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Dentures
Prevention & Treatment of all kind of Dental Problems
Denture is an object removable and controllable which is put in application when a person has missing teeth( or tooth). They help you restore your teeth from any gum cavity and brings back your perfect smile. Dentures are natural looking and comfortable to wear. Dentures help you give a prominent facial shape when due to the missing teeth facial muscles begin to sag.
Indications
Full mouth reconstruction is indicated when
Indications for Dental Implants
- Multiple missing teeth : Missing teeth causes decreased efficiency of chewing food which causes the patient to swallow large lumps of food which in turn impairs digestion of food and bad stomach.
- Gum disease : Gum disease causes bad breath, swollen gums, bleeding gums, receding gums and bone loss. The teeth become loose and shaky in the bone decreasing the chewing capability
- Improper bite : Improper bite is caused by excessive grinding of teeth, broken teeth, crooked teeth.
- Smile design : smile design is done with the help of veneers, crowns and bonding. This is done when patient does not like his or her smile.
- Crooked teeth : Crooked teeth causes food to be lodged in between teeth and becomes difficult to clean causing bad breath, gum disease and improper bite in some cases.
- Loose dentures : Dentures are worn by patients who don’t have teeth, but sometimes they are not satisfied with Dentures as they rock in the mouth and move as we eat food causing lot of irritation to patient and impaired efficiency of chewing food.
Working Of Dentures
Before understanding the working of the dentures the fact that we must keep in mind is that every mouth structure is different henceforth the denture that suits one’s mouth may not be preferable for other. Your dentist takes an impression of your mouth structure and prepares the dentures suitable for it. An acrylic base with the resemblance of flesh colour is fitted over the gums of the patient. The lower part of the upper denture covers the palate while that of the below denture is given the shape of horseshoe to contain you’re your tongue.
Types Of Dentures
There are three types of dentures:
Immediate Denture
As the name suggests it is inserted immediately after your teeth is removed by dentist. They save you from the embarrassment of being without teeth. Their durability is however small as the bone to which they are attached heals itself with time thereby making the denture loose. When the denture becomes loose visit your dentist for relining.
Partial Denture
They act as a substitute for the dental bridges. Attached to a metal framework. There are times when crowns are placed instead of your natural teeth and they serve as a support to your dentures.
Conventional full denture
The most common and widely used type of denture by the old people who lose all their teeth completely or partially and incur problem while speaking and eating opt for a full denture. Your dentist prepares it after studying the whole mouth structure and till that time provides you with immediate denture.
Pulp Vitality Test
These are doen by applying hot and cold to the tooth and pain response is tested. Pulp vitality can be done with a pulp vitality tester also.
Dental X-rays
x-rays are taken for the affected tooth and seen for any periapical infection
Palpation
Intraoral palpation and extraoral palpation is done to confirm the diagnosis.
Risks and Complications
Root canal treatment is one of the least risky treatment with negligible complications. Root canal failure or re-infection can occur after some years of root canal treatment. This happens if filling or crown over the tooth which is root canal treated is not good or root canal filling is not sufficient. Sometimes root canal file can break while doing the procedure. Then we have to either take the broken file out of the tooth or if not possible then we have to bypass the file and continue with root canal.
Expected Outcome
Root canal treatment brings relief to pain and hot and cold sensitivity to the tooth. You can enjoy your food for many more years to come. The infection in the tooth and bone is healed which brings the end to the agony suffered for so long.
At Rohit Dental Clinic, we lay out a custom plan for you in long term which can help you have a healthy & untreated smile always. Our Dentists are completely equipped with all equipment required to provide completely pain-free treatments for dental problems. They have been trained on most strenuous of environment to give best possible treatment at affordable cost.
Process For Extraction
One must not panic with this situation thinking that even after taking good care of their teeth they are facing this dental problem because it is a natural phenomenon. You must trust your dentist and should take treatment and medicines recommended by him. It is not a prolonged treatment. The patient takes hardly a week to recover after the surgery if he follows his dentist’s instructions.
- Anaesthesia : The most widely accepted method is by making use of Anaesthesia.It may be local, general or sedative. Each of its type works profoundly in lessening the pain or rather making the patient simply unaware about the gruesome pain that they witness during extraction.
- Making Flaps for Exposure : The whole process followed involves making a cut on your skin which is near the tooth making flaps for the exposure. There might be a removal of the bone that is blocking the way to wisdom tooth if any such bone exists.
- Breaking in Parts : The tooth is generally separated into parts for effective removal part by part.
- Tooth Removal : The tooth is gradually removed and the area infected is cleaned.
- Suturing : There might be stitches around the area that was wounded.
