Articles on dentures

Dentures and 10 Most Common Misconceptions Related to It

Dr. Abhijit Anil Tambe, Dentist
Geriatric people have more health related problems that is because of aging. Aging is natural and continuous process and each one of us will be part of that some or the other day in our lives.As these effects of ageing can be seen all over body, teeth are also affected partly. There will be wearing off, discoloration, more sensitivity, mobility and gum related problems with teeth. As all of these are occurring in oral cavity, sadly over the period of time there may be loss of teeth. Complete loss of teeth is major problem for aged people. It leads to inability to have food, difficulty in speech and also loss of appearance of facial aesthetics.To overcome the same problem the last option for dental surgeon is to give complete set of teeth for both jaws called as complete dentures. Denture treatment modality is available from long time still there are misconceptions related to them. Most common misconceptions and related facts are:Misconception 1   Complete dentures functions like natural teeth and they are more effective than natural teethFact 1Complete dentures function in group like upper denture one whole set of teeth, which is not like our natural teeth as individual single tooth. Dentures are as effective as natural teeth but not more effective because of some limitation and they are placed on soft gums. Not like natural teeth which are present in hard tissue that is bone.     Misconception 2 Once dentures are inserted in mouth by dental surgeon, there job is completedFact 2No once the complete dentures are evaluated and inserted by dental surgeon their job is not over yet. Actually it is patient’s responsibility to review your dental surgeon or Prosthodontist related to any small or major problem. Even if problem is not there patient must visit for oral checkups. Dental surgeons job won’t get over easily until patient gets used too for dentures.Misconception 3 We are not using dentures as it cause ulcers in mouthFact 3Report your dentist immediately for your problem do not stop using dentures. Every denture requires small corrections after insertion and it depends on adaptability of the patient.Misconception 4 We can have anything after wearing denturesFact 4No, it completely depends on adjustability of patient related to having variety of foods. Initially soft diet is recommended and once patient is confident enough then routine diet can be started. But having hard, sticky food should be avoided.Misconception 5Wearing dentures all the timeFact 5Is bad for health of patient and also for condition of complete dentures. After each food patient should remove denture wash them under running water, clean your mouth also then again you can ware. Wearing denture in night time during sleep is strictly avoided for good health of your oral tissues.Misconception 6One denture set can be used foreverFact 6No, it is only for 2-3 years. As bone resorbs gradually with use of dentures, denture becomes loose or ill-fitting after that patient has to visit Prosthodontist (specialized dental surgeon) for checkups. If there are minor changes after correcting that dentist may allow using same set of teeth for another one to 2 years, but after that patient has to get it remade a new denture set once again. One denture set on an average is only for 2 to 3 years. After that remaking new denture is the only option.Misconception 7Why to remake dentures if my denture set is not causing any problem.Fact 7Don’t wait for problems to arise. Visit your dentist after every six months, if there are corrections made in existing denture by the dentist, same dentures can be used for prolonged period of time. If not then new dentures has to be made. Wearing same sets of dentures causes more irritation of gums and bone resorption.Misconception 8Dentures can be fixed but our dentist made it removable.Fact 8Dentures are always removable. They cannot be fixed in mouth. What your friend is using that is implant supported fixed teeth. Implant supported teeth can be fixed or removable. Implant supported teeth can be better option for dentures, if patient is ready for minor surgical procedures and all other factors should be evaluated by dental surgeon properly.Misconception 9Dentures are unbreakable.Fact 9They are breakable. So always take care while handling them. If they repeatedly fall from height it becomes week and breaks easily. Always ask your dentist for high strength material for your dentures. Prosthodontist can make dentures with metal plate in it, which will be stronger.Misconception 10I am using two sets of dentures, old one for having food and new one when I will be going outFact 10Absolutely wrong. Patient has to use one set of dentures at time and should not use two sets together as they made at different times might be old denture one to two years back . The tissue surface of both dentures has different tissue records on which denture seats. This may cause soft tissue irritation or ulceration. For that purpose only one denture should be used at time.

