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.
Here are answers to a few common questions about dentures.
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. Your dentist
can determine if an overdenture would be suitable for you.
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 with the dentist are generally
needed after a denture is inserted. If any problem persists, particularly
irritation or soreness, be sure to consult your dentist.
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. If a speaking problem persists, consult your dentist.
How long should I wear my dentures?
Your dentist 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.
Your dentist can recommend a denture cleanser. Look for denture
cleansers with the ADA Seal of Acceptance. Products with the ADA
Seal have been evaluated for safety and effectiveness.
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. Your dentist can recommend the best
method. 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.
See your dentist if your dentures break, crack, chip, or if one
of the teeth becomes loose. A dentist 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?
Your dentist will advise you about how often to visit. Regular
dental check-ups are important. The dentist will examine your mouth
to see if your dentures continue to fit properly. The dentist 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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Copyright © American Dental Association
Produced with the cooperation of The American College
of Prosthodontists
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