What are dentures?
A denture is a removable prosthesis used to replace missing teeth. Commonly referred to as ‘false teeth’, a denture is usually made of acrylic or a combination of acrylic and metal. A partial denture is fitted to replace some missing teeth whilst a complete denture is indicated when all natural teeth are missing. A good set of dentures helps you to eat, speak, function, and often improves a person’s appearance.
Types of Dentures
1. Acrylic Denture
Classic Plastic denture which is often the material used for full dentures. The dentures are light and very aesthetic, but require more coverage of the mouth to help hold the denture stable.
2. Cobalt Chrome Denture
Use the gum as well as the existing healthy teeth to help hold firm and prevent the looseness associated with plastic dentures. Due to the metal base it can be a lot less bulky than the plastic dentures. The advantages over an acrylic denture are significant as they are more stable and retentive as well as the connectors over the palate being as thin as possible. These forces can cause fractures of your existing teeth, especially when there are number of back teeth missing. Disadvantages – Removable denture will require some coverage of the palate being required to support and balance the denture both sides. The opposing teeth will need to be clasped to help retain the denture.
3. Valplast Flexible Dentures
The base of the denture is made from a flexible plastic which is almost unbreakable. The material makes the denture extremely light and can have very good appearance. The advantages and disadvantages are similar to the cobalt chrome denture.
How long does it take to make dentures?
Depending on the complexity of each case, the duration of the treatment will vary. After the initial visit of examination and diagnosis, the subsequent visits will include taking impressions of the mouth, bite registration, try-in of the denture, fitting and review.
What to expect?
New dentures always feel strange when first placed in your mouth. Several days or weeks will be required before you get accustomed to them. Adaptation varies with different persons and often time and experience are essential before dentures can be worn comfortably and function effectively.
Eating – Eating will take a little practice. Start with soft foods and foods cut into small pieces will help. Chew slowly using both sides of your mouth at the same time to prevent dentures from tipping. Once you become accustomed to chewing, include other foods until you return to your normal diet.
Increased salivary flow – You may experience an increase in salivary flow when the dentures are first inserted. This is a natural response of the salivary glands that will return to normal after a few weeks. You can improve the situation by swallowing more often.
Speech – New dentures may alter your speech initially. Pronouncing certain words may require practice. Reading out loud and repeating troublesome words will speed up the adaptation process. This problem rarely persists beyond two weeks.
Sore spots – Minor irritation caused by surface irregularities or pressure spots on the denture-bearing areas are quite common. Your dentist will relieve the discomfort by adjusting the denture surface. Stop wearing the denture if the irritation is very painful. Consult your dentist immediately.
Like natural teeth, dentures can accumulate plaque and food debris, particularly in areas where the denture is in contact with the remaining teeth and gum. In addition to the usual oral hygiene measures like tooth brushing, dentures should be cleaned regularly. Poor denture hygiene can result in stains on the denture and a bad odour.
If possible, dentures should be removed and cleaned after every meal. When cleaning, remember the following:
Soak the dentures in denture cleanser once a week to remove stains and always rinse them thoroughly before using the dentures again. When you are not wearing the dentures, store them in water. Dentures may lose their shape if left to dry out.
How long should you wear your dentures?
During the first few days you are advised to wear them most of the time except when sleeping. Always remove the dentures before going to bed. This will allow your gum tissues to rest and promote oral health. Gentle massaging of the gums with a soft toothbrush is encouraged. Remember to soak the dentures in water to prevent them from drying out.
The next denture review
Your jawbones and gums naturally shrink over time and this can cause the dentures to fit less securely. Ill-fitting dentures can give rise to chewing difficulties, soreness, infections and changes in facial support. It is important that you visit your dentist to have your dentures and oral tissues evaluated yearly. Your dentures may need to be adjusted, relieved or even relined from time to time to ensure an optimal fit. Do not attempt to adjust the denture yourself – seek professional help. With time and practice you will soon learn to eat, talk and smile with your dentures as you would with your natural teeth.