A Personalized Touch to Your Dentures

Dr. Abhijit Anil Tambe, Dentist
Our teeth are most important part for our facial appearance. The arrangement of teeth in arch, their color, size, shape reflects aesthetics along with personality. An Individual with round face has more rounded kind of teeth which gives more feminine appearance whereas a person with square face has more square shaped teeth which gives masculine appearance. That shows how important teeth are for our appearance.The number of missing teeth depends upon the age and oral hygiene status of the patient. Missing teeth cause loss of function; aesthetics and also it affect personality of the individual. Complete loss of teeth is major problem for aged people. It leads to inability to have food, difficulty in speech and also loss of good appearance of face.Various prosthodontic treatment options are available for replacement of completely missing teeth for elderly. Those are complete dentures and implant supported fixed or removable dentures. For the all these artificial teeth proper diagnosis and meticulous execution of dental treatment is required. Along with proper functioning if desirable aesthetics can be given for the prosthesis, patient will be more satisfied. For this aesthetics characterization of prosthesis is required.Characterization is nothing but a modification of prosthesis or artificial teeth according to individuals requirements, rather it is a custom made prosthesis for particular individual which is fabricated by specialized dentist called as prosthodontist. This kind of prosthesis is easily accepted by patient because they look like natural teeth and not like artificial teeth, thus more aesthetics of prosthesis.Simple way of making few changes for constructing personalized prosthesis:Selecting proper teeth size, shape and color of teeth according to each patient’s facial appearance, tone of skin and required visibility of teeth.Making gingival (gums) characterization with different shades of pink, red and brown color.Making some root elevation on prosthesis as if teeth is coming out of gums feeling, same as that of natural teeth.Giving some natural appearance like minor rotation or spacing in prosthesisLittle bit of Stains can be applied on teeth rather than full one shade white teeth.How to get personalized or characterized denture:Always ask in detail about aesthetics of prosthesis to your dentist.Take help of dental surgeon and work on how much natural appearance to dentures can be achieved.Always give proper consent to dentist regarding the appearance of prosthesis during trail prosthesis as later on it cannot be changed much. Specialized in the same filed are always there to work on it.     Appearance does matter a lot. Who does not want more natural looking teeth? Or it should be the basic need for all the patient, only thing is that it is most commonly ignored.Don’t get accustom with artificial looking denture, rather it is time to shift on more natural, good looking and personalized teeth sets.

