If you've lost all of your natural teeth, for whatever
reason, full dentures can replace your missing teeth and
improve your smile and self-confidence. You'll be able
to eat and speak better-two things that most people usually
take for granted until they lose all of their natural
teeth.
A full denture, also called a complete denture, provides
support for your cheeks and lips by replacing missing
natural teeth and the bone and gum tissue that held them
in place. Without support from the denture, your facial
muscles will sag, giving you a droopy, tired and much
older appearance.
Dentures can be created to very closely resemble the appearance
of natural healthy teeth. In fact, there may be little
change in your appearance, and there's a good chance that
your smile may become the healthy, natural appearing smile
you've always wanted.
There are four types of complete dentures. The type of
denture technique used is based upon the individual needs
of each patient.
- Conventional Full Denture
This is created and placed in the patient's mouth
after all of the remaining natural teeth, either upper
jaw, lower jaw, or both, have been removed and the
gum tissue has healed. Several months my be required
to ensure complete healing.
- Immediate Full Denture
This is placed in the patients mouth immediately after
the remaining natural teeth have been extracted, at
the same visit. Several preliminary appointments with
the dentist, and possibly an oral surgeon, are used
to create the final denture and prepare the patient
for the surgical visit. It's important to note that
with an immediate full denture, the patient does not
have to be without teeth during the healing period.
Immediate full dentures usually will require a reline
procedure to readapt the lining of the denture to
the final contours of the healed tissue. In some special
situations, the immediate full denture may function
as an interim or temporary denture to accommodate
the patient's chewing and appearance needs during
healing. In these situations, a new, conventional
denture will be created to replace the immediate full
denture.
- Overdenture
If you have a few healthy natural teeth, the teeth
may be modified so that their roots may be used to
support the base of a complete full denture. Root
canal therapy is performed on the teeth that will
be used for support. Then, the height of each tooth
is reduced to the level of the gum line. In this way,
the roots-and the bone and gum tissue which holds
the roots in place, can give additional support for
the full denture. This is especially important for
lower full dentures which can be difficult to maintain
in place with stability.
- Implant Supported Full Denture
A complete denture can be made to fit over dental
implants, which can serve as artificial roots in the
manner of an overdenture. In some cases, retentive
attachments are placed on each implant and within
the denture base. The denture can then be snapped
in and out. In other cases, a bar is created to fit
over the posts attached to the implants. In this situation,
the retentive attachments are part of the bar and
the denture base, and once again, the full denture
snaps onto the bar. Well-placed implants with healthy
gum tissue can actually help reduce jaw and gum tissue
shrinkage as time goes by. This can be an important
element in denture stability and comfort.
Denture Adhesives
Although dentures are made to fit securely, a denture
adhesive may be suggested to help during the adjustment
period. This will provide a feeling of tightness and
stability and help the retention of dentures which lack
needed bone support.
A loose denture, which makes chewing difficult and can
change facial features, may be helped by a reline. A
denture that doesn't fit properly may cause irritation,
sores or infection. Denture adhesives can temporarily
help loose fitting dentures, but long-term use of adhesives
may not be a good idea since they may mask the real
reason that the denture is loose. If in doubt, check
with Dr. Jaffe.
Caring for Dentures
Just like your natural teeth, dentures must be properly
cared for. They can actually be very delicate and may
break, chip or crack if dropped just a few inches. When
handling your dentures, stand over a folded towel or
a sink filled with water. When you're not wearing your
dentures, store them safely away from pets and children.
Daily brushing will remove food deposits and plaque
and helps to prevent the denture teeth from becoming
permanently stained. It's best to use a specially-designed
denture cleaning brush, although a soft bristled brush
can also be used. Don't use hard bristled brushes which
can cause unnecessary wear. An ultrasonic cleaner can
also be used, but it's no substitute for a thorough
daily cleaning.
To clean the denture, rinse off loose food particles,
moisten the brush, and use it to apply the denture cleaner.
Be sure to brush all surfaces of the dentures.
Store the denture in water, since allowing the denture
base to dry out can cause changes in its shape which
will affect its fit. Do not store the denture in hot
water, however, since that will also change its shape.
When you're not wearing them, store your dentures in
a cleaning solution or plain water. Look for denture
solutions that display the American Dental Association's
Seal of Acceptance which represents safety and effectiveness.
Denture Adjustments
Call the office immediately if your dentures break,
crack, chip, or if any of the denture teeth become loose
or come out. Your dentist should be the only one to
make adjustments and repairs. A person who lacks the
proper training will not be able to make, repair or
adjust the denture. The denture can be damaged, its
fit and function may be seriously harmed, and oral tissues
can be changed and permanently damaged. Never attempt
to repair your dentures with over-the-counter glues.
They are not effective, and often contain harmful chemicals.
Don't use them.
Denture Replacement
Eventually, your dentures will need to be relined or
remade due to normal wear. Denture relining involves
adding new denture base material to the inside of the
denture base to get a better fit of the denture base
to the contours of the gum tissue and bone ridges. The
expected denture life is 5-7 years. The body changes
over time, not the denture.
Dental Appointments
Even after you've lost your natural teeth, regular examinations
by Dr. Jaffe are necessary and important. Our mouths,
the bones and oral tissues, are susceptible to many
serious diseases, including cancer, and should be examined
on a regular basis. Dr. Jaffe will advise you about
the frequency of these important checkups.
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