- Final Dressing : Placement of a protective layer is done to prevent bleeding from the point of extraction.
Risks and Complications
Contact your dentist if you have any problem regarding medication. If you face any strange symptom do not be afraid to visit him. Some of the risks & complications involve:
- Pain & Fever : Fever and two three days persistence of slight pain are common symptoms.
- Dry socket : Sometimes there is no development of blood clot which leads to formation of dry socket.
- Nerve Injury : Some patients experience numbness for very long periods due to nerve injury.
- Infection : Some patients also develop infections which can lead to delayed healing and yellow discharge from the extraction site.
- Bleeding : High amount of bleeding is one specific complication which needs to be addressed by the denstist Other than these if you face some painful symptoms like bleeding in nasal passage, numbness, pus in medicated area and prolonged swelling your dentist must be contacted. You should not delay visiting him.
Care After Dentures
- Never let your dentures dry out : When you are not using dentures place them in the cleansing solution for dentures.
- Brush Your Dentures : Brushing your dentures regularly will prevent them from plaque and unwanted sticky food material.
- Brush your Mouth Well : Brushing your mouth well will prevent any further development of plaque. Brushing your gums and tongue daily are also very important.
- Dentist Visits : Consult your dentist in case of any type of inconvenience caused by your dentures. If you develop a crack or chip in your denture visit your dentist and don try to repair it yourself.
For a few weeks the dentures will feel uncomfortable but gradually your saliva, muscles of your cheek and tongue will adjust accordingly. The irritation caused in the beginning days due to its adjustment is quite normal but if you experience a burning sensation then consult your dentist. Dentures need to be adjusted according to the size of your mouth. Therefore if your age develops so does your mouth which requires rebasing and relining of your dentures. For ensuring durability to your Dentures you must visit your dentist once in six months.
Self-care advice
- You can use safe painkiller like paracetamol or ibuprofen if you feel uncomfortable.
- Avoid Gyming or extentsive exercise for few days.
- You should avoid rinsing, spitting, hot drinks which could disloge the blood clot.
- Say ‘No’ to drinking and smoking.
- Avoid driving for first 24 hours especially if you were give some sedatives.
- Keep you head high while sleeping for few days.
- Try to take maximum liquid diet or chew from the other side only
Removable partial dentures
Removable partial dentures use plastic teeth to replace missing teeth. These plastic teeth are fixed on an acrylic plate and clasps are placed in the plate to take support from adjacent teeth.
- Basic Procedure : In this technique impressions are taken and then bite record is done on second sitting, then a try in is done to check the prosthesis before final insertion
- Time Required : 3-5 days
Full mouth reconstruction involves various techniques to reconstruct the mouth which may involve aligning of teeth with invasiline, metal braces. Smile correction with veneers, crowns, bonding. Reconstruction of mutilated teeth with tooth colored fillings, inlays, onlays and crowns.
Time required
- Time required depends upon the procedure of reconstruction to be done.
- If full mouth implants has to be done we can finish the treatment in 3-5 days from placing of implants to fixing of teeth.
- Bridges require 3-4 days from taking of impression to fixing of teeth.
- Veneers requires 2-3 weeks from taking of impressions to final fixing on to the teeth.
Endosteal Implants
Process comprising of surgically placing the implants directly into your jawbone.As soon as the gum tissues have healed upto a significant level further step of surgery that connects the post to the implant is done. Lastly an artificial tooth(teeth) is attached to the post individually or grouped on a bridge.
Subperiosteal Implants
The only difference from Endosteal implants is that this process involves placing of a metal frame instead of directly the implants. This frame gradually fuses with the jawbone and then the same process is followed.
FAQs on Dentures
How will dentures bring about a change in my eating habits?
As there is such a big change to your mouth structure ‘your teeth’ it will take time to get accustomed to this change. Begin with cutting food into small soft pieces. Avoid any type of hard hot or spicy item. Give up on cigarettes as tobacco is not good for dentures. Stop eating sticky food like chewing gum. With time you will have ease with the denture and your eating habits will get back to normal.Most importantly never use a tooth prick with your dentures.
How will my speaking change after dentures?
You may incur slight problems while pronouncing certain words but you can wither away this problemby practicing them out loud. If your denture clicks while you speak consult your dentist for its repositioning.
Are dentures worn all the time?
Dentist advice during the time of dentures is something which you must follow without any modification of yourself. In the beginning, it is advised to be worn during sleep too so that the adjustments are made. With time as adjustments get habitual dentures can be removed while sleeping so that the natural cleansing of mouth can take place with saliva.
Dentures are replacements for your teeth and they require certain amount of care which if you are able to fulfil can ensure long durability.