Caring for your New Denture

Post by: Gerarda on 13 Jan 2020

Today´s blog, is part 4 of a 6-part series.

How do I care for my new denture?
Dentures should be handled with great care and when not in use, should be placed in a container of water or denture cleaner. Never put them in hot water as they can become damaged and not fit properly. Clean them daily with soap and water and a soft toothbrush. When you have taken your denture out, rinse your mouth to clean it of any plaque that may have accumulated from eating and drinking. Do this daily to reduce the risk of any infection. You can also use a denture cleaning product sold at pharmacies.

How long can I expect my dentures to last?
Dentures should last a minimum of 5 years having been properly cared for. It can vary from patient to patient and depending on if you have had regular visits to your dentist to ensure the denture continues to fit well. Over time, the bone shrinks and causes the denture to become loose. A denture that has become loose is a recipe for faster bone loss. To prevent this bone loss from happening, the dentist will reline the ill-fitting denture so that it conforms to the oral tissue.

If you have fractured a tooth, lost a tooth or fractured the base of the denture it can be repaired by a dental lab within 1 to 2 days. It is important to contact your dentist for this as a DIY job while it will be cheap, will not allow you a perfect repair job or an adjustment of the bite.

Will dental insurance cover the cost of dentures?
Some insurances will cover the cost of dentures or at least pay a part of the cost. You would need to contact your insurance company to see how much they would cover as it varies from company to company.

If you are from Ireland you can use the cost as an expense to offset your income tax. You would fill out a Med 2 form and submit it along with your income tax. Swedes under some instances can claim their dental treatment from Skatteverket if they have proper documentation. Let your dentist know in advance of any treatment if you are going to send a claim to your tax office or insurance company as they will need very particular documentation including, but not limited to photos and X-rays before and after the procedure. By letting your dentist know in advance s/he can begin the necessary documentation from your first appointment.

Categories: Dental health,Dental Information,Dentures,Puerto Banus News,Stockholm Dental Clinic News

Posted on Monday 13th January 2020 at 11:00 am

Practicalities of Denture Wearing

Post by: Gerarda on 08 Jan 2020

Today´s blog, part 3 of a 6-part series.

How is the denture held in the mouth?
The denture is held in the mouth by creating a seal with the roof of the mouth. Otherwise, a denture adhesive, denture glue or denture cream can be used to help keep the denture in place. A small amount of denture adhesive is applied to the denture to help improve the retention and stability instead of depending on suction or metal clasps. This also provides an extra sense of security especially if you are new to wearing dentures.

Denture adhesive is not meant to be a substitute for a poor-fitting denture or as an alternative to visiting your dentist.

As we are all individuals it stands to reason that each mouth is also individual, therefore, each denture is custom-made.

How will dentures affect the way I eat and drink?
While eating and drinking require practice it will be best to start with soft foods like pasta, fish and rice. Eat on both sides of your mouth and slowly introduce more solid foods as you feel more confident. Avoid eating sticky or chewy foods. Over time the tongue and cheeks will get used to the denture and will automatically be engaged in keeping the denture in place. The quicker you start introducing more solid food the faster you will forget about the denture as it will become a part of you.

Will I ever get used to speaking with my new denture?
1. Practice. Practice. Practice. It will require active practice on your part, but it will become easier the more you practice. Begin by saying words out loud that start with the letters F, S and Th.

2. Practice in front of a mirror – Look at where your tongue, lips and denture are and make necessary adjustments. You know how something should sound so you will be able to adjust accordingly.

3. Practice reading aloud – Whether it is your favorite book, a piece of poetry or a tongue twister practice reading out loud so you build confidence in speaking outside your family circle.

It is like anything new you get, it is important to practice!

Conventional Full Denture & Immediate Denture

Post by: Gerarda on 12 Nov 2019

Today´s blog, part 2 of a 6-part series.

Conventional Full Denture 
If you are edentulous (completely without teeth) then you would be a candidate for a conventional full denture. Once the teeth have been removed and the gums have healed, typically between 2-4 months, a conventional denture can be made.

