PreventionImmediate Dentures
You've been advised to have an Immediate Denture. But what is it and how is it done? We hope that this information will help to explain the concepts and clear up any of the questions you might have regarding this type of prosthesis.
As an example: Suppose, for instance, that you have eight (8) remaining upper teeth. These teeth are, unfortunately, poor and can not be utilized in any way to support a new prosthesis. If you were to have a traditional denture made, it would be necessary to have all of these teeth extracted first, the bone and gums would have to heal and then a denture could be fabricated. This process could take several weeks, if not longer, and for that time period you would have to go around without any teeth. In order to avoid this type of problem, we utilize an Immediate Denture technique. This involves taking impressions of your mouth while your teeth are still present. At the same time, when your teeth are extracted, we have a denture ready to be inserted. In this way, you never have to walk around without teeth. Immediate Dentures do present certain situations which I would like to list for you.
- Since we are unable to try in the denture prior to extracting your teeth, certain esthetic compromises may have to be made. This should not present any significant problem, however, and your esthetic result should be more than satisfactory. Since our goal is for you never to be without teeth, we will be inserting your new denture immediately after the extraction of your remaining teeth. This may seem odd, but it is perfectly normal. Typically, after the extraction of teeth, there may be some swelling. By placing your denture in immediately, this swelling can be kept to a minimum. If you did not place the denture immediately, the swelling that occurs might not allow you to wear your denture until the swelling subsided.
- It is very important that you follow the post-operative instructions of your dentist or oral surgeon very carefully. You must wear you new immediate denture for three (3) days, after the surgery, without removing it. This will help to control the swelling.
- Once healing has occurred, after approximately three (3) months, you will either need a reline of your existing denture or the fabrication of an entirely new denture. If a new one is to be made, we will then be able to make any esthetic and phonetic changes that you want within the limits of denture prosthodontics. If a new denture is to be made, you will then be able to use the immediate denture as a spare ( emergency ) denture. This can sure come in handy if your new denture should break and need to be repaired at the laboratory.
All About Denture Relines
There are essentially two (2) different types of denture relines.
- A Hard permanent reline which can either be done here at the office with an office-cured plastic or else it can be sent to the dental laboratory and processed in a laboratory cured plastic. Due to the special processing, the laboratory reline tends to last longer. Unfortunately this will require taking your denture from you for a few days. Please try to coordinate this with the Appointment Coordinator so that you may be inconvenienced for as few days as possible.
- A Soft reline can be done here at the office or else it can be done at the laboratory in a more permanent fashion. The permanent type, lab processed, may last up to one year without having to be replaced. The office processed soft liner tends to be more fragile and will need to be removed and replaced with greater frequency.
Denture relines are necessary in order to accomplish several goals. These goals include:
- Increasing retention of old, existing dentures or new dentures that, for one reason or another, have lost retention. Sometimes this may be due to recent extractions or alteration in the gum tissue due to other surgical procedures.
- Repairs.
- Relining of old dentures hoping to avoid the necessity of remaking them entirely.
- Gum tissue conditioning which usually relies on the gentle action of soft tissue materials ( soft liners ) to allow your abused gum tissue to return to a proper state of health prior to the fabrication of new dentures.
Denture Care
You've just received your new dentures. Whether you're a seasoned veteran or a new denture wearer, we're sure there are many questions which may need to be answered. We hope that the following information will prove to be helpful during the next few weeks of your denture adjustment period.
Learning to wear a new denture can take time. Don't become discouraged if you find some difficulty in the beginning. YOU'RE NOT ALONE! Please do not listen to friends who tell you how easy it was for them to get used to their dentures and how they can eat everything and anything. They are either bragging, have greater bone and gum support or their memories may be poor. Dr. Routsong will help you through any difficulties you may face or any situations that may arise during your adjustment period.
A lower denture usually takes more time to adjust to than an upper denture. The tongue may feel restricted and will tend to play, sometimes even subconsciously, with the new prosthesis. It will soon adapt to the restrictions and to the new feeling that a denture presents.
Try to eat only soft foods for the first couple of days. Then, as you progress to more solid foods try to eat slowly and deliberately, attempting to place small amounts of food on both sides at the same time during the chewing cycle. By placing food on both sides of the mouth at the same time, you balance the biting forces on the new denture and will help to make it more stable. The longer you take to eat your meal, the faster you will learn to master your new prosthesis.
Try to take small bites at first. Cut all your food into small portions. If, and when, your gum tissues are strong enough to try foods which are bitten off (bread, corn on the cob, etc. ), try to press the food against the back teeth on the upper in order to stabilize the denture.
It is perfectly normal to experience some discomfort associated with sore spots during the adjustment period. Nature did not intend for us to wear hard plastic against soft gum tissue. It takes a while for the gum tissues to firm up and to accommodate to the hard plastic denture.
If sore spots should develop (and in some cases they do not), please be sure to wear the denture for at least 24 hours prior to your adjustment visit! If your dentist can't see the sore spot visually, it is sometimes impossible for him to make the necessary adjustments.
Reading aloud during the first couple of days will go a long way in reducing any minor speech problems which may result from wearing a new denture. If speech problems continue to persist, please let us know.
An unclean denture is neither healthy, attractive or comfortable. Clean you new denture every morning and night with either a denture toothbrush and soap and water or with one of the commercially available denture cleaners. Please be sure to check with your dentist to make sure that the commercial cleaner will not interfere with the type of denture liner you may have in your prosthesis. Permanent soft liners and temporary soft liners react poorly to most commercial cleaners.
We prefer that you leave out one or both of your dentures at night. This allows your gum tissues to breathe and also relieves them of the constant pressures of mastication. When left out of the mouth, all dentures should be left in water to prevent warping.
Gum tissues are in a constant state of change but dentures are not. Therefore, periodic relining of your dentures may be necessary. If you find your denture getting looser and mastication more difficult, this may be a sign that a reline may be needed. It is very important for Dr. Routsong to see you regularly to evaluate the state of your oral tissues and to determine if additional treatment is required. Dentures typically need to be relined or remade every 3-5 years.
NEVER try to adjust your dentures yourself ! Home remedies, although simple, will only lead to trouble. If any problems arise or if you have any additional questions, Dr. Routsong is available to help.