Dentures
Replacing missing teeth with dentures is essential not only for restoring your smile but also for
maintaining the overall aesthetics of your face. Without the support of teeth, the cheeks and
jaw may begin to sag, leading to an aged appearance.
Full or partial dentures not only help you regain your smile but also restore your ability to
chew and bite, allowing you to enjoy a wider range of foods that you may have had to avoid when
you were missing teeth.
While dentures effectively replace missing teeth in terms of appearance and facial structure,
they are a prosthetic replacement when it comes to function. Just as someone with a prosthetic
limb may have limited function compared to a natural limb, dentures do not function in the same
way as natural teeth. The stability and function of dentures can vary from person to person,
which means that the variety of foods denture-wearers can comfortably eat also varies. Your
dentist can provide guidance on foods to avoid or ways to adapt your eating habits, such as
cutting meats into smaller pieces for easier chewing. Speaking with dentures may require some
adjustment, particularly when making "s" or "th" sounds. However, any speech difficulties
typically improve with practice.
What Are Dentures?
Dentures are prosthetic appliances consisting of a plastic base that is molded and colored to
resemble your gums. The teeth attached to this base are most commonly made from plastic
acrylic. Both the color of the gums and the teeth on dentures are customized to ensure they
appear as natural as possible in your mouth.
Dentures are designed for individuals who have lost some or all of their teeth. Depending on
the extent of tooth loss, dentures can be either a full set of teeth or a partial set
intended to fill gaps between any remaining natural teeth.
Top dentures typically cover the bony ridge where your upper teeth used to be and the roof of
your mouth (known as the palate). They are held in place through suction between the palate
and the denture. However, because there is less surface area for attachment (no palate),
dentures on the lower jaw are not as secure and may require a bit more adjustment to get
used to.
Full Dentures
Full dentures are designed to adhere to your gums through suction, primarily achieved between the
roof of your mouth (known as the palate) and the denture. Due to the larger surface area and
better retention, upper dentures tend to be more secure. However, lower dentures, which do not
have the palate for additional stability, may be somewhat less secure and may require a period
of adjustment as you get used to wearing them.
Partial Dentures
Partial dentures are retained in your mouth by clasping onto your existing natural teeth.
There are two primary types of partial dentures: those with a metal base structure and those with
an all-plastic base structure.
- Metal-Based Partials (Cast Partials): In this type of partial denture, the
base structure is made from metal, and the clasps, which hold onto your natural teeth, are
also made of metal. Cast partials tend to be thinner and more durable. However, one
potential drawback is that the metal clasps may be visible when you smile, depending on
which teeth are present and which teeth are being replaced.
- Plastic-Based Partials (Flexible Partials): These partial dentures are
constructed entirely from plastic, and the clasps are made of plastic as well. The advantage
of flexible partials is that the plastic clasps are less noticeable when you smile, offering
a more discreet appearance.
The choice between metal-based and plastic-based partial dentures often depends on factors such
as aesthetics, durability, and the location of the missing teeth in your mouth. Your dentist can
help you determine which type of partial denture is the most suitable for your needs and
preferences.
Procedure Overview
The process of obtaining dentures is relatively straightforward but may require several
appointments.
Here's an overview of the steps involved:
- Initial Assessment: The first step involves a comprehensive examination by
your dentist to assess your oral health and determine whether dentures are the appropriate
solution for you. If so, the dentist will discuss the type of dentures best suited to your
needs.
- Impressions or Scans: Your dentist will take impressions or digital scans
of your gums and any remaining natural teeth. These impressions are used to create a model
of your mouth, ensuring that the dentures will fit accurately and comfortably.
- Model Creation: Using the impressions or scans, a model of your mouth is
crafted, capturing every ridge and contour of your jawbone and gums.
- Try-On Appointment: You will be invited back to the dental office for a
try-on appointment. During this visit, you will try on the dentures to assess their fit and
comfort. If the dentures fit well and meet your satisfaction, you will be able to take them
home. However, if any adjustments are needed, the dentist will make the necessary
modifications to ensure a proper fit.
The entire process is designed to provide you with dentures that are custom-made to match the
unique structure of your mouth, offering a comfortable and secure fit. Your dentist will work
with you to make any needed adjustments, ensuring that your dentures are just right for you.
Aftercare
Proper denture care is crucial, as it is as essential as caring for natural teeth. Whether you
have full or partial dentures, it's important to remember that they are removable and not meant
to be worn at night. Allowing your gums to rest and your saliva to naturally lubricate your
mouth is recommended during the nighttime hours.
Here are some key points to remember when caring for your dentures:
- Remove at Night: Remove your dentures at night before going to bed. This
gives your gums a chance to rest and recover.
- Cleaning: Use special denture toothpaste and a soft-bristled toothbrush or
a denture brush to clean your dentures. Be cautious when cleaning to avoid dropping them on
a hard surface, as this is a common cause of denture breakage. To prevent accidents,
consider laying out a towel or filling the sink basin with water when cleaning your
dentures.
- Soaking: Dentures should be soaked overnight in a denture solution to keep
them moist. Allowing your dentures to dry out may lead to brittleness and damage.
Proper care and maintenance of your dentures are essential for their longevity and your oral
health. Be sure to follow your dentist's recommendations for cleaning and maintaining your
dentures to ensure they remain in good condition.