Doctor magazine articles “Loose Dentures” and “Removable Full Dentures.”