Posts for tag: dentures
There's no doubt about it — dentures have changed your life. Now you can eat and speak normally, and smile again with confidence. But if you're going to continue to benefit from your dentures, you'll need to take care of them. One of the best things you can do is not sleep with them in.
There are a couple of important reasons why you should take your dentures out when you go to bed. First, dentures tend to compress the bony ridges of the gums that support them. This contributes to the loss of the underlying bone, an occurrence common with missing teeth. Wearing dentures around the clock can accelerate this bone loss, which eventually loosens your denture fit.
Constant denture wearing also contributes to mouth conditions conducive to dental disease. You're more likely to develop tongue and denture plaque (a thin film of bacteria and food particles) that can cause gum inflammation or yeast development. The presence of the latter could also trigger a chronic response from your immune system that might make you more susceptible to other diseases.
Good oral hygiene is just as important with dentures as with natural teeth. Besides removing them at night, you should also take them out and rinse them after eating and brush them at least once a day with a soft tooth brush. And be sure to use regular dish or hand soap (especially antibacterial) or denture cleanser — toothpaste is too abrasive for denture surfaces.
It's also a good habit to store your dentures in water or, better, an alkaline peroxide solution. This will help deter plaque and yeast development. And don't forget the rest of your mouth: brush your tongue and gums with a very soft toothbrush (different from your denture brush) or clean them off with a damp cloth.
Taking care of your dentures will ensure two things. You'll lower your risk for disease — and you'll also help extend your dentures' life and fit.
Some patients who wear dentures face a kind of Catch-22: their denture fit may have loosened and become uncomfortable over time due to continued bone loss, yet the same bone loss prevents them from obtaining dental implants, a superior tooth replacement system to dentures.
But there may be a solution to this dilemma that combines the stability of implants with a removable denture. A set of smaller diameter implants — “mini-implants” — can support a removable denture with less bone than required by a conventional implant.
Like all living tissue, bone has a life cycle: after a period of growth, the older bone dissolves and is absorbed by the body, a process known as resorption. The forces generated when we bite or chew are transmitted by the teeth to the jawbones, which stimulates new bone formation to replace the resorbed bone. When the teeth are lost, however, the stimulation is lost too; without it, resorption will eventually outpace bone growth and repair, causing the bone mass to shrink.
Removable dentures also can’t supply the missing stimulation — bone loss continues as if the dentures weren’t there; and due to the compressive forces of a denture, bone loss accelerates. As the jawbone structure used to originally form the denture’s fit eventually shrinks, the denture becomes loose and difficult to wear. It’s possible to adjust to the new jaw contours by relining the dentures with new material or creating a new set of dentures that match the current bone mass. Without adequate bone, fixed crowns or bridges anchored by conventional implants may also be out of the picture.
On the other hand, mini-implants with their smaller diameter need less bone than the traditional implant. A few strategically placed within the jaw are strong and stable enough to support a removable denture. One other advantage: these mini-implants can be installed in one visit with local anesthesia and usually without the need for incisions or stitches.
If you would like more information on dentures supported by mini-implants, 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 “The ‘Great’ Mini-Implant.”
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.”
Whether you have worn dentures for years or they are new to you, knowing the proper way to care for them is critical. This is why we have put together this fun and insightful test so that you can see just how much you know.
After reading each of the following statements below, determine whether you think the statement is true or false. See below for the answers.
- Boiling your dentures at least once a week is an excellent way to sterilize them.
- With a proper fit, it is perfectly acceptable to wear your dentures continuously (24 hours per day).
- The bacterial biofilm that accumulates under a denture causes inflammation referred to as denture stomatitis.
- You should store your dentures immersed in water after cleaning or when not in your mouth.
- Once you have dentures (and no longer have any teeth), you really only need to schedule a dental appointment if you have a problem with your dentures or damage them.
- To best clean a denture, you should use a slightly abrasive cleanser and a firm toothbrush.
- The pressure from wearing dentures causes jawbone loss over time.
- The optimal method for cleansing your gums is to take a moistened washcloth and gently massage your gums two times each day.
- If you are careful, you can use denture cleaners while your false teeth are in your mouth.
- You should never use sodium hypochlorite bleach to clean your dentures.
1. False. You should never boil dentures. 2. False. You should not wear your dentures 24/7. 3. True. 4. True, as this prevents your dentures from warping. 5. False. Even though you may not have teeth, you need to visit our office at least once a year for a thorough examination and to ensure your dentures are fitting and functioning properly. 6. False. You should never use a firm toothbrush OR any type of abrasive cleanser to clean your dentures. 7. True. This is unfortunate, but a fact nonetheless. 8. True. 9. False, you should only use a denture cleanser outside of the mouth. 10. False. Sodium hypochlorite bleach is an excellent cleanser; however, you should never soak your dentures in this solution for periods that exceed 10 minutes.
Recent research has revealed a relationship between overall general health and proper care for your dentures. The evidence shows that oral bacteria have been implicated in bacterial endocarditis (“endo” – inside; “card” – heart), chronic obstructive pulmonary (lung) disease, generalized infections of the respiratory tract and other systemic diseases. This proves what you might not suspect — you need to pay attention to the care of your dentures to achieve optimal health. For this reason, we have put together this list of five great tips for caring for your dentures.
- Daily cleaning at home: It is critical that you thoroughly remove the bacterial biofilm in your mouth and on your dentures. This one tip alone will help minimize the likelihood of your developing inflammation (denture stomatitis) under your dentures.
- Don't boil your dentures: While cleaning is important, you should NEVER place your dentures into boiling water because it can damage and warp them.
- Don't wear your dentures 24/7: To help reduce or minimize denture stomatitis, you really should not wear your dentures 24/7. It is important to thoroughly clean them each night along with your mouth (as noted above), and then leave them out while you sleep. This will also slow down the bone loss that naturally occurs from the pressure caused by wearing dentures.
- Always store your dentures immersed in water: This tip is so important because it helps prevent your dentures from warping. And do not forget to change the water each day, as well as to clean the container in which you store them.
- Annual professional cleaning: Even though you may do an excellent job cleaning your teeth at home, you still need to come to our offices at least once a year for an examination, fit and function check, as well as a professional cleaning. During this cleaning, we will use our ultrasonic cleaners to minimize the biofilm that accumulates over time.