Your dentist will begin the process of a conventional denture by taking a series of impressions of the oral tissue that will support the denture. The dental lab will make models of the patient´s mouth based on the impressions. Between the dental lab and the dentist they will slowly build a denture or a set of dentures that will fit your mouth and your mouth only. All of the impressions will go toward building a set of dentures that have a perfect fit. They will be sized to fit the shape of your face and mouth and the color will be in keeping with your complexion and age. A good bite will be established to ensure they are not only esthetically pleasing, but also functional.

This process usually takes about 5 weeks from start to finish and begins after all the healing has taken place and the tissue and bone has been remodeled. Once the patient starts to wear the denture and get used to them, they will most likely notice that further tweaking is needed to make them more comfortable as the gums can be sore in places. That is something that can be done chairside. Remember adjustments to the denture are an important part of the process and it is important to do those adjustments sooner rather than later as otherwise it will continue to irritate the oral tissue.

I can´t be without teeth. What do I do?
While you are waiting for the bone to remodel and gums to heal you would receive an immediate denture so that you have something to wear the same day the teeth are extracted. This type of denture is made before the teeth are extracted and fitted immediately after.

It won´t fit the bone and gum tissue as well as a conventional denture as the tissue is continually healing, therefore, it will require adjustments throughout the healing process.

It is important to remember that an immediate denture is a temporary appliance until the conventional denture can be made. That is made after all the healing and remodeling of the gum and bone has taken place.

When a person is missing teeth, s/he can experience a range of issues from the obvious ones of having difficulty eating and speaking to feelings of insecurity and ill-confidence because the face does not retain its shape. Without the support of teeth the mouth collapses and the lower portion of the face shrinks. A denture suddenly fills out the face as it provides your jaw the height to bring your face back to its normal shape.

Everything is new and can take some time to get used to. If you are new to dentures you may need to learn how to put the denture in and take it out. You may also need to learn how to speak, eat and drink. This too is part of the process.

Having an immediate denture solves two problems;  it helps restore a person’s appearance and gives the patient oral function at the same time. Hence its name, immediate denture.

Dentures

Post by: Gerarda on 21 Oct 2019

This 6-part series will explore dentures, from what dentures are to what is the alternative to them. Today´s blog will focus on what they are and what types of dentures are available.

Dentures are referred to as a plate or a dental appliance. They are associated with visiting your grandparents and seeing them sitting in a glass by their bedside. Thankfully dentistry has advanced.

There are many types of dentures available and depending on your oral circumstances your dentist, in consultation with you, will decide which denture best suits your needs. Along with many types of dentures there are also many kinds of material used to make them. Whichever type of denture you ultimately receive, it is important to replace your missing teeth as they are an essential component to retaining the shape of your face. Without the support of your teeth the mouth collapses and the lower portion of the face shrinks. A denture suddenly fills out the face as it provides your jaw the height to bring your face back to its normal position.

What are dentures?
Dentures are an appliance used if a patient is missing one, some or all of their teeth. They are usually made of an acrylic base that is colored to make them look like natural gums along with a set of acrylic or porcelain teeth. Metals such as steel and chrome can also be used in the base of dentures, particularly in the upper jaw, but if you want something that is flexible, the material Valplast is used. It is a translucent resin that blends with natural gum color.

Dentures can be taken out of your mouth and put back in. They are commonly referred to as a plate and if you are a first-time wearer it can take some getting used to. While they will not feel like your original teeth, with advancements in dentistry they have come to look perfectly natural and feel very comfortable.

What types of dentures are available?
There are many different types of dentures, conventional full denture, immediate full denture, partial denture, denture on implants and flexible dentures to name just a few. Depending on a number of factors there is a whole range available.

Those factors include:

• The number of missing teeth
• The materials being used
• If the denture will be fixed or removable
• If the denture will be supported by the gum or by implants

Dentures made from acrylic while they are strong, are less durable than some of the alternatives. They can break easily if dropped or if too much pressure is applied while biting. Acrylic is the most affordable type of denture as the material is easier to work with and is less expensive.

