Complete Dentures
Complete dentures can be either “conventional” or “immediate.” Made after the teeth have been removed and the gum tissue has begun to heal, a conventional denture is ready for placement in the mouth about eight to 12 weeks after the teeth have been removed.
Unlike conventional dentures, immediate dentures are made in advance and can be positioned as soon as the teeth are removed. As a result, the wearer does not have to be without teeth during the healing period. However, bones and gums shrink over time, especially during the healing period following tooth removal. Therefore, a disadvantage of immediate dentures compared with conventional dentures is that they require more adjustments to fit properly during the healing process and generally should only be considered a temporary solution until conventional dentures can be made.
FAQs about Complete Dentures
Yes, dental implants can be used to support cemented bridges, eliminating the need for a denture. The cost is usually greater, but the implants and bridges more closely resemble the feel of real teeth. Dental implants are becoming the alternative to dentures but not everyone is a candidate for implants.
Dental implants may also be used to support dentures, offering more stability.
Consult your dentist for advice about implants.
New dentures may feel a little odd or loose for a few weeks until the muscles of the cheeks and tongue learn to keep them in place and you get comfortable inserting and removing them. Also, it is not unusual for minor irritation or soreness to occur and for saliva flow to increase when you first start wearing dentures, but these problems will diminish as the mouth adjusts.
Eating with new dentures will take a little practice and may be uncomfortable for some wearers for a few weeks. To get used to the new denture, start with soft foods cut into small pieces. Chew slowly using both sides of your mouth. As you get used to new dentures, add other foods until you return to a normal diet. Be cautious with hot or hard foods and sharp-edged bones or shells. And, avoid foods that are extremely sticky or hard. You should also avoid chewing gum while you wear the denture. Also, don’t use toothpicks while wearing dentures.
After getting dentures, you may have difficulty pronouncing certain words. If so, practice by saying the difficult words out loud. With practice and with time you will become accustomed to speaking properly with dentures.
If dentures “click” while you’re talking, contact your dentist. Dentures may occasionally slip when you laugh, cough, or smile. Reposition the dentures by gently biting down and swallowing. If any speaking problem persists, consult your dentist or prosthodontist.
Your dentist or prosthodontist will instruct you as to how long to wear dentures and when to remove them. During the first several days after receiving your denture, you may be asked to wear it all the time, including while you sleep. Although this may be temporarily uncomfortable, it is the quickest way to identify the areas on the denture that may need adjustment. Once adjustments are made, you should remove dentures before going to bed. This allows gum tissues to rest and allows normal stimulation and cleansing by the tongue and saliva. The denture can be put back in the mouth in the morning.
Caring for Dentures
Proper denture care is important for both the health of your dentures and your mouth. Here are some tips:
- Handle dentures with great care. To avoid dropping them, stand over a folded towel or a full sink of water when handling them.
- Brush and rinse dentures daily, but not with toothpaste. Toothpaste is abrasive and makes microscopic scratches where food and plaque can build up. Like natural teeth, dentures must be brushed daily to remove food and plaque. Brushing also helps prevent permanent stains on the dentures. Use a brush with soft bristles that is designed for cleaning dentures. Avoid using a hard-bristled brush, as it can damage or wear down dentures. Gently brush all surfaces of the denture, and be careful not to damage the plastic or bend attachments. In between brushings, rinse dentures after every meal.
- Clean with a denture cleaner. You can use hand soap or mild dishwashing liquid for cleaning dentures. Household cleansers and many toothpastes may be too abrasive for dentures. Also, avoid using bleach, as this may whiten the pink portion of the denture. Or you can try an ultrasonic cleaner. This is a small bathtub-like device that contains a cleaning solution. You put the denture in the tub, and sound waves create a wave motion that dislodges the deposits. An ultrasonic cleaner does not replace a thorough daily brushing. Products with the American Dental Association (ADA) Seal of Acceptance are recommended because they have been evaluated for safety and effectiveness.
- Take proper care of dentures when not wearing them. Dentures need to be kept moist so they don’t dry out or lose their shape. When you’re not wearing them, put dentures in a denture cleanser-soaking solution or in water. But if the denture has metal attachments, the attachments could tarnish in a soaking solution. Your dentist can recommend the best methods for caring for your dentures. Never put dentures in hot water, which can make them warp.
After you get your dentures, you may need one or more follow-up appointments to get adjustments. Never attempt to adjust or repair dentures yourself. Never bend any part of the clasp or metal attachments yourself; this can weaken the metal structure. “Do-it-yourself” repair kits can permanently damage dentures, and over-the-counter glues may contain harmful chemicals.
Dentures that don’t fit the way they should can cause irritation and sores in the mouth and on gums. Be sure to call your dentist if a denture breaks, cracks, or chips or if one of the teeth becomes loose. They can often make the adjustment or repair the same day. For some complicated repairs, your denture may have to be sent to a special lab.
Over time, dentures will need to be relined, rebased, or remade due to normal wear and natural age-related changes to the face, jawbones, and gums or if the dentures become loose. To reline or rebase a denture, the dentist or prosthodontist refits the base or makes a new base and reuses the existing teeth. Generally, complete dentures should be used for 5 to 7 years before you need a replacement.
Even with full dentures, it is important to brush your gums, tongue, and palate with a soft-bristled brush every morning before putting the dentures in. This removes plaque and boosts circulation in the mouth. Pay special attention to cleaning teeth that fit under the denture’s metal clasps. Plaque that gets trapped under the clasps will raise the risk of tooth decay. If you wear a partial denture, be sure to remove it before brushing your natural teeth. Clean, rest, and massage your gums regularly. Rinsing your mouth daily with lukewarm salt water will help clean the gums. Eat a balanced diet to maintain proper nutrition and a healthy mouth.
If you have dentures, your dentist or prosthodontist will advise you about how often to visit, but every 6 months should be the norm. Regular dental visits are important so that your dentures and your mouth can be examined to ensure proper denture fit, to look for signs of oral diseases including cancer, and to have teeth professionally cleaned.