Local 60614 Denture Care - Dentures Repair

Learn About Conventional Over-Denture

A conventional over-denture rests over some healthy natural tooth roots. This approach was first reported in 1861. To understand this method, it is necessary to review some facts.

An Overview of Alveolar Ridge Dynamics

• Maintaining a denture on the jawbone ridge (called alveolar ridge) is essential to prevent it from becoming loose during eating, speaking, and other activities.
• Preserving the alveolar ridge facilitates denture stability.
• The body tends to conserve energy and nutrients by maintaining only structures with apparent immediate value. A typical example is the bulk reduction of a broken leg held immobile by a full-leg cast for a month or more.
• The body recognizes that the only one purpose for alveolar bone is to hold tooth roots.
• Alveolar bone no longer supporting a tooth root is removed, or literally dissolved away, by the body. This is called resorption, or simply shrinkage.
• Resorption progresses at varying rates in the same person at different times, and at different rates between different people. Resorption progresses rapidly within the first year of losing a tooth, after which time, the rate progresses at a slower pace.

From this overview, if the maximum amount of alveolar ridge is to be maintained, then preserving the maximum number of periodontally healthy tooth roots should achieve that end.

Preserving the Sensation of Having Teeth

Studies demonstrate that even though only roots are preserved, and a denture covers them, a patient still has sensory input sensations similar to that experienced with teeth, as opposed to individuals with conventional dentures and no preserved roots. Over-denture patients also appear to have a more natural perceived directional sense in their chewing activities. In other words, many patients relate that they still feel like they have teeth -- a positive comment.

Underlying Philosophy of the Conventional Over-Denture

If a patient's treatment plan to have a denture, and the roots of some remaining teeth are supported in healthy alveolar bone, then a conventional over-denture is a viable consideration.

However, only a licensed dentist can determine if a conventional over-denture is a suitable consideration for a certain person, after a comprehensive examination.

Some Characteristics of a Conventional Over-Denture

• Most of a tooth crown (that part of the tooth above the gums) is removed. This often necessitates root canal therapy if not already done.
• The remaining tooth, projecting above the gum, is rounded and usually covered with a similarly shaped artificial crown-like covering.
• Various configurations and extensions may be built onto some retained roots. In those cases, that portion of the denture overlying these configurations is modified to contain attachments that clip onto a framework or receive the individual extensions. In addition to preserving alveolar bone and sensory input, the denture is held securely in place, but may be comfortably and easily removed for cleaning.

Advantages of a Conventional Over-Denture

• Feels more like having teeth
• More retentive in many cases
• Helps reduce shrinkage of surrounding bone
• Reduces pressure to portions of the alveolar ridge
• Positive psychological advantage of still having teeth

Disadvantages of a Conventional Over-Denture

• Scrupulous oral hygiene is essential in order to prevent decay and gum disease
• The over-denture may feel bulkier than a conventional denture
• Frequent maintenance examinations are necessary
• Generally, this is a more expensive approach than a conventional denture

by Joseph J. Massad, D.D.S.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Denture Adhesives and Loose Dentures

When the subject of dentures comes up, people often think of commercials for denture adhesives. These commercials imply that everyone uses adhesives to keep their dentures in and that denture wearers run the risk of having dentures fall out at embarrassing times!

When considering dentures, it is important to remember that they are custom-made to fit your mouth precisely and comfortably. In fact, dentures that fit properly do not require denture adhesives to stay in place. One exception to this rule may be when your dentures are new. Your dentist may suggest using an denture adhesive while you get used to the denture.

As time goes on and your mouth changes with age, you may find that your dentures must be replaced. Your dentist will provide advice on this, which is one reason to continue regular checkups after you begin wearing dentures.

A loose denture is a sign that it no longer fits your mouth or works properly. If your dentures become loose, you should see your dentist immediately. Continuing to wear a poorly-fitting denture will cause irritation to your gums and mouth, and can lead to infection over time. If you persist in wearing dentures that do not fit, your mouth may change shape and your ability to eat the foods you want and like will diminish.

A tip to keep in mind: you may feel your denture slip when you laugh, smile, or cough, particularly when your dentures are new. This slippage is caused by air suddenly getting under your denture base and moving it. The longer you wear your denture and become more comfortable with it, the better able you will be to control its movement in these situations.

While many of us remember grandparents or other older friends and neighbors whose dentures did indeed slip or require denture adhesives, today's dentures benefit from advances in dental and materials technology. Dentists work with respected laboratories where trained technicians make your personal dentures to the specifications that your dentist has provided. A good fit is crucial to enjoying life with your new dentures, and to letting others continue to enjoy your smile!

by Thomas Warner, D.D.S.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.