Posts for tag: Dentures
If you’ve had the misfortune of losing all or most of your teeth (a condition called edentulism), you still have effective options for restoring lost form and function to your mouth. There is, of course, the traditional removable denture that’s been the mainstay for edentulism treatment for decades. If you haven’t experienced significant bone loss in the jaw, though, a fixed bridge supported by titanium implants could be a better choice.
But what if bone loss has ruled out an implant-supported fixed bridge? There’s still another option besides traditional dentures — a removable “overdenture” that fits “over” smaller diameter implants strategically placed in the jaw to support it.
A removable, implant-supported bridge offers a number of advantages for edentulism patients with significant bone loss.
Speech Enhancement. Any denture or bridge supported by implants will have a positive impact on speech ability, especially involving the upper jaw. But patients who’ve previously worn removable dentures may not see a dramatic difference but will still be able to benefit from the greater stability of the denture, particularly if the dentures were previously unstable.
Hygiene. A removable denture allows better access to implant sites for cleaning. Better hygiene reduces the risk of gum disease and further bone loss.
Long-Term Maintenance. Regardless of which type of implant supported restoration is used, it will eventually require some maintenance. A well-designed removable overdenture can make any future maintenance easier to perform.
Aesthetics. For personal satisfaction, this is often the ultimate test — how will I look? As a product of the evolving art of facial aesthetics, removable dentures supported by implants can replace lost tissues and restore balance to the face, and often produce a remarkable smile “makeover.”
To find out which restoration option is best for you, you should first undergo a thorough examination to determine the status of your facial and jaw structures, particularly the amount of bone mass still present. Ultimately, though, the decision should be the one that best fits your functional needs, while fulfilling your desires for your future smile.
If you would like more information on tooth restoration options, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Fixed vs. Removable: Choosing Between a Removable Bridge and a Fixed Bridge.”
Today’s technologically advanced dentures aren’t your grandparents’ “false teeth.” Now made with superior materials and processes, you could almost forget you’re wearing them. But don’t let that cause you to leave them in for the night: While it may seem like a harmless thing to do, wearing dentures 24/7 may not be good for them or your health.
For one thing, around the clock denture wearing could worsen bone loss, already a concern with dentures and missing teeth. The forces generated when we chew on natural teeth stimulate new bone growth to replace older bone cells. When teeth go missing, though, so does this stimulus. Even the best dentures can’t restore this stimulation, so bone loss remains a risk.
And, dentures can accelerate bone loss because of the added pressure they bring to the bony gum ridges that support them. Wearing them all the time deprives the gums of any rest, further speeding up the pace of bone loss. Losing bone volume not only affects your overall oral health, it will gradually loosen your dentures’ fit and make them uncomfortable to wear.
Another problem: You may clean your dentures less frequently if you don’t take them out at night. Lack of cleaning can encourage bacterial growth and lead to disease. Studies show that people who don’t take their dentures out at night have more dental plaque accumulation, gum inflammation and higher blood counts of the protein interleukin 6, indicating the body is fighting infection.
And that’s not just a problem for your mouth. Continuous denture wearing could make you twice as likely to develop life-threatening pneumonia as someone who routinely takes their dentures out.
These and other concerns make nightly denture removal a good practice for your health’s sake. While they’re out, it’s also a good time to clean them: Manually brush them for best results (be sure you’re only using regular soap or denture cleanser—toothpaste is too abrasive for them). You can then store them in clean water or a solution designed for dentures.
Having said all that, though, there may be one reason why wearing dentures at night might be beneficial—it may help prevent obstructive sleep apnea. If you have this condition, talk to your dentist about whether wearing your dentures at night has more advantages than disadvantages. And, if bone loss created by wearing dentures is a concern, it could be resolved by having implants support your dentures. Again, discuss this with your dentist.
Taking care of your dentures will help increase their life and fit, and protect your health. And part of that may be taking them out to give your gums a rest while you’re resting.
If you would like more information on denture care, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Sleeping in Dentures.”
Generations have depended on dentures to effectively and affordably replace lost teeth. But they do have a major weakness: They contribute to jawbone loss that creates not only mouth and facial problems, but can also ruin a denture’s fit.
Bone loss is a normal consequence of losing teeth. The biting forces normally generated when we chew stimulate new bone to replace older bone. When a tooth is missing, however, so is that chewing stimulation. This can slow bone replacement growth and gradually decrease the density and volume of affected bone.
While dentures can restore dental appearance and function, they can’t restore this growth stimulation. What’s worse, the pressure of the dentures against the gum-covered jaw ridge they rest upon may irritate the underlying bone and accelerate loss.
But there is a solution to the problem of denture-related bone loss: an implant-supported denture. Rather than obtaining its major support from the gum ridges, this new type of denture is secured by strategically-placed implants that connect with it.
