Dentures

Hard Reline for Complete Denture

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One of the common complaint for people wearing the complete denture is that the denture is loose.  The most probably cause of this problem is that the “gum” is receded.  The bony ridge inside the patient’s moth is what supporting the denture and these ridges might become shrunken as time goes on.  It is a normal biological process of bone formation and resorption.  With the denture in the patient’s mouth, the denture would be pressing on these ridges.  The side where it experiences the pressure would cause bone resorption.  The process of bone resorption is slow but it is not uncommon to see people who had been wearing the denture for more than 10 years to have shallow ridges.  That’s because the ridges have been shrunken.

Another situation in which the patient might feel the the denture become loose is when the patient just had immediate denture placed in the mouth after the extraction of teeth.  Immediate denture is usually fabricated for patient who have to have unrestorable teeth extracted and needs the immediate teeth replacement for the purpose of eating and esthetics reasons.  At first the immediate denture might be fitted well.  However, with the healing of the ridge following the extraction of teeth, the ridge would heal and the contour of the ridge might change.  Also, the rate of bone resorption within the ridge is the greatest within the first 4 months following the extraction.  Thus, the immediate denture might become loose as result of these natural processes.

In order to compensate for the changes of the bony ridge, a procedure called the hard reline can be done.  The dentist would use the existing denture and apply the impression material onto the base of the denture.  Then denture with the impression material would be seated together onto the ridge and new impression of the contour of the ridge would be formed.  The dentist can resurface the base of the denture according to the new impression of the ridge.  The new denture base should have more intimate relation with the ridge.  This resolves the ridge resorption problem.

 

Written by Daniel Tee, DDS, MS

Denture Dental Office in Tempe AZ — Partial Dentures, Complete Dentures, Removable Dentures, Flippers

Serving the city of Tempe, Chandler, Phoenix, Gilbert, and Mesa in Arizona. Practicing General Dentist

 

Dentures Improve Appearance: Sunken Lips

For edentulous individuals, dentures can improve the smiles and appearance.  Teeth has three main functions: chewing food, lip supports and speech.  Without teeth, the person cannot chew properly.  The lips will appear sunken because there is no teeth to support the lips.  For example, this lady has no upper teeth and her lips appear sunken.

Edentulous Patient Facial view, Without Complete Dentures, Partial Dentures, Transitional Dentures, Immediate Dentures, Flippers, Denture Dental Office

Without lip support, there are more wrinkles and the person appears older.

Notice her upper lips are sunken in and this causes many wrinkles to appear.

Upon examination, she has all upper teeth missing.

Upper Edentulous Patient Anterior view, Complete Dentures, Partial Dentures, Transitional Dentures, Immediate Dentures, Flippers, Denture Dental Office

Fortunately she has adequate bone.  I recommend a new set of dentures.  This is how she looks like after she wears her upper complete denture.

Complete Denture in Edentulous Mouth, Complete Dentures, Partial Dentures, Transitional Dentures, Immediate Dentures, Flippers, Denture Dental Office

With proper lip support by the upper denture, the patient appears younger.

 

The end result shows her new complete denture.  Her lips are now properly supported by her new complete denture.  The color and contour of her new denture teeth are harmonious to her face.  It looks as if the denture teeth are like her natural teeth.  Her lips now look fully and she looks younger and is able to smile.

 

 

Written by Daniel Tee, DDS, MS

Family Dental Office in Tempe AZ —  Partial Dentures, Complete Dentures, Removable Dentures, Flippers

Serving the city of Tempe, Chandler, Phoenix, Gilbert, and Mesa in Arizona.  Practicing General Dentist

 

Immediate Complete Denture

Immediate Complete Denture is a type of dentures that is given to patient to wear after the extractions are completed.  It is given immediately to patient on the same day the extractions are completed.  The fabrication process is virtually the same as the traditional complete denture.  The immediate complete denture serves three main purposes:

1.  The immediate complete denture serves as the “bandaide” for the wound where the teeth are extracted.  As soon as the teeth are extracted, the swelling and inflammation process will begin with the first 48 hours.  The immediate complete denture will hold the loose tissue in place and control the swelling process.  Dentist would recommend patient to wear the immediate complete denture for the first 48 hours continuously following the teeth extractions.  By wearing the denture immediately following the extraction, it helps to make sure that the tissue will conform to the contour and shape of the denture so that the denture will fit after the swelling subsides.  In contrary, if the immediate complete denture is not worn continuously for the first 48 hours, the tissue might have altered its contour due to the inflammation and the denture might not fit.

