It is extremely important to practice healthy dental hygiene when wearing dentures. There is an increased risk of developing a more serious medical condition should oral irritation result from improper dental hygiene. These conditions include, but are not limited to, periodontal disease, leukoplakia (thickened white, potentially precancerous patches on the mucous membranes, also called smoker’s tongue) and fungal (denture stomatitis) infections.
You should see your dentist 24 hours after delivery of your new dentures. It is not unusual to experience some initial discomfort. Minor adjustments can increase comfort and eliminate problems before they become more serious. Initially, a new denture may feel unusual in the mouth. The cheeks, lips, and tongue are very sensitive areas that require time to adjust. It is not uncommon to bite one’s cheek or tongue while acclimating to the new restoration. However, persistent soreness or irritation should be reported to your dentist.
Most partial dentures contain a thin metal framework that is designed to rest close to your gums and allow for a smooth, non-bulky feel. The framework is supported by your natural teeth to provide a reliable, secure appliance that is easy to use. Where teeth are missing, natural-looking replacement teeth are attached to the frame, and gum-colored acrylic is used to make the appliance blend with your mouth. Again, your mouth and your needs are unique, and Dr. Yonan, Scott, Quigley, Fairbanks & Bushnell work with skilled technicians to create a solution that is comfortable and esthetic.
Extractions -- If this is your first set of dentures, you may need to see an oral surgeon to have your teeth extracted before your denture dentist can fit you for dentures. If you choose to see a prosthodontist - a dental specialist who has undergone three years of additional training in replacing missing teeth and restoring damaged teeth – you will likely pay more money to get your dentures than you would working with a general or cosmetic dentist.
It is important to inquire about the dentist’s training and experience when investigating the denture procedure. Although many general dentists offer the treatment, prosthodontists receive three years of advanced training in restorative dentistry. As a result they may be a better or more experienced option for you to consider when it comes to dentures or an alternative like implants or bridges. The American College of Prosthodontists offers additional resource information about the training of prosthodontists in the U.S.
Support is the principle that describes how well the underlying mucosa (oral tissues, including gums) keeps the denture from moving vertically towards the arch in question during chewing, and thus being excessively depressed and moving deeper into the arch. For the mandibular arch, this function is provided primarily by the buccal shelf, a region extending laterally from the back or posterior ridges, and by the pear-shaped pad (the most posterior area of keratinized gingival formed by the scaling down of the retro-molar papilla after the extraction of the last molar tooth). Secondary support for the complete mandibular denture is provided by the alveolar ridge crest. The maxillary arch receives primary support from the horizontal hard palate and the posterior alveolar ridge crest. The larger the denture flanges (that part of the denture that extends into the vestibule), the better the stability (another parameter to assess fit of a complete denture). Long flanges beyond the functional depth of the sulcus are a common error in denture construction, often (but not always) leading to movement in function, and ulcerations (denture sore spots).
Typically, a removable partial denture is made of a metal framework with pink plastic to replace the gum tissue and plastic or resin denture teeth. The number of missing teeth and their location will affect the comfort and stability of the removable partial denture. The use of dental implants may increase the stability of a removable partial denture, or dental implants may be the best solution for replacing the missing teeth.
Complete Dentures: Complete dentures are made of a plastic base that is colored in order to replicate gum tissue and supports a full set of plastic or porcelain teeth. The traditional full denture is held in the mouth by forming a seal with the gums. They can also be held in place by attaching to dental implants that are surgically placed in the bone of the jaws. This treatment is much more expensive than the traditional complete denture.
Extractions -- If this is your first set of dentures, you may need to see an oral surgeon to have your teeth extracted before your denture dentist can fit you for dentures. If you choose to see a prosthodontist - a dental specialist who has undergone three years of additional training in replacing missing teeth and restoring damaged teeth – you will likely pay more money to get your dentures than you would working with a general or cosmetic dentist.
Denture Materials – Your dentures can be made from acrylic, nylon polymer, or cobalt metal. Each material offers its own distinct set of benefits and factors into the price you pay for your dentures. Metal, for instance, is more costly because it’s difficult to break, while denture plates made from acrylic resin are less expensive, more flexible, and can be tinted to match your natural gum line.
Occasionally, denture wearers may use adhesives. Adhesives come in many forms: creams, powders, pads/wafers, strips or liquids. If you use one of these products, read the instructions, and use them exactly as directed. Your dentist can recommend appropriate cleansers and adhesives; look for products with the ADA Seal of Acceptance. Products with the ADA Seal have been evaluated for safety and effectiveness.