Depending on the type of denture you have, that level of comfort can vary. The flexible denture uses soft material which is gentler on the gums, doesn´t have the rigidity of acrylic and is less bulky. This means they are more comfortable to wear and cause fewer difficulties with speech.

Dentures with a metal framework are stronger and more durable than acrylic. Because it is metal, the denture can be made thinner than acrylic, so are comfortable and lightweight.

Thankfully, today one is “spoiled for choice” when it comes to choosing the best denture for you. No longer do you have to see them sitting in a glass by your bedside as there are options.

Next time this blog will explore full dentures and immediate dentures.

Dental Emergencies

Post by: Gerarda on 09 Sep 2019

Broken front teeth, tooth pain, knocking out a tooth (avulsed tooth), bleeding gums and tooth sensitivity have all been covered in previous blogs. Below are many other types of dental emergencies that patients have.

Realigned your teeth after a fall
Once your permanent teeth grow in your teeth should never be loose. If you fall and hit your mouth and move teeth out of position, they will become loose and need immediate treatment. A trauma so severe as to move teeth needs emergency room treatment at a hospital to determine if you have had a concussion or a broken jaw. Your first stop though should be your dentist as the sooner the teeth are realigned the better chance they will survive the trauma.

Under some conditions it is possible to move teeth back into place. The dentist administers a local anesthetic, repositions the teeth and then uses composite to bond them to the neighboring teeth for support. This keeps them in place until they heal back into the bone. Depending on the extent of the injury the bonding will have to remain in place for up to 3 months. The longer the teeth are left untreated the harder it will be to move them back into position. Teeth that have moved and caused bone damage will most likely need to be extracted.

Root canal treatment will need to be done on the injured teeth as the nerve will die from the trauma and will cause infection; therefore, the canals have to be cleaned, disinfected and medication placed in the canals or the teeth will start to go dark, a sure sign the nerve is dying.

The teeth stand a better chance of long term viability the sooner they are treated. Seek immediate dental treatment.

Infections
Infections can result in varying degrees of pain and sometimes they can have no pain at all, but all have one thing in common. There is something wrong in your mouth and it needs to be treated sooner rather than later. Whether it is a tooth abscess, cavity, injury, prior dental work or poor oral hygiene, left untreated will only become more serious.

Idiopathic ulcers or canker sores
While idiopathic ulcers are not life threatening, they are very painful and make eating and talking difficult. They develop on the soft tissue or at the base of the gum and are small, oval in shape with a red edge. Most go away in a week or so. Their cause is unknown but researchers believe they develop after a mouth injury such as an accidental cheek bite, hard teeth brushing, food sensitivities or stress to name a few. Contact your dentist if it doesn´t heal or it gets progressively worse.

Abscess
There are three types of abscesses, a periapical abscess, a periodontal abscess, and a gingival abscess. Abscesses occur at different regions of the tooth and for different reasons. Essentially, an abscess is a pocket of pus that is caused by a bacterial infection. Either way you slice it, the abscess need to be treated. The abscess has to be drained to get rid of the infection. At times a root canal treatment is required and if that is not possible then the tooth would need to be pulled. Infection causes bone destruction so it is important for it to be treated in a timely manner. It also can result in serious and sometimes life-threatening complications if left untreated.

Swelling
Swelling in the oral cavity is a common dental emergency and depending on the reason for the swelling is one that needs immediate attention. Usually the swelling doesn´t go away on its own. Swelling of any kind is never a good sign and can indicate that you have a serious dental infection.

A swelling has many causes including:
Gum disease
Gum inflammation (gingivitis)
Using a dental device such as braces
Having a sharp or broken tooth
Reaction to certain foods or medication
Biting your tongue or cheek
Cancer treatment such as chemotherapy or radiation
Taking medication for rheumatoid arthritis, epilepsy or antibiotics
Autoimmune diseases such as lupus, Crohn´s disease or Bechet’s disease

It is not pleasant realizing that you have something wrong in your mouth and it is difficult to examine yourself. You are left wondering if this will go away on its own. Can I look after this myself? How long do I wait before calling my dentist? Many times people have favorite home remedies that can help, but at other times you need to call your dentist immediately.