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Posts for tag: dentures
People have depended on dentures for generations—and they still do. That's because they work, both in restoring dental function and a smile marred by missing teeth.
But they have one major drawback related to bone health. That's because living bone has a life cycle: as older cells die, new ones form to take their place. The pressure generated when we chew stimulates this growth. But when this stimulus goes missing along with the teeth, the cell replacement rate slows and bone volume and density gradually diminishes.
Traditional dentures can't transmit this chewing pressure stimulus. And because they rest directly on the gum ridges, they can adversely affect the underlying bone and actually accelerate bone loss.
But implant technology potentially solves this bone loss problem with dentures by using implants rather than the gums to support them. It's a two-fold benefit: first, the implants relieve much of the irritation to the gums and bone caused by traditional dentures. Primarily, though, the implants themselves can slow or even stop continuing bone loss.
Most implants are made of titanium, not only because it's compatible with the body, but also because it has an affinity with bone. Over time bone cells grow on the titanium post imbedded in the jawbone. This process not only creates stability and durability, it can improve bone health.
In recent years dentists have incorporated implants with dentures to create two exciting treatment options. With one option, the dentist installs two or more implants in the jaw, to which a specially fitted removable denture can be attached. You would still have the ease of removing the denture for cleaning, while gaining greater stability and a reduced risk of bone loss.
The other option is a fixed denture (or bridge) attached permanently to implants. For this option, a patient's jawbone must be adequate and healthy enough to support at least four to six implants. A fixed denture is also often costlier and more complex than a removable denture, but it can feel more like real teeth. It also promotes better bone health too.
Although both options are more expensive than traditional dentures, they can pay dividends for long-term dental health. Implants could help you enjoy your new dentures and resulting smile for a long time to come.
If you would like more information on dental implant-supported restorations, 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.”
People who’ve lost all their teeth (a condition known as edentulism) face a decision on how to restore their lost function and appearance. And there are a number of options to consider.
A fixed bridge supported by dental implants, for example, is a good choice for patients who still have sufficient bone structure in their jaw. It’s not a good choice, however, for those with the opposite situation — who’ve experienced significant bone loss which has also affected their facial structure. For them, there’s a better alternative that also uses implants for support — the overdenture.
An overdenture is similar to a traditional denture, in that it’s made of life-like crowns permanently set in denture plastic, and may either partially or fully cover the roof of the mouth. The main difference, though, is that unlike traditional dentures which rest for support on the gum ridges, an overdenture is supported by strategically placed implants that the denture fits over and connects to — hence the name “overdenture.”
There are a number of advantages for an overdenture, especially for patients with bone loss. A removable, implant-supported denture can be designed to replace lost tissues that have altered facial appearance — to “fill in” the face and restore aesthetic harmony. Patients who’ve previously worn dentures will also often find their speech better improved than with fixed bridgework.
Because it’s removable, an overdenture and the underlying gums are easier to clean, which helps inhibit disease and lessen further bone loss. It also allows you to properly care for the denture, which can extend its longevity and reduce future potential maintenance and replacement costs.
If you would like to consider removable overdentures as an option, you should begin first with a thorough oral exam that includes evaluating the status of your bone, jaw and facial structure. From there we can advise you if overdentures are the best choice for you.
If you would like more information on overdentures and other 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.”
For people with edentulism (total loss of teeth), removable dentures is a viable option for regaining both lost function and an attractive appearance. From the moment they begin wearing them, denture wearers can chew food, speak and smile with confidence.
But there are downsides to dentures, especially if they’re not cared for properly. Dentures put pressure on the gums and bony ridges of the jaw, which can cause bone to dissolve (resorb) and decrease its volume over time. Without proper maintenance they can also become a breeding ground for bacteria and fungi that not only lead to bad breath but, in cases of partial dentures, can increase the risk of dental disease. They could also contribute to serious systemic diseases.
You can reduce some of these risks by following these 3 important denture maintenance tips. Doing so will help extend the life of your dentures, as well as keep your mouth healthy.
