Posts for tag: dentures
Although dental disease prevention has made great strides over the last century, tooth decay and periodontal (gum) disease continue to pose a major health threat. People who’ve lost all of their teeth (edentulism) or most of them suffer the most with adverse effects on their overall health, function and appearance.
Removable dentures have been the traditional and most affordable means to treat edentulism. But even with material and construction advances in recent years, dentures can still lose their fit over time as the bone in the jaw shrinks. This happens because the bone no longer has the stimulus of natural teeth and older cells can’t be replenished at a healthy rate; the continuing compression of traditional dentures on the jaw’s bony ridges compounds the problem.
As the bone shrinks the dentures become loose and uncomfortable to wear. Among other results, this poor fit can drastically affect how you eat: studies of denture wearers have found a decrease in their diet’s nutritional value because they’re eating fewer vegetables or fibrous, “chewy” foods and more foods with refined carbohydrates and fats that are easier to eat but less nutritious.
There is an alternative, though, that might slow bone loss and provide a better long-term fit: an overdenture supported by dental implants. With this appliance, a few implants are strategically installed in the upper or lower jaw. Matched attachments securely fasten the denture to the implants. In this case, the implants not the jaw ridge and gums support the denture thereby preserving the bone.
If you’re healthy enough to undergo a tooth extraction, you should be able to handle implant surgery, a minor procedure usually performed with local anesthesia and with little to no discomfort afterward. It may even be possible to retrofit your current denture to work with the implants, but that will need to be determined during the planning stages.
Although more expensive than a traditional denture, overdentures are much more affordable than fixed restorations stabilized with implants. The difference, though, is the increase in your quality of life — for better nutrition, physical health and social confidence.
If you would like more information on treatment for teeth loss, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Implant Overdentures for the Lower Jaw.”
The image of Grandma and Grandpa taking out their dentures every night and placing them in a glass of water by the bed is still a reality for a lot of people.
If you have dentures, you probably know that the conditions in your mouth will or have changed over time, necessitating adjustments. This is because full dentures exert continuous pressure on the gum tissues and underlying bone of your jaw resulting in a slow shrinkage. The gum tissues, and the bone beneath, atrophy or melt away. The result — over time the dentures lose their original tight fit and become loose. This can cause discomfort and embarrassment as the dentures slip and slide around.
Reline (refit) your current dentures. If your dentures are in good condition and are functional, applying a new inner lining to the dentures will restore their former fit. Because the rate of bone loss differs from person to person, some denture wearers may need more frequent relines than others. A temporary reline involves adding a layer of moldable plastic material under the denture while you are in the dentist's chair. The material will harden and fill in spaces where the gums have shrunk away from the denture. For a more permanent relining, the dentures must be sent to a dental lab, which will replace the temporary material with permanent denture material. This can usually be done in one day.
A new set of dentures. If your dentures are worn or you cannot speak, eat, bite or chew properly with them, a new set of dentures may be the answer. The condition of your jaw is another factor. If examination shows that a reline will not achieve the fit and stability you need, then remaking the dentures is another option.
Dental Implants — State-of-the-art tooth replacement systems. Dentures used to be the only solution to the problem of missing teeth, but with today's technology it's amazing what dentists can do. Implants do not only replace teeth but also stabilize the gradual bone loss that takes place when teeth are missing. Choose dental implants to replace at least two of your missing teeth to anchor your dentures and make them more stable.
Have all your missing teeth replaced with dental implants. Dental implants are generally the best option for long-term denture wearers who have endured jawbone loss and can no longer tolerate dentures alone. Bridgework (or dentures) are attached to the implants, stabilizing them and the underlying bone. The new teeth also provide support to the face, lips and cheeks giving a more youthful appearance.
Contact us today to schedule an appointment or to discuss your questions about dentures and other tooth restorations. You can also learn more by reading the Dear Doctor magazine article “Loose Dentures.”
When a device meant to make your life easier doesn't function properly, it can be extremely frustrating. This is sometimes the case for people who wear lower dentures, which loosen over time. These removable replacement teeth can become less reliable and more uncomfortable. Why does this happen?
The answer is bone loss. When a tooth is lost, the bone surrounding it deteriorates and this will change the shape of the jawbone in your mouth. You may find that a lower denture that once had a snug fit on your lower jaw is now sliding around. This happens more often on the bottom because your muscular tongue pushes against the denture. Also, a top denture has more surface area due to an artificial palate to help create suction to the roof of the mouth and keep it in place.
Dental implants, which permanently replace the roots of teeth, do not loosen and they also prevent bone loss. But replacing a whole set of bottom teeth with dental implants and crowns is expensive. What to do?
There's a relatively new solution that combines the security of implants with the affordability of a removable denture. It's called an overdenture, and it may be something you want to consider. An overdenture is a lot like the removable lower denture you already have, only it fits over two implants strategically placed in your lower jaw. While the lower denture is still removable, its stability is greatly improved.
Studies have shown that people with two-implant overdentures have a higher quality of life, and receive better nutrition, than those wearing conventional dentures. It's not hard to figure out why: A more stable denture makes it easier to eat healthy foods such as vegetables — or, really, any foods — and prevents embarrassing slippage of false teeth.
You can read more about this topic in the Dear Doctor magazine article “Implant Overdentures for the Lower Jaw.”
Even with all the medical know-how we possess at the dawn of the 21st century, complete tooth loss is still a big problem. In this country, more than a quarter of all adults between ages 65 and 74 have lost all of their teeth. For these individuals, removable full dentures are often still used as an affordable and effective way to replace missing teeth.
Success with dentures originates from a collaboration among dentist, laboratory technician, and, of course, the denture-wearer. Creating false teeth that look natural is as much an art as it is a science. We take a number of steps to make sure you will get the best results. These include:
- Positioning the teeth. Using facial landmarks and photographs of how you used to look before your teeth were lost helps us determine where to place each tooth and how the upper and lower teeth should line up in relation to each other. For example, we will consider what size the teeth should be; how close to the lip they should be; and how much space should exist between the upper and lower teeth when they are at rest.
- Simulating natural gums. If you are someone with a “high lip dynamic” (a lot of gum shows when you smile), it is particularly important to simulate real gum tissue in a set of full dentures. Fortunately, there are many colors and textures available to create a realistic effect. Again, photographs can be helpful in achieving this.
- Balancing the bite. We must make sure that your upper and lower dentures come together in a way that facilitates normal biting, chewing, and speech.
As a denture wearer, you will need to visit our office regularly to make sure the gum tissue and bone upon which your dentures rest stay healthy. It's common to see a gradual loss of bone in people who wear dentures at a rate that varies from person to person. This bone loss can affect the fit of your dentures and lead to other health problems, which we can address if we are monitoring you on an ongoing basis.
If you have any questions about dentures, please contact us or schedule an appointment for a consultation. You can learn more about this topic by reading the Dear Doctor magazine article “Removable Full Dentures.”