If you have lost some or all of your natural teeth, dentures can replace your missing teeth and improve your quality of life. With a little practice, dentures can make eating and speaking easier. You can smile freely without feeling embarrassed.
Dentures can be made to look like your natural teeth. There may be only a small change in how you look. Full dentures may even give you a better smile. Dentures also support the cheeks and lips so the face muscles do not sag and make you look older.
Types of Dentures
Complete dentures have replacement teeth fitted into a plastic base. The base is made to closely match the color of your gums. If you still have some natural teeth, they will be removed before your dentures are placed.
Conventional Complete Dentures
A conventional complete denture is made and placed in your mouth after the teeth are taken out and the tissues have healed. Healing may take several months. The base of the upper denture covers the palate (the roof of the mouth). When the base of the upper denture rests against the gums and palate, it makes a seal to hold the denture in place.
The lower denture has a horseshoe shape so there is room for the tongue and muscle attachments. It rests on the gum and bone tissues of the dental ridge. A thin film of saliva holds it in place. The cheek muscles and tongue also help hold the lower denture in place.
Conventional Complete Dentures
Implant-Supported Complete Dentures
A complete denture may also be attached to dental implants, which provide a more secure fit. Implants are posts that are surgically placed in the upper or lower jaw. Properly placed implants make the denture stable and can help reduce bone loss.
Many patients find that implant-supported dentures are more comfortable and secure than conventional dentures. However, not everyone should get implants. Patients must be in good health and have enough bone to support the implants. Ask your dentist if you are a good candidate for dental implants.
With implants and posts (abutments)
Some patients may have the option to get immediate dentures. These dentures are made before the remaining teeth are removed. Once the denture has been made at the lab and is ready for you at your dentist’s office, the dentist removes your teeth and the denture is placed right away. With immediate dentures, the denture wearer does not have to go without teeth during the healing time. Once healing is complete, the dentures may need to be adjusted or relined. Sometimes a new denture needs to be made.
Getting Used to Your Dentures
New dentures may feel odd or uncomfortable for the first few weeks. This is normal. Keep wearing your dentures until you get used to them. The lower one may feel especially loose until the muscles of your cheeks and tongue learn to hold it in place. You may have extra saliva for a short time. Some soreness should be expected for the first week or two. Your dentist will check on your progress and make any adjustments needed to make you more comfortable.
When you replace missing teeth, eating is easier. But it takes practice. Here are some things that can help:
• Begin by eating soft foods cut into small pieces.
• Chew on both sides of the mouth to keep the pressure even.
• Do not eat very sticky or hard foods or chew gum.
You will also need to practice talking with your new dentures. Try reading out loud and repeating tricky words in front of a mirror. Talk slowly to prevent muffled speech. If your dentures slip out of place when you laugh, cough, or smile, bite down and swallow to reposition them.
When you get new dentures, your dentist may tell you to wear them most of the time. After the adjustment period, dentures should not be worn 24 hours a day. Your dentist may tell you to take out the denture at bedtime and put it back in when you wake up. Do not wear dentures around the clock because tissues that are covered with denture material all the time can become irritated.
Your new dentures should fit securely, but the dentist may tell you to use a denture adhesive as you get used to wearing them. A denture that does not fit well may cause irritation, mouth sores and infection. While denture adhesive can help a loose-fitting denture for a short time, using adhesives all the time is not recommended. If the denture is loose, have your dentist check it. If you are using an adhesive, make sure you follow the instructions for use.
Caring for Dentures
Like natural teeth, dentures require daily oral hygiene. Here are some tips to care for your dentures:
• Clean your denture each day. Take it out of your mouth and carefully rinse off loose food particles. Wet the brush and put the denture cleaner on it. Brush all the surfaces gently to keep from damaging the plastic base.
• It is best to use a special brush made for cleaning dentures, but you can use a toothbrush with soft bristles. Do not use hard-bristled brushes because they can damage dentures.
• A liquid soap can be very effective when used with a denture brush. However, toothpaste should not be used to clean dentures. Some toothpastes have abrasive particles that can damage the denture base and teeth.
• Your denture is very delicate and can break if dropped even a few inches on a hard surface. Stand over a folded towel or a sink filled with cool water when holding your denture.
• Keep your denture in water when you are not wearing it. Do not let it dry out or it can lose its shape.
• Your dentist can tell you how to care for your denture and if you should use a denture soaking solution.
• Rinse the partial denture well after using any denture cleanser. It may contain chemicals that are not intended to go into the mouth.
• Look for denture cleansers with the American Dental Association Seal of Acceptance, a symbol of safety and effectiveness.
• Keep your denture away from curious children and pets when you are not wearing it.
Caring for Your Mouth
Even if you wear full dentures, you still must take good care of your mouth. Brush your gums, tongue, and palate every morning with a soft-bristled brush before you put in your dentures. This increases circulation in your tissues and helps remove plaque. Eating a balanced diet is also important to keep your mouth healthy.
You will still need regular oral exams by your dentist even after you have lost your teeth. The dental office will tell you how often you should have dental visits. During a visit, the dentist will look for signs of disease such as cancer of the head and neck. Your dentist will also check to see if your dentures fit well or might need adjustments.
See your dentist if your dentures break, crack, chip, or if the denture starts to feel loose. Your dentist is the only one who should make repairs to your dentures. A person without the proper training will not be able to fix a denture. Do not try to adjust them yourself. This can harm both the denture and your health. Do not use over-the-counter reline materials or glues on dentures. They may contain harmful chemicals and are not a long-term solution for fixing dentures.
The normal lifetime of dentures is about 5 to 10 years, but this can vary widely depending on the patient. Over time, dentures may need relining, rebasing, or replacing. Relining is when the dentist adds new material to the underside of the denture base to fit to your gums. Rebasing is when a new base is made using the existing denture as a model. The artificial teeth from the old denture are used on the new base.
The mouth changes naturally with age. Jaws may line up differently as bones and gum ridges recede and shrink. At some point your dentures will no longer fit well and they will have to be remade. It is important to replace worn or ill-fitting dentures before they cause problems. Your dentist will let you know when it is time to replace your dentures.
Your New Smile
You are the key to your new smile’s success. These four tips will help:
• Give yourself plenty of time to get used to your dentures.
• Eat a balanced diet for good health.
• Practice eating and speaking with your denture.
• See your dentist regularly.
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