Clean your dentures at least once a day. In addition to taking your dentures out and rinsing them with water after eating, you should also brush them daily with dish detergent, antibacterial soap or denture cleaner — but not toothpaste, which is too abrasive. Effervescent (fizzing) cleaning tablets also aren’t a viable substitute for manual brushing in removing disease-causing plaque from denture surfaces.
Take your dentures out at night while you sleep. Wearing dentures 24/7 can hasten bone loss, as well as increase your chances of dental disease or even more serious illnesses. A recent study, for example, found nursing home patients who left their dentures in at night were twice as likely to experience serious complications from pneumonia as those who didn’t. While you sleep, store your dentures in water or in a solution of alkaline peroxide made for this purpose.
Brush your gums and tongue every day. Keeping your gum surfaces clean will help reduce the levels of bacteria and other microbes that can cause disease. You can either use an extra-soft tooth brush (not the one you use to clean your dentures) or a damp washcloth.
If you would like more information on caring for dentures, please contact us or schedule an appointment for a consultation.
Some patients who wear dentures face a kind of Catch-22: their denture fit may have loosened and become uncomfortable over time due to continued bone loss, yet the same bone loss prevents them from obtaining dental implants, a superior tooth replacement system to dentures.
But there may be a solution to this dilemma that combines the stability of implants with a removable denture. A set of smaller diameter implants — “mini-implants” — can support a removable denture with less bone than required by a conventional implant.
Like all living tissue, bone has a life cycle: after a period of growth, the older bone dissolves and is absorbed by the body, a process known as resorption. The forces generated when we bite or chew are transmitted by the teeth to the jawbones, which stimulates new bone formation to replace the resorbed bone. When the teeth are lost, however, the stimulation is lost too; without it, resorption will eventually outpace bone growth and repair, causing the bone mass to shrink.
Removable dentures also can’t supply the missing stimulation — bone loss continues as if the dentures weren’t there; and due to the compressive forces of a denture, bone loss accelerates. As the jawbone structure used to originally form the denture’s fit eventually shrinks, the denture becomes loose and difficult to wear. It’s possible to adjust to the new jaw contours by relining the dentures with new material or creating a new set of dentures that match the current bone mass. Without adequate bone, fixed crowns or bridges anchored by conventional implants may also be out of the picture.
On the other hand, mini-implants with their smaller diameter need less bone than the traditional implant. A few strategically placed within the jaw are strong and stable enough to support a removable denture. One other advantage: these mini-implants can be installed in one visit with local anesthesia and usually without the need for incisions or stitches.
If you would like more information on dentures supported by mini-implants, 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 “The ‘Great’ Mini-Implant.”
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.”
Blog Content
Archive:
- 2019
- May (6)
- Root Canal Treatment Alleviates Pain and Saves Your Tooth
- Here's How You Can Protect Your Child's Teeth from Tooth Decay
- A Minor Procedure Could Make Breastfeeding Easier for You and Your Baby
- Catch Root Resorption Early for Best Chances of Saving Your Tooth
- Tooth Loss: A Health Risk for Older Adults
- Don't Use Benzocaine Products to Ease Your Baby's Teething Pain
- April (6)
- Your Sinus Infection Might be a Sign of a Tooth Problem
- Don't Ignore Tooth Pain - You May Need a Root Canal
- Success with Dental Implants Depends on Attention to Detail
- Crown Lengthening Could Help with Treating Hard to Reach Cavities
- April Is National Facial Protection Month
- Why You Should Floss Around the Implants Supporting Your Bridge
- March (6)
- The 3 Top Ingredients That Make Your Toothpaste a Super Plaque Buster
- What You Should Do to Protect an Older Loved One's Dental Health
- 4 Things to Avoid if You Want to Support Your Child's Dental Development
- 3 Things You Should Know About Teeth Grinding
- Be Alert to the Unintended Consequences of Cancer Treatment to Oral Health
- Nutrition for the Best Oral Health
