Specialty Dentures
Dentures are designed to replace missing teeth. Advancements have resulted in dentures that are lightweight and have the look and feel of natural teeth. Most dentures are made from a combination of metals and synthetic material such as acrylic resin.
Types of dentures
Dentures are classified as partial or full. Partial dentures are designed to replace a small number of teeth, and help prevent existing healthy natural teeth from shifting position; full dentures replace an entire set of teeth such as upper or lower dentures.
Many candidates for conventional dentures (also called "immediate" dentures) are able to wear the appliances immediately following extraction of affected teeth.
Before immediate dentures are worn, an impression of the patient's mouth must be made in order for the dentures to be customized for the individual.
Partial dentures, also sometimes called "overdentures," are designed to fit over a small section of implants or natural teeth. There are 2 forms of partial dentures which are characteristic by their pinkish gum-like plastic bases, on to which replacement teeth are attached. Small clasps are used to attach the denture to existing teeth. Some clasps, which can be more expensive, are made of natural-looking material that is hard-to-detect. For a stronger denture we sometimes suggest a Cobalt Chrome base.
How are dentures made?
There are about 5 visit in the process of making dentures.
During the first visit after diagnosis, your mouth and jaw are measured and an impression is made. The impression is critical for ensuring proper bite relationship, as well as the proper relationship of the appliance to the size of your face.
After the impression is made, a temporary set of dentures may be applied so the patient can ensure that the fit, color and shape are suitable.
Getting used to your denture
New dentures do take some time getting used to. Wearers can expect this period of adjustment to last as long as two months.
Some denture wearers need to wear their dentures without removing them for a certain period of time. This allows your dentist to make the critical initial adjustments for proper fit, and to identify any pressure points that may be causing discomfort.
Care of your denture
Dentures today are made from very advanced materials designed to give you a natural appearance.
However, keep in mind that just like your teeth, dentures should be cared for with diligence. This means daily brushing and regular visits to your dentist for minor adjustments.
Just like natural teeth, dentures need to be cleansed of plaque, food particles and other debris. Keeping your dentures in top shape will also help keep the soft tissues of your mouth healthy; an unclean or malformed denture can cause infections and irritation.
Here are some simple techniques for keeping your dentures clean:
Remove them, and rinse away food particles with warm or cold water. Some people also like to use a mouthwash
Holding the denture over a towel or soft cloth to prevent breakage if dropped, brush both inside and outside surfaces of your dentures with a soft toothbrush using unperfumed, mild soap or other approved denture cleaner. It is best to avoid the use of standard toothpastes as many brands are too abrasive.
If you remove your dentures overnight they must be placed in a special cleaning solution or water to prevent them drying out as this can cause warpage.
Do not use:
- hot or boiling water because the denture will warp.
- abrasives
- detergents
- bleaches
- methylated spirits
- other strong chemicals of any kind
Over time, even daily care of your dentures may require them to be cleaned by the dentist. A powerful ultrasonic cleaner may be used to remove hard accumulations of tartar and other substances.
Adjustments
People's mouths undergo change all of the time. Gums change shape; in many cases, gums tend to shrink over time after teeth have been extracted.
Most denture wearers experience a break-in period of as long as two months, during which the tissues surrounding their extracted teeth must heal. Conventional denture wearers must periodically visit their dentist to have the appliances adjusted. This is because patient's gums sometimes change shape or shrink; moreover, daily maintenance of the appliances over time may also obviate the need for minor adjustments.
Adjustments are critical because a loose-fitting appliance, or one that has not been adjusted to compensate for gum or jaw changes could cause pressure points, leading to mouth sores and possible infection. Regular dental visits also provide an opportunity to replace or repair loose teeth, or make small repairs to dentures that may have become chipped or cracked.
Over the long run, the base of a denture may need to be "re-lined" because of wear and tear from constantly rubbing against your soft palate or roof of your mouth.
Common concerns
Technology advancements have made dentures very natural looking; however, it is only natural for first-time denture wearers to be self-conscious about their appearance and speech. Over time, a denture wearer's confidence level increases, and this usually ceases to be an issue.
Like any new thing, caring for dentures takes practice.
Under normal circumstances, denture wearers can eat most foods with confidence that their appliance will not shift. Caution must be taken, however, to avoid certain kinds of hot, hard, crunchy, chewy or sticky foods. During the break-in period, denture wearers are usually advised to eat on both sides of their mouth so the appliances don't get out of balance, or tip to one side.
Denture adhesives
In general, dentures that fit well may still need a small measure of help staying put. A good quality denture adhesive is acceptable. Older, poorly fitting dentures may damage the soft tissues of the mouth, and should be replaced as soon as possible.

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