Dentures Philippines

Dentures are prosthetic devices constructed to replace missing teeth, and which are supported by surrounding soft and hard tissues of the oral cavity. Conventional dentures are removable, however there are many different denture designs, some which rely on bonding or clasping onto teeth or dental implants. There are two main categories of dentures, depending on whether they are used to replace missing teeth on the mandibular arch or the maxillary arch. There are many colloquial terms for dentures such as dental plate, false teeth, choppers falsies & gnashers

Who should get dentures?

Generally speaking, you should probably consider getting dentures when your dentist tells you that you need them. Your denture professional has spent years acquiring the necessary knowledge and expertise, and will only suggest dentures after a careful and thorough examination of your mouth. You will have the opportunity to discuss your individual needs, and your denturist can let you know about the many denture options available to you and help guide you to the best choice.

So, what makes you a candidate for dentures? There are many possible factors. Let’s take a look at a few.

Severe tooth decay can be one obvious sign of the future need for dentures. Once teeth become decayed past the point of repair, and root canal is not a desirable option, then they need to come out. Even if only a few teeth are removed, a partial denture known as a bridge can help keep the rest of your teeth properly aligned and restore the ability to chew. Even one missing tooth can be replaced by a denture implant.

The effects of genetic disorders such as Anodontia, the absence of deciduous or permanent teeth, can also be relieved with the use of dentures. In cases such as this, dentures not only restore the ability to chew food, but also help improve the facial appearance, and boost self esteem.

Physical injuries sustained in automobile accidents, and sports injuries can also lead to tooth loss. Again, there are a wide variety of custom-made denture types available to fit every need.

Periodontal diseases left unchecked can eventually lead to tooth loss. Most types of dentures can be helpful in these situations. However, implant dentures are not really suitable if periodontal disease is left untreated. Another condition, uncontrolled diabetes, can impede the gums from healing properly after titanium posts have been implanted. Denture implants may not be the best choice for this situation either, although standard dentures would work nicely.

The bottom line is that if you need dentures then you should have them. With the wonderful advancements being made in denture technology today, dentures are loosing the stigma they carried in the past. Dentures come in so many shades and shapes that you can design the custom smile you’ve always wanted. The dentures available are so natural looking that often no one knows who’s wearing them. And isn’t that how it should be?

Caring for Your Dentures

If you want to keep your new smile looking great for a long time, there are some simple things to know about caring for your new dentures.

Dentures should be worn every day to make sure that they fit nicely into your mouth. Overtime, your gum and jawline will change. Wearing your denture regularly will help them to change less, and keep the denture fitting comfortably.

Caring for dentures also means caring for your mouth in general. Your mouth needs a break! Take the dentures out at night and massage the gums with a soft toothbrush. This break will help prevent fungal infections and keep the mouth tissue healthy.

Perhaps the most important part of caring for dentures is simply brushing them with a special denture brush, which is softer than a regular toothbrush. Use a denture paste, not regular toothpaste which is too harsh and could scratch the denture material. A little dish soap is okay, but be sure to rinse well, and never use other household cleaners on your dentures. The chemicals are just too harsh.

When handling dentures, be sure to use caution. They are fragile and can break easily if dropped even onto a bathroom or kitchen sink. Many people prefer to work over a basin of water or soft folded towel as extra insurance in the event that the dentures slip from their hands while cleaning them. Considering the time and money investment, not to mention the importance of your dentures to your daily life, this is a good habit to get into.

Caring for your dentures is simply about establishing good habits right from the beginning. Clean them twice a day, just as you would your natural teeth. After meals where brushing is inconvenient, be sure to rinse out your mouth to help wash away any food particles that may be caught between the teeth. With just a few moments a day, doing a good job caring for your dentures will provide years of satisfaction. These simple habits may take time to establish, but they can make a world of difference in how long they maintain their beautiful, new appearance.

Same Day Dentures?

This type of denture is commonly known as immediate or temporary dentures. They are dentures prepared for people who still have their natural teeth, but for one reason or another need to have them removed. Let’s take a look at the process.

Immediate dentures are just what they imply. Dentures that are immediately set into the jaw bone as soon as the natural teeth have been extracted. No waiting for a set of dentures to be manufactured while you survive on soft foods and milk shakes. In order to achieve this though, you will need to meet with your denturist ahead of time.

First, Your denture professional will take a set of measurements of your head, facial structure, and the dimensions of you inner mouth. These dimensions will be used to determine the proper size for your replacement denture teeth. Then together, you will select your new denture teeth. This is actually a pleasant experience. Many denture professionals have invested in computer technology that allows you to virtually choose the size shape and color of your dentures. You can select a set of completely white dentures in various shades, or go with more realistic denture teeth that have multiple shading to more closely imitate what Mother Nature gave us in the first place. Whatever your choice, you can custom design your new dentures into the perfect smile you’ve always dreamed about.

Once your selection has been made, all the info will be shipped off to the denture lab for manufacturing. Once the dentures have been returned it is time to install them.

Your denturist will begin by extracting the unwanted teeth. Then, while the sockets are still bleeding, he will cement the individual dentures directly into the boney ridge.