- February (6)
- Complex Mouth Conditions Call for Dental Specialties
- Take Care of Your Gums, Take Care of Your Heart
- 4 Tips to Prevent Childhood Tooth Decay
- We may Need to Build up the Bone in Your Jaw before Implants
- Topical Fluoride is a Safe Way to Protect Your Child's Teeth from Decay
- 5 Things you can do to Improve Your Child's Future Dental Health
- January (6)
- Crown Lengthening Might be Necessary for Seniors with Tooth Decay
- A New Veneer with Minimal or No Tooth Alteration
- Wisdom Teeth Warrant Close Watch to Avoid Future Health Issues
- You may Need Orthodontic Treatment Before Obtaining Implants
- Implant-Supported Dentures Could Boost Your Jawbone Health
- 3 Reasons Why Your New Dentist Needs Your Treatment Records
- 2018
- December (6)
- Oral Health Concerns for Preteens
- People Born with Missing Teeth can Still Gain a Beautiful Smile
- Crown Lengthening Helps us Treat Hard to Reach Cavities
- Get a Look at Your Future Makeover Look Now with a 'Trial Smile'
- Practice Daily Oral Hygiene to Prevent Calcified Plaque Formation
- Stop Smoking to Reduce Your Risk of Gum Disease
- November (6)
- Your Teen Could get a Straighter Smile with Clear Aligners Rather than Braces
- Don't Ignore Sudden Tooth Pain - Your Teeth may be Telling you Something
- Keep up Regular Dental Care While You're Pregnant
- Take Steps to Save an Incoming Tooth's Place to Avoid a Poor Bite
- Prompt Treatment for Gum Disease Could Ultimately Save Your Teeth
- Take a Look into Your Future with a Trial Smile
- October (6)
- Dental Porcelain is a Great Option for Creating a Natural Appearance
- How to Help Your Kids Form Good Oral Hygiene Habits
- Stop Root Cavities with Prevention and Prompt Treatment
- Five Tips for Top-Notch Tooth Brushing
- Inflammation: the Link Between Gum Disease and Cardiovascular Disease
- Don't Stress Over Your Child's Teeth Grinding Habit Unless it Persists
- September (6)
- Advances in Porcelain Veneers Improve Both Strength and Appearance
- A Pediatric Dentist Could be a Great Choice for Your Child's Dental Care
- We can Build up Lost Bone Before Your Implant
- New Advances Could Revolutionize Decay Treatment
- Keep on Course during the 3 Phases of a Smile Makeover
- Veneers may Offer a Less Invasive Way to Transform Your Smile
- August (6)
- There's Still Hope for a Re-Infected Tooth After Root Canal Treatment
- Be on the Alert for Gum Disease While Wearing Braces
- Dental Care of Prime Importance for Children with Special Health Needs
- What Happens in a Root Canal Treatment and How it Can Save Your Tooth
- 3 Reasons You Should Consider Tooth Whitening
- Back to School Do's and Don'ts
- July (7)
- Those Red Patches on Your Tongue are Nothing to be Alarmed About
- Clean Your Implants Just Like you Clean Your Natural Teeth
- Gum Recession Could Shorten the Life of Your Teeth
- Teenagers with Missing Teeth Usually Need a Temporary Restoration
- Ensure the Best Outcome with the Right Care for a Teen's Missing Tooth
- Get Your Vitamins the Natural Way for Optimum Dental Health
- Stop Gum Disease Before it Becomes a Major Health Issue
- June (6)
- A Root Canal Treatment may be Your Best Chance to Save a Tooth
- June Is National Safety Month: Be Prepared for Dental Emergencies
- 3 Advantages for Improving Your Smile with Composite Resins
- Keep Alert for this Extreme Form of Gingivitis
- Watch Out for Signs of Gum Recession
- Sedation Can Help Create a More Positive Dental Experience for a Child
- 2017
- December (5)
- Provisional Restorations let you Try out Your New Smile First
- Gum Disease can Prevent Your Gums from Protecting Your Teeth
- Change Your Smile for the Better with Porcelain Veneers
- Composite Resin Could Transform Your Tooth's Appearance in Just one Visit
- Certain People may Benefit from Antibiotics Before Implant Surgery
- September (5)
- 'Test Drive' Your Future Look after Dental Work with a Trial Smile
- Stay Vigilant with Oral Hygiene to Avoid Another Bout of Gum Disease
- Reduce Future Bite Problems with These Innovative Techniques
- Take Proactive Steps to Protect Your Oral Health During Cancer Treatment
- A Teen with a Missing Tooth May Need to Wait on a Dental Implant
- May (5)
- Safety is a Priority When Imaging Children's Teeth with X-Rays
- Answers to Common Questions About Root Canal Treatments
- Keep an Eye on Your Young Children's Fluoride Intake
- Pediatric Dentists Specialize in Dental Care for Children and Teens
- Look at Your Options for Saving a Tooth First Before Replacing it
- April (5)
- Plan Ahead to Make Your Smile the Best it can be for Your Big Day!