Solutions Beyond Problem Dentures

Dr. Prasanth Pillai, Dentist
One of the greatest myths of the aging process is that tooth loss is inevitable — that losing teeth in old age is a fact of life and can rarely be avoided. The real fact is - tooth loss does not occur as a result of aging, but because of various conditions such as dental decay and / or gum diseases. Left untreated, these conditions will certainly cause loss of teeth in addition to influencing the overall health status of individuals. Therefore, the most important aspect of dental care is to maintain excellent oral health and hygiene.If teeth are lost due to various reasons, the equilibrium in the chewing mechanisms is lost, in addition to initiation of several problems affecting the remaining teeth, gums and the jaw joints. In the long run, missing teeth contribute to loss of jaw bone contours, collapse of the cheeks and face (facial collapse) and the aged look. Lack of teeth compromise chewing patterns, food intake and proper nutrition, in addition to accelerating the aging process. Therefore, it is extremely important to have missing teeth replaced to avoid a multitude of problems.REPLACEMENT OF MISSING TEETHRemovable dentures have been the mainstay in replacement of missing teeth for decades. However, dentures have several limitations. People suffer needlessly with wobbly and painful dentures. Having fixed teeth with the help of dental implants and bridgework isn’t as expensive as you think it is. Nor does it involve too many tedious and painful procedures stretched over a period of  months. We are able to offer excellent and super-fast results, within a matter of a few days. Let’s help you kiss goodbye to your dentures... for ever!Fixed Artificial TeethAdvantages of fixed teeth:Natural feel of teeth - functionally, cosmetically as well as psychologically.Chewing efficiency becomes comparable to that of natural teeth in the mouth. Taste and temperature sensations during food intake turns normal and patient starts enjoying food in its real flavorsDental Implants which are used to anchor the fixed artificial teeth into the mouth help prevent jaw bone loss and thereby help maintain the facial contours, thereby preventing "facial collapse" and the aged look.Considerably reduces problems like bleeding gums, denture sores, mouth ulcers and bad breathImproves interpersonal relations including sexual relations in healthy aged couples. Patient feels younger and turns more socially acceptable. They are able to be actively involved in sporting activities, if they are healthy to do so.Revolutionary dental treatment options employing a judicious mix of crowns, bridges and dental implants have come to provide a way to solve the issues of painful, loose fitting dentures. Dental implants are the next best thing to your original natural teeth. With the introduction of the advanced “Immediate Loading” strategies, the dental implantologist is able to provide fixed teeth in a matter of a few hours!Regular Dental Crown & BridgeworkA bridge is fabricated by reducing the teeth on either side of the missing tooth or teeth by a preparation pattern determined by the location of the teeth and by the material from which the bridge is fabricated. In other words, the abutment teeth (teeth next to the gap created by the missing teeth) are reduced in size to accommodate the material to be used to restore the size and shape of the original teeth in a correct alignment and contact with the opposing teeth. It is literally a bridge as the gap is bridged by taking support from the adjacent teeth.  Thus a three-unit bridge is three crowns joined together with the middle crown being a false tooth, with the side crowns cemented or bonded to the adjacent natural teeth.The disadvantages of conventional dental bridges are:Destructive - If the tooth (beside the gap which is to be filled with the tooth) is a natural and healthy tooth, the preparation is quite damaging. In order to make space for the bridge, the teeth adjacent to the gap must be filed down. Damaged nerves - When a tooth is prepared for a full crown, alone or as part of a bridge, 1-15% lose vitality (i.e. the nerve dies) and will require root canal treatment in the future. That is of course assuming a root canal has not already been carried out. Difficulty in maintaining oral hygiene: Over a period of time, food entrapment can occur in the bridged area leading to bad breath and a host of other problemsThe teeth which have been prepared for providing support to the bridgework turn prone to dental caries. Decayed cavities can develop on the tooth surfaces which tend to get exposed into the mouth, due to gingival recession which happens in relation to the teeth over a period of time.Implant supported crowns and bridgesDental implants are a great way to replace missing teeth and also provide a fixed solution to having removable partial or complete dentures. Implants provide excellent support and stability for these dental appliances. Dental implants are artificial roots (usually titanium) that are surgically placed into the upper or lower jaw bone by the dental implantologist. Teeth which are attached to implants can be made very natural looking.Dental implants are strong and durable and will last many years. On occasion, they will have to be re-tightened or replaced due to normal wear.Traditional implants... also known as conventional implants, most often need minimum wait period of 3 months after the implant(s) have been placed, before the tooth crown is fixed on the implant. The introduction of Strategic Implantology, by Prof Stefan Ihde (Germany) has revolutionized the field of implantology by helping provide fixed teeth to patients without teeth within a matter of 3 days of the implant procedure. The advantage with the Strategic Implantology techniques is that they work very well even in situations where there is little or even no bone available for implantation. The strategic implantology techniques are a boon to smokers and diabetic patients too as these implants are uniquely designed to resist the unfavorable sequence of events which are likely to occur in such compromised patients.