There are advantages as well as drawbacks to this type of denture. As the gums heal, the swelling will go down and the new dentures may tend to shift a little, requiring some adjustments. However, the advantages outweigh this. The immediate dentures tend to lessen the pain of the initial extractions. By setting the dentures directly into the boney ridge, the process of resorption is nearly eliminated. Bone tissue needs pressure to stimulate the production of more bone, thereby replacing itself as needed. Immediate dentures assist this process to continue.

Immediate or same day dentures can really be advantageous over the standard denture process. Consult with your denture professional for further info.

Denture Problems

Denture pain is relatively common among many denture wearers. First time denture wearers as well as seasoned denture wearers will find themselves suffering sore gums from time to time for various reasons. Modern denture technology cannot produce a denture that will fit perfectly for the rest of your life, but there are some things you can do when denture pain drops by for a visit. Let’s take a look at some of the most common problems that cause denture related pain, and some possible remedies.

Carefully brush your dentures with a soft denture brush and a recommended toothpaste. This will loosen any debris and remove bacteria. It isn’t necessary to brush them after every meal, but rinsing is recommended as it helps flush out any food particles that may be stuck around the teeth. Simply rinsing and brushing will help prevent infection. Be sure to soak your denture cleaning brush in a 50/50 solution of water and clorox once a week to keep it disinfected.

One of the biggest causes of denture related pain is directly related to the way they fit. When a denture rests snugly against the gums and doesn’t slide around, then pain shouldn’t be an issue. But when that once great fit seems to be slipping away, the dentures begin to rub against the gums leading to soreness and swelling. If left untreated this can make wearing the dentures intolerable.

Why do dentures lose their fit? The shape of the dental ridges is always changing. Over time, the boney ridges begin to deteriorate and the denture becomes loose because it no longer conforms to the new shape of the gums. When this happens it’s time to take action. Let’s look at some different ways to deal with this situation.

When dentures no longer fit properly, there are some denture products that can provide short term relief until you can see your denturist. Over-the-counter products such as denture creams and adhesives can provide a temporary cushion as well as assist with the denture’s grip. These elastic-like products form a bond between the denture and gums, holding the dentures more firmly in place.

Denture cushions, small pieces of cotton that have been permeated with wax, fit between the denture base and the boney ridges and usually offer some level of relief. Both types of denture products are really only intended for temporary use. The denture cushion may actually speed up the process of bone resorption because it further reduces the pressure needed to stimulate bone production.

The fit of a denture can actually be adjusted and improved in several ways. If the gums are simply too sore and swollen for a new impression to be made, then a temporary soft liner may be added to the underside of the denture to act as a cushion until the gums have had time to heal. If the gums are not in too bad of shape then a semi-permanent liner may be added for extra comfort. Denturists may also use a flexible resin material to coat the inner ridge of the denture base, restoring a snug, comfortable fit. Everything depends on the shape of the gums.

How can you promote healing after the gums have become inflamed? The simplest remedies are sometimes the most effective. First of all, remove the dentures and let your gums rest. All tissue requires oxygen to stay healthy. By removing your dentures for a short time you are taking away the irritant and allowing the gums to breathe. Good hygiene will also go a long way to soothe tender gums. Gently swab the gums with a warm washcloth to remove harmful bacteria that may lead to a gum infection. Be meticulous about cleaning every surface and crevice of your dentures before putting them into the denture bath for a soak. Always notify your denturist as soon as you begin to feel persistent denture pain.

Different kinds of Dentures

Dentures fall into two basic categories, full plate and partial. The partial denture can cover your need for one tooth or several. The full denture plate will replace an entire set of natural teeth.

Full dentures are commonly referred to as standard dentures. They have the full acrylic mouth piece that adheres to the gums and roof of your mouth. Precise fitting is necessary in order to achieve the level of suction your dentures need to ensure a secure fit. Standard dentures typically take four visits to fit, design and manufacture, but your denture professional will work as long as necessary to make sure you have a comfortable fit.

Partial denture plates are made in much the same way, but are easier to fit since they cover a smaller area. The main difference is that partial dentures depend more on being attached to the teeth with special clips, and are less dependent on suction.

The Cu-Sil denture is a variation on the standard denture set. Cu-Sil dentures look like standards with one exception. They have open spaces to accommodate the few natural teeth that may be left. These dentures have the advantage of offering more stability because the remaining natural teeth help anchor the denture in place. Together with the proper suction, they can be very comfortable dentures to wear.

Immediate dentures, sometimes referred to as temporary dentures, are set into the open gum sockets immediately after the natural tooth has been removed. Immediate dentures give you the advantage of walking out of the dental office with new teeth the same day. However, as the gums begin to heal and swelling goes down, some shifting can take place and your denturist will need to make further adjustments to align the teeth properly.

Which brings us to the highest standard in denture stability, the implant denture. As with dentures in general, they fall into the two basic categories; full set and partial.

Whichever type of denture you and your dentist feel is right for you, advancements in denture technology have brought us the most natural looking and comfortable dentures the world has known to date.

