Dentures

Dentures offer a removable replacement option for people missing multiple or all of their teeth. Crafted primarily from acrylic resin and sometimes combined with metals, dentures help restore the ability to chew, speak, and smile with confidence. In this article, we’ll discuss various denture types, how they’re made, tips for adapting to them, and essential maintenance practices.

Types of Dentures

There are two main categories of dentures: complete dentures and partial dentures.

1. Complete Dentures

Complete dentures replace all teeth in either the upper or lower jaw. They come in two forms:

• Conventional Dentures: Placed after any remaining teeth are removed and the gums have fully healed—typically a few weeks.
• Immediate Dentures: Inserted immediately following tooth removal, ensuring you aren’t without teeth during healing. Adjustments are common as gums and bones shift over time.

2. Partial Dentures

Partial dentures are used when some natural teeth remain. They fill gaps left by missing teeth and prevent surrounding teeth from shifting. These dentures generally have a pink or gum-colored base with replacement teeth attached, secured by metal clasps or precision attachments.

• Removable Partial Dentures: Taken out for cleaning; suitable for those missing several teeth in one area of the mouth.
• Fixed Partial Dentures (Bridges): Permanently attached to nearby teeth or dental implants and cannot be removed.

3. Overdentures

Overdentures fit over a small number of remaining natural teeth or implants, offering additional stability compared to conventional dentures. The natural teeth (or implant abutments) are prepared to serve as support structures.

How Dentures Are Made

The process of creating dentures typically requires multiple dental visits spanning about a month. Here’s a general overview:

1. Diagnosis and Impressions: Your dentist examines your mouth and takes impressions of your jaws to form the foundation for the denture.
2. Wax Bite Registration: This step helps measure the correct vertical dimension and alignment of your jaws.
3. Try-In Phase: A wax try-in lets you and the dentist evaluate fit, color, and tooth shape before final fabrication.
4. Final Denture: Using the lost-wax technique, the final denture is created in a lab from acrylic resin (and possibly metal). It’s then polished and ready for placement.

Adjusting to New Dentures

Wearing dentures for the first time can feel unusual, and it might take weeks to adapt. Here are some tips for a smoother transition:

• Practice insertion and removal until it becomes second nature.
• Initially, you may wear them constantly to identify pressure points needing adjustment. Afterwards, remove them at night to rest your gums.
• Eat soft foods in smaller pieces at first, then gradually introduce firmer items.
• Avoid sticky or tough foods that could damage or dislodge the dentures.

Caring for Your Dentures

Proper maintenance preserves the appearance and longevity of your dentures. Keep these guidelines in mind:

• Daily brushing: Use a soft-bristled brush to eliminate plaque and food debris. Steer clear of abrasive cleaners or hard-bristled brushes.
• Handle with caution: Place a towel or water in the sink during cleaning to protect dentures if dropped.
• Soak overnight: Keep dentures moist in water or a mild cleaning solution when not in use. Metal components may tarnish if submerged in inappropriate solutions.
• Maintain oral hygiene: Even with full dentures, brush your gums, tongue, and palate daily to remove bacteria.

Adjustments and Repairs

Over time, dentures may need adjustments as gums and jawbone change, especially after immediate dentures are placed. Regular dental checkups ensure a comfortable fit and prevent sores.

• Relining or rebasing: If dentures grow loose, they may require relining or rebasing for improved stability. In some cases, a new set may be necessary.
• Repairs: If your dentures chip, crack, or break, seek professional repair. DIY kits can worsen the damage.

Common Concerns

1. Eating with Dentures

Initially, stick to soft foods and cut them into smaller bites. Chew slowly, using both sides of your mouth to keep the dentures balanced. Avoid extra-hard or sticky foods that can cause dislodgment.

2. Speaking with Dentures

Pronunciation changes may occur. Practice talking aloud and repeating challenging words until speech feels natural. If clicking occurs, slow your speech slightly.

3. Denture Adhesives

While denture adhesives can offer extra stability for well-fitted dentures, they’re not a substitute for professional adjustments if dentures feel loose or uncomfortable.

Conclusion

Dentures offer a functional and aesthetically pleasing solution for missing teeth, helping you regain comfortable eating, clear speech, and a confident smile. With proper care—daily brushing, soaking, and regular dental visits—dentures can last for many years. If you’re considering dentures or have concerns about their fit, consult your dentist to explore the best treatment options for your needs.