When a person becomes totally edentulous i.e. when all
the teeth are removed, complete dentures should be made for the person
to wear. Dentures are an acceptable solution, but no match for our real
teeth. Hence we always try to save natural teeth. When the teeth are
removed we are left with a ridge of bone on the upper and lower parts of
our mouth,that we can use to put false teeth on.The lower denture
always takes a little more work for most patients to get used to for two
reasons lack of height of bone and prescence of the tongue. The tongue
increases in size in an edentulous mouth and it resists any new
encumberence to its unchallenged domain. In the upper ridge however
there are no such interferences. Many denture wearing patients have the
habit of comparing their dentures with other people's denture,this is
undesirable as two denture wearers cannot have the same degree of
acceptibility. We strongly feels that "success of a denture lies more in
the attitude of the patient than the construction of the denture" other
factors like diabetes, submucous fibrosis and other debilitating
diseases also contribute to the success of a denture.
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REMOVABLE PARTIAL DENTURES
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An important step in maintaining a healthy smile and
good chewing is to replace missing teeth. When missing teeth are not
replaced , the remaining ones can change position, drifting into the
surrounding space. Teeth that are out of position can damage tissues in
the mouth. In addition, it may be difficult to clean thoroughly between
crooked teeth. As a result, you run the risk of tooth decay and
periodontal (gum) disease, which can lead to the loss of additional
teeth. Due the imbalanced occlusion caused by migration of teeth one can
have problems in the Temporo Mandibular Joint. In situations where only some teeth are missing we can also use a Removable Partial Denture.
A removable partial denture fills in the space created by missing teeth
and fills out your smile.It is usually used when the space without teeth
is too large for a bridge,or there are no teeth on either side of the
gap or for economic reasons.The partial denture locks into place with
its metal clasps.A denture helps you to properly chew food, a difficult
task when you are missing teeth. In addition, a denture may improve
speech and prevent a sagging face by providing support for lips and
cheeks. There are two types of these ones made fully of plastic(acrylic)
or ones having a metal framework for rigidity and the teeth are the
same kind used in full dentures.The latter ones are called Cast Partial Dentures and are much better and expensive.
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REMOVABLE PARTIAL DENTURES - FREQUENTLY ASKED QUESTIONS
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- How do you wear a removable partial denture?
- Removable partial dentures usually consist of replacement teeth
attached to pink or gum-colored plastic bases, which are connected by
metal framework. Removable partial dentures attach to your natural teeth
with metal clasps or devices called precision attachments. Precision
attachments are generally more esthetic than metal clasps and they are
nearly invisible. Crowns on your natural teeth may improve the fit of a
removable partial denture and they are usually required with
attachments.
- How long will it take to get used to wearing a denture?
- For the first few weeks, your new partial denture may feel
awkward or bulky. However, your mouth will eventually become accustomed
to wearing it. Inserting and removing the denture will require some
practice. Follow all instructions. Your denture should fit into place
with relative ease. Never force the partial denture into position by
biting down. This could bend or break the clasps.
- How long should I wear the denture?
- Your dentist will give you specific instructions about how long
the denture should be worn and when it should be removed. Initially,
you may be asked to wear your partial denture all the time. Although
this may be temporarily uncomfortable, it is the quickest way to
identify those denture parts that may need adjustment. If the denture
puts too much pressure on a particular area, that spot will become sore.
Then you need to get the denture adjusted to fit more comfortably.
After making adjustments, it is normally recommended that you take the
denture out of your mouth before going to bed and replace it in the
morning.
- Will it be difficult to eat with a partial denture?
- Replacing missing teeth should make eating a more pleasant
experience. Start out by eating soft foods that are cut into small
pieces. Chew on both sides of the mouth to keep even pressure on the
denture. Avoid foods that are extremely sticky or hard. You may want to
avoid chewing gum while you adjust to the denture.
- Will the denture change how I speak?
- It can be difficult to speak clearly when you are missing
teeth. Consequently, wearing a partial denture may help.If you find it
difficult to pronounce certain words with your new denture, practice
reading out loud. Repeat the words that give you trouble. With time, you
will become accustomed to speaking properly with your denture.
- How do I take care of my denture?
- Handling a denture requires care. Brush the denture each day to
remove food deposits and plaque. Brushing your denture helps prevent
the appliance from becoming permanently stained. It's best to use a
brush that is designed for cleaning dentures. A denture brush has
bristles that are arranged to fit the shape of the denture. A regular,
soft-bristled toothbrush is also acceptable. Avoid using a brush with
hard bristles, which can damage the denture. We can recommend a denture
cleaner. Some people use hand soap or mild dishwashing liquid to clean
their dentures, which are both acceptable. Other types of household
cleaners and many toothpastes are too abrasive and should not be used
for cleaning dentures. Clean your dentures by thoroughly rinsing off
loose food particles. Moisten the brush and apply the denture cleaner.
Brush all denture surfaces gently to avoid damaging the plastic or
bending the attachments.
A denture could lose its proper shape if it is not kept moist. At night,
the denture should be placed in soaking solution or water.A denture
should never be immersed in hot water as it may loose it's shape and
never try to tighten or loosen the clasps of a removable partial denture
on you own, you are likely to alter a proper fit.
- Can a denture be used by people with poor ridges (bone)?
- Yes: People having poor ridges can also wear dentures by using denture adhesives, they are available in powder and paste form.
- Will my denture need adjusting?
- Over the time, adjusting the denture may be necessary. As you
age, your mouth naturally changes, which can affect the fit of the
denture. Your bone and gum ridges can recede or shrink, resulting in a
loose-fitting denture.Dentures that do not fit properly should be
adjusted. Loose dentures can cause various problems, including sores or
infections.If your denture no longer fits properly, if it breaks, cracks
or chips, or if one of the teeth becomes loose,you need to see us
immediately. In many cases, necessary adjustments or repairs can be
made.
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