Occasionally, it is difficult to adapt to full or partial dentures. At first they may feel loose, bulky and awkward while speaking. For a quicker adjustment period, follow these instructions:
1) At first, wear your dentures all the time.
2) Do not use adhesive unless Dr. Shootes-Miller advises you to do so.
3) You should remove your dentures when you go to sleep.
4) After removing dentures, clean with a toothbrush and place in a bowl of water. They can be soaked in a commercial denture cleanser, but brushing them is essential.
5) Any signs of "sore spots," discomfort, or looseness that is causing you difficulty should be brought to our attention.
Never adjust the dentures yourself. Every person and every mouth is different; therefore, adjustment periods will vary.
Please remember that it will take time for you to become completely comfortable with your new teeth.
Partial Dentures are used to replace missing teeth. Partials have metal hooks that grab onto the neighboring teeth for support. Unfortunately, the hooks have a tendency to loosen up the teeth and partial dentures have the tendency to get loose and require multiple adjustments throughout the years. On the upper, there is a large piece of metal that goes across the roof of the mouth which can interfere with taste sensation and/or have food collected under it. Additionally, the partial plate can press into the gum tissue and cause sores. The partial dental plate must be taken in and out each day for cleaning. It is certainly not an ideal alternative.
A precision partial is held in place by a specifically shaped extension that locks into an area on a natural tooth that has been crowned. This ensures that the denture will not slip or come out when speaking or chewing.
An Immediate Denture is designed to be placed in the mouth immediately after the extraction of your natural teeth. An Immediate Denture eliminates the embarrassment of having to go without teeth, while the gums are healing.
An Immediate denture is designed to fit your mouth at the time impressions are taken; however, after a few months your gums will change drastically due to "gum resorption." It's possible that the denture will rub against the gums when it is first placed, which may be very sore until it can be adjusted. Gums shrink the most within the first year of having teeth extracted. Most patients will require relines within a few months, to restore the fit of their dentures. Expect that the first year of wearing dentures will also be the most difficult and costly.
Since an Immediate Denture covers over the surgical site and the tooth sockets, it helps keep that tender surgical area from becoming irritated, much as a bandage would. Do not remove your denture by yourself, even for just a few minutes, until your dentist tells you it's all right. The gum tissue underneath the denture has a tendency to swell. If you take the denture out for very long, you may never get it back in again.
An over denture fits on-top of natural teeth or dental implants. Many patients suffer with ill fitting and loose dentures that move or even fall out when speaking or eating. One way of solving this problem is to construct a dental plate that goes over and attaches to something underneath it. Keeping a few natural teeth or placing dental implants in the bone under the denture also helps keep the jaw bone healthy. This avoids much of the natural jaw bone loss often seen after teeth are removed. Traditional over dentures go over natural teeth. A denture can be made that goes over and attaches to one or both cuspids.
Implants supported over dentures fit on top of dental implants. A retainer bar or retention balls are placed on the implants and special attachments are inserted into the denture to grab onto these retention devices. A new method using mini implant dentures is becoming increasingly popular. Mini implants are very thin, long titanium implants that screw into the jaw bone. They can be placed and old dentures can often be retrofitted to the implant.
At times, it is necessary for all teeth to be removed due to extensive periodontal disease and/or due to decay. An alternative for the replacement of all the teeth is a complete upper and/or lower denture. These dentures require support from your gum pad and many times require the use of dental adhesive. Throughout life, the dentures require constant adjustment and refitting and can cause the jaw bone to melt away making the dentures loose and once again requiring continuous adjustment.
Soft dentures are a flexible alternative to more common hard dentures crafted out of acrylic. These dentures don't require adhesives and adjust to the shape of the gums for greater comfort. Soft dentures are only called that because the inner lining is soft. They're otherwise similar to ordinary dentures, which can be altered to have flexible linings.
Temporary or interim appliances serve many useful purposes and are often an integral part of a prosthetic treatment plan. These appliances can be designed to be either fixed or removable. This simple appliance is excellent for temporary replacement of front teeth while the patient is waiting for a permanent bridge, a partial, or implants. This removable interim bridge is made of a clear vacuum-formed material. The appliance simply snaps into place.