Dentures

Dentures are removable replacements for missing teeth and the surrounding tissues. They are typically made from acrylic resin, sometimes combined with metals, to provide a natural look and functionality for those missing multiple or all of their teeth. Dentures help restore a person’s ability to chew, speak, and smile with confidence.

This article will explore the different types of dentures, how they are made, tips for getting used to them, and how to care for your dentures to ensure they remain comfortable and functional.

Types of Dentures

Dentures can be classified into two main categories: complete dentures and partial dentures.

1. Complete Dentures

Complete dentures are used when all of the teeth in either the upper or lower jaw are missing. These dentures are designed to replace the entire set of teeth, restoring the natural shape and structure of the mouth. Complete dentures are further divided into:

• Conventional Dentures: These are made and placed in the mouth after all remaining teeth have been removed, and the gums have healed, which may take several weeks.
• Immediate Dentures: Immediate dentures are inserted immediately after the remaining teeth are removed. This allows the patient to avoid being without teeth during the healing period. However, as the gums and bones heal and shrink, adjustments may be required for a proper fit.

2. Partial Dentures

Partial dentures are used when some natural teeth remain. These dentures fill the gaps created by missing teeth and prevent the remaining teeth from shifting out of position. Partial dentures consist of replacement teeth attached to a pink or gum-colored base and are often secured in the mouth with metal clasps or precision attachments.

• Removable Partial Dentures: These can be taken out for cleaning and are a good option for people missing several teeth in one part of the mouth.
• Fixed Partial Dentures (Bridges): These are not removable and are attached to adjacent teeth or dental implants.

3. Overdentures

Overdentures are dentures that fit over a small number of remaining natural teeth or implants. They offer added stability compared to conventional dentures. The natural teeth are prepared to provide additional support for the denture.

How Dentures Are Made

The process of making dentures typically involves several appointments over the span of a month. Here’s how the procedure works:

1. Initial Diagnosis and Impressions: During the first visit, your dentist will assess your mouth and take impressions of your jaws. These impressions are used to create a mold that serves as the base for the denture.

2. Wax Bite Registration: This step helps determine the correct vertical dimensions of your bite and how your jaws align.

3. Try-In Stage: A wax try-in is created for you to try, allowing the dentist to check the fit, color, and shape of the dentures before the final product is made.

4. Final Denture: Once adjustments are made, the final denture is fabricated in a dental lab using the lost-wax technique. The result is a custom-fitted denture made of acrylic resin or metal, polished and ready for wear.

Getting Used to Your Dentures

Wearing dentures for the first time can feel unusual. It may take a few weeks for your mouth to adjust to the new appliance. Here are some tips for making the transition easier:

• Practice inserting and removing your dentures until it becomes a natural process.
• At first, you may be asked to wear your dentures all the time to identify pressure points that need adjustment. Once adjusted, remove your dentures at night to give your gums a rest.
• Start with soft foods and cut them into small pieces to make chewing easier. Gradually reintroduce firmer foods as you get more comfortable.
• Avoid sticky or hard foods that could damage or dislodge the dentures.

Caring for Your Dentures

Proper care of your dentures is essential to maintain their appearance and function. Here are some tips for taking care of them:

• Brush your dentures daily: Use a soft-bristled brush to remove food particles and plaque. Avoid using hard-bristled brushes or abrasive cleaners that could damage the dentures.
• Handle with care: When cleaning your dentures, place a towel in the sink to prevent damage in case they are dropped.
• Soak overnight: Dentures should be kept moist to retain their shape. Soak them in water or a mild denture solution when not in use. Avoid soaking dentures with metal attachments in a solution that could tarnish the metal.
• Maintain good oral hygiene: Even if you wear full dentures, it’s important to brush your gums, tongue, and palate daily to remove bacteria and stimulate circulation.

Adjustments and Repairs

Over time, your dentures may need adjustments as the shape of your gums and jaw changes. This is normal, especially after immediate dentures are placed. Regular dental checkups will help ensure your dentures fit properly, reducing the risk of discomfort and sores.

• Relining and rebasing: If your dentures become loose, they may need to be relined or rebased to fit your mouth better. In some cases, a new set of dentures may be required.
• Repairs: If your dentures crack, chip, or break, it’s essential to see your dentist immediately for professional repairs. Avoid using over-the-counter repair kits, as they can damage the dentures further.

Common Concerns

1. Eating with Dentures

Eating with new dentures takes practice. Start with soft foods and cut them into small pieces. Chew slowly, using both sides of your mouth to prevent the dentures from tipping. As you adjust, you can reintroduce your regular diet, but continue to avoid very hard or sticky foods.

2. Speaking with Dentures

Some people may notice changes in their speech when they first start wearing dentures. Practice speaking out loud and repeat difficult words until your speech feels natural again. If the dentures “click” while speaking, slow down your speech.

3. Denture Adhesives

Denture adhesives can provide extra security for well-fitting dentures, but they are not a solution for poorly fitting appliances. If your dentures feel loose or uncomfortable, see your dentist for adjustments rather than relying on adhesives.

Conclusion

Dentures are an effective solution for replacing missing teeth, offering both functional and aesthetic benefits. Whether you need a complete set of dentures or a partial one, they can help restore your ability to eat, speak, and smile confidently.

With proper care and regular dental visits, dentures can last many years, providing comfort and improving your quality of life. If you are considering dentures or have questions about their fit and maintenance, consult with your dentist to determine the best treatment option for your needs.