How to take care of Dentures

Sonal Herekar, Dentist
Teeth problems giving you a hard time? Finding it difficult to maintain your dentures? Here is how you could taking care of your dentures.What are dentures? Dentures are essentially a removable replacement of your teeth. There are two types of dentures:1. Complete: Conventional or ImmediateConventional dentures are made after the removal of the teeth and healing of the gum tissues. While immediate dentures are made in advance and can be replaced soon after a teeth is removed.2. Partial: When your gum does retain some natural teeth, partial types then come to use.Do you rinse your dentures after meal every day? Do you take care of the them as you would do to your natural teeth? Here’s a quick run through on how to take absolute care of your dentures:1. Give them some rest: That will help recover your mouth tissues. Remove them at night and soak them in warm water if they are made of metal or else use a cleaner as this would help remove stain, bacteria, plaque and tartars.2. Take care of them: dentures are fragile and expensive. Don't use toothpicks or hard brushes to clean them, use a soft towel or bowl of water.3. Regular cleaning: Dentures build up stain, tartar and bacteria just as your natural teeth does so it is very important to clean them regularly.4. Visit your dentist regularly: Whether you have partial or complete dentures, you still need to see your dentist at least once a year for oral examination, oral hygiene, denture fittings and dental care.To have a healthy and long lasting smile, make sure you give your dentures a long-lasting life. Don’t forget to book your appointment with the dentist once in every six months.

Dentures or Implants: Which one is better?

Dr. Kamlesh Kothari, Dentist
In today’s time, various options have come up for the individuals who have lost one or more number of teeth and want to get them replaced with aesthetically appreciating artificial teeth. Removable partial is one of the quickest and affordable options for most of the patients who want to get a prosthesis for the missing teeth. Here are some of the important reasons because of which the removable dentures are not recommended in the patients.Bone Loss: Removable dentures are usually prepared after the healing of the alveolar ridge is completed in the patients after the extraction or loss of the teeth. Along with the healing of the ridge, there is also significant bone loss which can be seen in the intra-oral radiographs taken for the respective tooth. If the removable partial denture is used over this, it will lead to excess pressure on the ridge which causes further bone loss and resorption of the ridge.Discomfort:Most of the patients who get removable partial dentures made for themselves have discomfort in using the dentures for a variable period of time depending on the adaptability and stability of the dentures on the ridge. Many patients complain of the unstable dentures and movement of the dentures at the time of eating. This makes the patient to provide extra care for the dentures while chewing and swallowing to prevent any further discomfort.Gum Inflammation:Removable partial dentures settle on the ridges of the patients. The plaque is deposited with time and this leads to more chances of the respective ridge to get inflamed and this causes denture stomatitis in the patients.Poor Aesthetics: The removable partial dentures are attached to the adjacent with the adjacent teeth with the help of the tissue biocompatible clasps. The wires are visible which comprises in terms of looks and aesthetics.Lack of confidence:Most of the patients hesitate to smile with full confidence in the presence of the removable partial dentures as they fear that the dentures will come out if they do not control their mouth movements. This makes the patients restrict the functioning of the mouth till they gain confidence.Trauma:Many cases of trauma can be seen in the patients who have got the removable partial dentures made. When the partial dentures are not designed properly then the trauma can occur in the patients. This is usually caused to the gums and also leads to abrasion of the adjacent teeth by the wrong placement of the clasps of the partial dentures.Bite Problems:Bite problems of the removable partial dentures are quite common. This occurs due to the wrong recording of the occlusion of the patient. In the case of bite problems, the premature contact occurs in the patients in the area where the denture has been placed. This eventually leads to excess pressure on the temporomandibular joint thus causing TMJ and facial pain.These are some of the reasons because of which removable partial dentures are not recommended in today's time when there are much better aesthetic and functional options like dental implants.

