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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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