- Enhance Your Smile for that Special, Once-in-a-Lifetime Day
- Don't Let Sleep Apnea Ruin Your Sleep - or Your Health
- Children with Chronic Health Conditions may Need Extra Dental Care
- Encourage Your Child to Stop Thumb Sucking Around Age 3
- 2016
- November (5)
- Keep Your Baby's Fluoride Intake within Moderate Limits
- Don't Let the Acid in Sports and Energy Drinks Ruin Your Tooth Enamel
- Dental Implants can Replace Your Whole Tooth, Not Just What You See
- Clear Aligners Make it Easier for Teenagers to have Their Teeth Straightened
- Follow These Common Sense Steps When Your Child has a Toothache
- June (5)
- Teens Benefit Most from A Temporary Solution to Missing Teeth
- Keeping Gum Disease at Bay Could Help Your Overall Health
- That Small Mouth Sore is Likely Nothing - but Still Have it Checked
- Consider a Removable Partial Denture as a Temporary Solution After Tooth Loss
- Replacing a Tooth or Saving it - Which Should you do?
- May (5)
- 5 Ways to Make Your Smile More Confident and Inviting
- Prudent Use of X-Rays in Children Provides the most Benefit at the Lowest Risk
- Get a Handle on Stress-Related Tooth Grinding to Stop Tooth Damage
- Replacing a Missing Tooth isn't Just About Improving Your Smile
- Put an End to Uncomfortable and Embarrassing Cracked Mouth Corners
- March (5)
- Irritating Cold Sore Outbreaks can be Controlled Through Medication
- Your Gum Tissue 'Biotype' Could Determine How Gum Disease Affects You
- Keep a Watchful Eye on Your Child's Teeth Grinding Habit
- Is There a Link Between Gum Disease and Cardiovascular Health?
- Though not Always Seen, it's Still Important to Replace a Missing Back Tooth
- 2015
- December (5)
- Eating Disorders May Contribute to Damaged Teeth and Gums
- Treating a Baby Tooth with Inner Decay can be Complicated - but Still Necessary
- A Second Root Canal Treatment May Help Save an Endangered Tooth
- Dental Amalgam Continues to be a Durable and Safe Tooth Filling
- Is Dental Treatment Safe During Pregnancy?
- July (5)
- Common Types of Tooth Injuries and How to Treat Them
- Conscious Sedation Eases Treatment Anxiety for Young Dental Patients
- Stains from Within a Tooth Require Professional Whitening
- There are Various Ways to Treat Sensitivity - Depending on its Cause
- Effective Oral Hygiene is Key to Disease Prevention While Wearing Braces
- April (5)
- Choosing the Right Mouth Rinse that Matches your Oral Health Needs
- 'Simple' Tooth Extractions are a Common Dental Procedure
- Dental Amalgam Fillings Remain a Safe and Reliable Tooth Restoration Option
- Cosmetic Questions to Ask to Get You on the Right Path to a Better Smile
- Getting Smart About Wisdom Teeth
- 2014
- 2013
- 2012
- 2011
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