Besides the enhanced support they can provide to a denture restoration, implants can also deter bone loss. This is because of the special affinity bone cells have with an implant’s imbedded titanium post. The gradual growth of bone on and around the implant surface not only boosts the implant’s strength and durability, it can also improve bone health.
There are two types of implant-supported dentures. One is a removable appliance that connects with implants installed in the jaw (three or more for the upper jaw or as few as two in the lower). It may also be possible to retrofit existing dentures to connect with implants.
The other type is a fixed appliance a dentist permanently installs by screwing it into anywhere from four and six implants. The fixed implant-supported denture is closer to the feel of real teeth (you’ll brush and floss normally), but it’s usually more costly than the removable implant-supported denture.
While more expensive than traditional ones, implant-supported dentures still cost less than other restorations like individual implant tooth replacements. They may also help deter bone loss, which may lead to a longer lasting fit with the dentures. Visit your dentist for an evaluation of your dental condition to see if you’re a good candidate for this advanced form of dental restoration.
If you would like more information on implant-supported dentures, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Overdentures & Fixed Dentures.”
When you lose teeth, you really suffer. The change in oral function, those smile gaps, an aged facial appearance--they're beyond discouraging. They're truly devastating. Would you like to get your back? You can with state-of-the-art dentures from San Bernardino, CA, dentist, Dr. Sanjay Patel. He and his team of caring professionals will design and precision-fit you with beautiful and lifelike dentures that also are long-lasting.
What happens with tooth loss
Your facial appearance and function change when you lose one or more teeth. Bone and gums recede, compromising how you bite, chew, and speak. What dentists call bite height shrinks, making you look much older than you are. Additionally, some people develop teeth grinding issues and TMD, or temporomandibular joint dysfunction, a painful condition affecting the jaw joint.
What can you do
If you are missing teeth already, or if you anticipate extractions due to decay, gum disease, or other problems, see Dr. Patel about dentures. In his San Bernardino office, he'll examine your teeth and gums carefully and take digital X-rays and oral impressions. From there, he'll formulate a treatment plan outlining your denture options.
What Dr. Patel delivers
The American College of Prosthodontists states that the most common kinds of dentures are:
- Partial, made of one, two, or more acrylic teeth mounted on a light metal frame. Held in place via clasps attached to remaining natural teeth, a partial denture fills smile gaps and facilitates natural biting and chewing.
- Complete, or full, replacing an entire arch of teeth. Made of natural-looking acrylic, complete dentures rest right on the gums and bone. Well-fitted, these San Bernardino dentures rarely require denture adhesive. Additionally, if you qualify, Dr. Patel may stabilize these dentures with titanium dental implants inserted right into the jaw bone for maximum security.
- Immediate, placed right after tooth extraction. These full dentures speed extraction site healing and allow the patient to leave the dental office with a complete smile. However, most immediate dentures require eventual relining or even replacement as gums and bone shrink.
What's best for you
Dr. Patel will create your best tooth replacement option. Call his office team in San Bernardino, CA, today for a consultation on dentures: (888) 599-7005. You can get your smile back again!
Multiple missing teeth take a toll on more than just your eating or speaking habits. Facial muscles sag, causing an abnormal appearance. For those ashamed of their gaps, face to face conversations may be awkward or embarrassing. Luckily, dentures can replace your missing teeth and give new life to your smile.
What kind of dentures are available?
Dentures come in a variety of styles, suitable for most situations. They include:
- Complete dentures: Complete dentures are recommended for patients who are missing all of their upper or lower teeth. In cases where all the teeth on both arches are missing, your dentist prescribes a set of upper and lower complete dentures. The dentures rest on the gums and are usually secured by suction to the tissues in your mouth. Since every mouth is different, dentures are custom-made, ensuring a secure and comfortable fit.
- Partial dentures: In situations where most of the teeth are missing, but several healthy natural teeth remain, teeth-supported partial dentures fill in the gaps. A hole which the natural teeth fit through secures the denture in place and decreases the chance of it moving or sliding. When a row of teeth is missing with natural teeth around it, the denture secures to the teeth around it using metal clasps.
- Implant-secured dentures: Utilizing dental implant technology, a post is surgically placed into the jawbone below the gum tissue. This post integrates into the bone and becomes a sturdy foundation for the denture to attach to.
- Immediate dentures: Immediate dentures eliminate the need for patients who have all or most of their teeth extracted to go without teeth during the healing process. Immediate dentures are designed based off a mold taken of the teeth prior to extraction. This allows the dentures to be ready to wear immediately after an extraction appointment.
Dentures should be removed and soaked in a denture cleaning solution nightly. Clean your dentures using denture cleaner and a denture brush immediately after eating to reduce the chance of bacteria forming. Brush the gums and other oral tissues and any remaining natural teeth after removing your dentures. Before replacing your dentures, be sure to rinse them with fresh water.
For more information on dentures in the San Bernardino, CA area, please contact Dr. Sanjay Patel, DDS at My Dentist. Call (888) 599-7005 to schedule your appointment today!