Extra care must be taken when handling dentures or partials because they are delicate and could break when dropped. It is also important to prevent dentures or partials from drying out so place them in the specified soaking solution or plain water when not in use. Avoid hot water because this will cause the denture to lose its shape. Brush dentures daily to dislodge food deposits and prevent them from becoming stained.
Stability is the principle that describes how well the denture base is prevented from moving in a horizontal plane, and thus sliding from side to side or front to back. The more the denture base (pink material) is in smooth and continuous contact with the edentulous ridge (the hill upon which the teeth used to reside, but now only residual alveolar bone with overlying mucosa), the better the stability. Of course, the higher and broader the ridge, the better the stability will be, but this is usually a result of patient anatomy, barring surgical intervention (bone grafts, etc.).
If needed, patients can get a full set of upper or lower dentures, but many patients get partial removable dentures and keep as many of their natural teeth as possible. Partial dentures can replace one or more teeth in the upper or lower set, allowing spaces for natural teeth. In other words, the teeth in partial dentures do not need to be next to each other.
At first, wearing dentures may require some getting used to in terms of talking and eating, as the dentures become “balanced” in the space formerly occupied by the teeth. But over time, the muscles, nerves and ligaments of the mouth learn to work in new ways, which allows these functions to occur normally. Dentures also help support the facial skeleton and the soft tissues of the lips and cheeks, which can help create a more youthful appearance.
George Washington (1732–1799) suffered from problems with his teeth throughout his life, and historians have tracked his experiences in great detail.[14] He lost his first adult tooth when he was twenty-two and had only one left by the time he became president.[15] John Adams says he lost them because he used them to crack Brazil nuts but modern historians suggest the mercury oxide, which he was given to treat illnesses such as smallpox and malaria, probably contributed to the loss. He had several sets of false teeth made, four of them by a dentist named John Greenwood. None of the sets, contrary to popular belief, was made from wood or contained any wood.[16] The set made when he became president was carved from hippopotamus and elephant ivory, held together with gold springs.[17] Prior to these, he had a set made with real human teeth,[18] likely ones he purchased from "several unnamed Negroes, presumably Mount Vernon slaves" in 1784.[19] Washington's dental problems left him in constant pain, for which he took laudanum.[20] This distress may be apparent in many of the portraits painted while he was still in office,[20] including the one still used on the $1 bill.[21][a]
The process of getting dentures requires several appointments, usually over a period of several weeks. Highly accurate impressions (molds) and measurements are taken and used to create your custom denture. Several “try-in” appointments may be necessary to ensure proper shape, color, and fit. At the final appointment, your dentist will precisely adjust and place the completed denture, ensuring a natural and comfortable fit.
Problems with dentures may arise because patients are not used to having something in their mouth that is not food. The brain senses the appliance and interprets it as 'food', sending messages to the salivary glands to produce more saliva and to secrete it at a higher rate. This usually only happens in the first 12 to 24 hours, after which the salivary glands return to their normal output. New dentures can also be the cause of sore spots as they compress the denture-bearing soft tissues (mucosa). A few denture adjustments in the days following insertion of the dentures can take care of this problem. Gagging is another problem encountered by a minority of patients. At times, this may be due to a denture that is too loose, too thick or extended too far posteriorly onto the soft palate. At times, gagging may also be attributed to psychological denial of the denture. Psychological gagging is the most difficult to treat since it is out of the dentist's control. In such cases, an implant-supported palateless denture may have to be constructed. Sometimes there could be a gingivitis infection under the completed dentures, caused by the accumulation of dental plaque. One of the most common problems for wearers of new upper complete denture is a loss of taste sensations.