Dental Implants or Dentures: Know It All

Dr. Umesh Nisar, Dentist
Your teeth are as precious as any other organ in your body and they are very essential for your overall wellbeing. Missing teeth can make you conscious and embarrassed so much so that you hide your smile. Lost teeth lead to several problems like difficulty in chewing and inability to eat nutritious foods. It is at this moment that you need to choose wisely for your teeth, dental implants or dentures?Wondering which is the better option? We are here to help you:Dental implants:What are implants? : A Dental implant is a titanium post that is inserted into a jawbone replicating the root of a natural tooth. The implant post integrates strongly with the jawbone, creating an anchor which is used to hold a replacement tooth. They can be used to replace single or multiple teeth, supporting crowns, bridges and also dentures.Pros: It offers stable fixed/removable replacement of missing teeth.Dental implant supported teeth look and function just like natural teethImplants preserve bone.Chewing efficiency with implant supported prostheses is better as compared to removable prostheses/dentures.Implant supported prostheses prevent gum irritation and pain which is a common occurrence in patients using removable dentures.It is a long lasting solutionCons: They are initially more costly than dentures or bridges.Multiple steps are required.Dentures:What are Dentures?Dentures are removable prostheses that replace missing teeth as well as some of the gum tissue. Complete or full dentures replace all the teeth in the upper or lower jaw, or in both jaws, while partial dentures are used to replace few missing teeth when some of the natural teeth still remain. Complete dentures rest directly on the gum, whereas partial dentures are supported by clasps around the existing teeth.Pros: Acceptable appearance of the replaced teeth as newer materials closely replicates natural oral tissues.Economical option to replace multiple or all missing teeth.Non-surgical treatment option to replace missing teeth.Cons:They don’t look as natural as implants since they display acrylic instead of actual gum tissue.They need to be removed and cleaned regularly.They must be left out overnight to allow the gums to recover.With dentures, there are restrictions on the types of foods that can be eaten.Dentures tend to trap food which can increase the risk of gum disease and decay of remaining teeth.Dental implants are regarded as the best for replacing missing teeth due to the way they replicate natural tooth roots and preserve the jawbone and gums. Dentures may seem cheaper initially, but have a high maintenance cost and are not cost effective.Now, you know it all about Dental implants and Dentures. Make the right choice, the best choice.

5 Things You Need to Know About Implant Overdentures

Dr. Kamlesh Kothari, Dentist
Over dentures are one of the most comfortable in the category of the dental implants. This is due to the reason that implants when combined with the dentures and then placed into the mouth will have a firm base. This will prevent the pulling out or shifting of the denture during eating, chewing or any other oral activity. Five key benefitsBetter Eating - Patients need not worry about the type of foods they are consuming after the completion of the procedures. One should note that over dentures have been very good option for people facing such kind of problems after dental implant procedures.Better Digestion - Overdentures have several benefits which have made it to stand apart in the dental implant category. The digestion ability of the individual is improved when he starts using overdentures. This is due to the improved stability of the denture in the mouth. Thus one can consume nutritious foods easily with the right nutrients thus developing a good health. Better Stability - Overdentures stay intact in the mouth even with or without the dental implants. This leads to stimulation of the jaw bone caused by the over dentures. The overdentures slow the loss or resorption of bone jaw after the teeth is lost. This is of great advantage to the patients who have been edentulous from last few years. Most of the patients who undergo denture treatments complaint that their dentures i.e. removable partial dentures or complete dentures fall from their places in case of upper jaws and keep moving in the lower ones. One of the best alternatives of these dentures is the recommendation and use of the overdentures. It has an appreciable stability in the patient’s mouth.Convenience - Conventional dentures such as removable partial dentures, fixed dentures and complete dentures require dental adhesives so that they can be retained in exact positions in the patient’s mouth as per the features of the patient. But in case of the overdentures there is no requirement of such dental adhesives. This is one of the most important reasons because of which most of the patients prefer overdentures over the conventional ones. Aesthetics - Overdentures are helpful as they reduce the mental pressures of the patient after the procedure. Aesthetics are one of the main concerns of any dental patient. So with the overdentures, patient is not stressed physically and psychologically. This provides the patient overall satisfaction to  after the procedure.One should first discuss his case with the dentist. This is usually preferred in case of patients who are medically compromised or have some medical complications. In this way, special care should be taken so to keep the treatment smooth and stress free for the patient as well as the dentist. Moreover, one should see that the dentist recommends the overdenture procedure so that the patient gets all the positive things in his treatment and is satisfied by the end of the treatment. The treatment can be done as per the budget and choice of the patient so that the patient does not feel financial burden of the procedure.   