2.  Immediate complete denture addresses the issue of esthetics for patients who need to show their teeth and smile as part of their work or daily routines.  Immediate complete denture will allow patients to show their teeth as soon as the extractions are completed.

3.  Immediate complete denture addresses the issue of chewing food.  Following the extractions, the patient will not be able to chew.  The immediate complete denture helps restore some chewing capability of the patient.  It is understandable that the patient will be sore after the extractions.  Dentist generally recommends to chew on soft food initially.  Patient will return to the dental office for followup and adjustment of the denture as needed.

Patient will have to go through a period of time to getting adjusted to the immediate complete denture.  Throughout the healing of the tissue, patient will experience episode of swelling and then when the swelling is subsided, the immediate complete denture may become loose.  This is part of the healing process because the bone tissue will start to heal and may shrink after the extraction site is healed.  The healing process may take 4-5 months to get better.  By 4-5 months, the tissue and the bone will start to stabilize.  The dentist will then give more definite treatment to the patient.  A hard reline can be applied to the immediate denture so that the spacing caused by the bone shrinkage can be filled in with the hard reline materials.  The denture can become more adaptive to the tissue and the denture will become more retentive in the patient’s dental alveolar arches.

 

 

Written by Daniel Tee, DDS, MS

Denture Dental Office in Tempe AZ —  Partial Dentures, Complete Dentures, Removable Dentures, Flippers

Serving the city of Tempe, Chandler, Phoenix, Gilbert, and Mesa in Arizona.  Practicing General Dentist

 

Dentures — How to Take Care and Daily Hygiene

Dentures are made for restoring missing teeth.  Average life span of a denture is about 5 to 7 years.  With proper care, the user of the denture can expect a more pleasant and comfortable experience in wearing the denture.

As a family dentist, I would see elderly members of the family and advise them on how to take care of their dentures.

Daily hygiene includes proper brushing and cleaning of the denture.  Prefer to use a toothbrush with soft bristle and do not use toothpaste.  The ingredient of the toothpaste might be too abrasive for the polished surface of the denture.  The polished surface helps to minimize the adherence of food debris on the denture.

Denture, Complete Dentures, Denture Adhesive, Denture Tablet, Tempe Dentist, Chandler, Mesa, Phoenix, Gilbert ArizonaBefore going to bed, one should take off the denture and soak the denture completely in a cup of water with one denture tablet.  The denture tablet will quickly dissolve in the water and its active ingredients can kill off bacteria, yeast and fungi organism on the surface of the denture.  Also the water can prevent desiccation of the denture.  If the denture is over-dried, it would crack.

Some food and cigarette smoking can cause the denture to stain.  Routinely brushing the denture with soft toothbrush can help remove the stain.

Denture is made of sturdy materials like metal frame and hard acrylic teeth.  However, it breaks because the elderly people with limited dexterity drops the denture on the floor by accident when they try to take the denture off from their mouth.  Thus, I would demonstrate to them howto remove the denture from their mouth.  I would tell them to fill the sink with water or put a towel in front of them.  Then I would tell them to lean forward and then hold the denture with both hand to gently remove it from the mouth.  Just in case if they drop the denture, the water in the sink or the towel would absorb the impact of the falling denture.  With this method, nobody would break their dentures.

Denture teeth are usually made of acrylic material and they are not the same as the natural teeth.  The front denture teeth are especially subject to wear and tear.  Thus, I would suggest to patient to cut food into small pieces and then chew with the back denture teeth.

With times, the denture will have usual wear and the jaw bone of patient may change.  Dentist would usually suggest patient to change their denture every 5 years.

 

Written by Daniel Tee, DDS, MS

Practicing Dentist Serving Tempe, Chandler, Mesa, Phoenix and Gilbert in Arizona