Cleaning Your Dentures

Cleaning your dentures is a simple, but important procedure. Dentures are made from a porous resin that can absorb bits of food and bacteria. Simply being in a human mouth for twelve to twenty-four hours a day is reason enough to justify a good cleaning twice a day!

Dentures are fragile, so all cleaning should be done with care to avoid damage. Stick with a toothpaste that is approved for dentures, and avoid regular formulas which are too abrasive. Bleaches, alcohol, whiteners and other cleansers are not recommended. They are simply too harsh and can damage the resin.

Carefully brush your dentures with a soft denture brush and a recommended toothpaste. This will loosen any debris and remove bacteria. It isn’t necessary to brush them after every meal, but rinsing is recommended as it helps flush out any food particles that may be stuck around the teeth. Simply rinsing and brushing will help prevent infection. Be sure to soak your denture cleaning brush in a 50/50 solution of water and clorox once a week to keep it disinfected.

Your gums need a break from the dentures, so they should not be worn at night. The tissue needs to rest. Removing the dentures for the night allows normal stimulation of the gums by your tongue, which promotes the long term health of your gums.

Because they need to be kept moist, soak your dentures in warm water or a solution of denture cleaner at night. You may need to use a 50/50 solution of vinegar and water to prevent fungal growth. Aloe vera gel is another option. Simply smooth the gel onto the denture once or twice a day. This little bit of preventative care can help you avoid a fungal infection.

Be sure to use only warm water, not boiling, for cleaning and soaking dentures. Do not use the microwave or dishwasher! High temperatures can change the shape. This would be very bad, as dentures are custom fitted to your mouth. Any warping caused by high temperatures would affect the fit.

Developing good habits with denture hygiene right from the beginning will enable you to keep your dentures free from bacteria and odor causing plaque. It only takes a few minutes, and for something as important as your teeth, it is certainly worth the effort.

Getting Affordable Dentures

It is possible to get good quality dentures at an affordable price. But cheap dentures are usually just what they advertise; cheap. And by cheap, we mean cheaply made dentures.

You might be surprised to realize that many people just don’t understand what the defining line is between cheap and affordable, and this can spell denture disaster. An affordable denture should be defined as a denture that gives you value for your investment. An affordable denture should still have durability. A cheap denture may seem like a good idea at first, but after paying for three or four repairs down the road, most denture wearers will come to realize that they did not receive value from their investment. That is what truly defines an affordable denture from a cheap denture.

Less expensive methods of manufacturing a denture base may well save you money initially, but there are drawbacks to be considered. Traditional methods of making the pink denture base used a heat-curing process that tended to slightly shrink the denture’s intended fit. This led to a denture that no longer held a completely accurate impression of the denture wearer’s ridges, so the fit would have to be adjusted. The latest technology uses an acrylic injection method to form the final denture base, thus avoiding distortion and leaving the denture with the custom fit intended. Injection molded denture bases cost slightly more to make, but they give the denture a superior fit.

All that being said, it is still possible to find quality in an affordable denture if you are willing to make a few compromises. Again, these are compromises in custom design, not overall quality.

If you had your heart set on having your dentures surgically implanted with titanium rods, and custom designed teeth in just the shape and color you’ve always dreamed would make you look like a Hollywood star, take a step back. You’re going to have to set your sights on something more reasonable. A well made set of standard dentures fitted by a skilled denturist and manufactured at a reputable denture lab will still give a nice smile and the ability to eat properly. Even though your new dentures won’t have teeth modeled on your favorite celebrity, you can still choose from some decent looking catalog denture teeth.

If you are willing to re-adjust your expectations, then a good quality denture at an affordable price can be a reality.

Dental Implants with Single Crowns

Pros:

  • Single restoration using no involvement of the adjacent teeth.
  • Easy to floss between the teeth.
  • Can be very aesthetic, assuming a proper shade match and characterization by the lab.
  • Like the Maryland bridge less likely to cause periodontal disease with proper hygiene.
  • Lasts for many years.
  • If something happens to the crown, or if decay develops on adjacent teeth, the implant tooth won’t be affected.
  • Least likely to cause periodontal disease with proper hygiene.

Cons:

  • Expensive and time consuming.
  • Susceptible to fracture.
  • Most insurance won’t cover any of the cost.
  • Has a very low, but possible chance of failure, which usually occurs within the first year of placement.
  • Does not address the condition of the adjacent teeth.

In most cases, dental implants should be the first choice for ideal aesthetics, predictability, ease of maintenance and longevity. In all cases, a healthy periodontal condition and a stable bite relationship are prerequisites to success. Other mitigating factors such as parafunctional habits, like night grinding or clenching, susceptibility to decay, periodontal status, aesthetics and financial considerations will affect the decision-making process. Once again, an informed patient will make the best choice. Ask questions before treatment rather than encounter surprises later.

I encourage you, as I do all my patients, to take the information I’ve presented and schedule an office visit to thoroughly explore the many options. As with any decision, evaluate the benefits and weigh the costs and risks of each treatment. Decide whats best for you.