The 4 Common Problem Areas With New Dentures

Dr. Jagdish Patel, Dentist
The 4 Common Problem Areas With New Dentures Have you just got new dentures made or getting some soon? There are four common problem areas you might want to be aware of and prepare 1. Denture Irritation Minor irritation, especially on eating, is one of the common problems with new dentures. Your dentist can make small adjustments at the review appointment to remove any irritations. If they are causing any severe irritation, remove your dentures. Just before you can attend your dentist, try to wear the dentures again as any areas of irritation will show up on the gums so the dentist will know exactly where the problems lie. Several review appointments and adjustments may be necessary before the dentures are adjusted exactly as needed. 2. Denture Fit Dentures may feel a little loose at first, especially lower complete dentures. It takes some time for the dentures to ‘bed-in’. The muscles of the cheeks, lips and tongue need time in getting used to the dentures. These areas need this time to learn how to keep the denture in place without your thinking about it. Wearing the dentures for the first night after fitting may help you adjust, but after this take them out every night.However even the best complete lower dentures will never feel as secure as upper dentures. This is unfortunately one of the unavoidable lower denture problems.While getting used to dentures, it may be useful to use a denture adhesive. There are many types including gels, pastes and strips.Adhesives can give extra confidence when eating and speaking as your mouth is adapting to dentures. However in the long term they are not usually necessary with well-fitting dentures. 3. Eating with Dentures Getting used to eating with your new dentures will also take time and is one of the common early denture problems.Start with liquids and soft foods such as soups, soft bread and eggs. Avoid harder-to-eat foods at the beginning. Build up your exposure to these harder foods over time, once you are more comfortable. Have patience and stick at it! You will soon master eating more difficult foods.You will need time to learn new mouth movements and learn where to chew down on food. Tips for eating with dentures at the beginning include: ●Cut food into small pieces. ●Don’t bite up and down on food with your front teeth. This may dislodge the dentures. ● Use the side and back teeth more at the start.Use a sideways chewing motion to eat food. ●Don’t tear or pull food when eating off a fork. ●Having food on both sides of the mouth can help keep the dentures balanced.It is important that you stick with learning to eat more difficult foods. ●This will enable you to get a healthier, more varied and balanced diet. 4. Speaking with Dentures Again, speaking normally will take practice. The first three days or so are the most difficult. The dentures themselves will feel awkward to speak with. This problem will also be compounded by increased saliva flow in the first few days.Practice and a little patience are needed in these few days. Your speech will soon return to normal as you get used to things.Some words will remain difficult for longer. Practice saying these words aloud. ★Getting Used to Dentures: Other Possible Problems As you have read, getting used to dentures can be difficult and take some time. There are also other possible factors to keep in mind: As noted, there will be increased salivary flow. This generally lasts only a few days as a natural reaction to a foreign object in the mouth. As your mouth gets used to the denture, the saliva flow will return to normal. Certain extreme movements such as coughing, sneezing and yawning may dislodge the dentures. This is normal until you get used to these strong dislodging forces on the dentures.Cleaning your dentures is a new skill that will also need time to learn. ★Denture Problems in the Longer Term Common denture problems are a result of poor oral and dental hygiene.If not looked after, plaque can accumulate causing gum disease around, and decay of, remaining natural teeth. Fungal infections such as thrush are also a common problem under dentures if they are not cleaned properly and if not removed every night.A very small percentage of people can be allergic to the acrylic used in dentures. A different type of plastic material can be used in this case.Some people will find it very difficult to adjust to wearing a denture. Problems may include constant gagging and an inability to eat with the dentures