What is a removable denture? What are the types?
A denture is a removable replacement of missing teeth and surrounding tissues, and can be worn and removed by the patient at any time. Two types of dentures are available.
1- Complete Denture
A complete denture is made in support of palates when all of the teeth are lost.
2- Partial Denture
A removable partial denture is placed over missing teeth with the support of soft tissue and existing teeth when one or more natural teeth remain in the upper or lower jaw and in cases where it is not possible to use a fixed denture.
Would my complete denture fall off during chewing something if I have no teeth in the mouth?
If the amount of bone on which the denture rests is inadequate, the denture may move during eating. In this case, specific cement is used, or implants inserted in the jawbone may be used to support a denture. This is called implant-supported complete denture. The patient’s comfort and easy use are satisfactory. This method makes a patient feel as if they were chewing with their own natural teeth, therefore it is often preferred by patients.
A removable denture is quicker and cheaper than implants. It is easy to repair them. However, it is less comfortable then fixed denture and the patient’s jawbone is abraded over time. An implant also conserves the current jawbone.
Can a denture be worn if I have a few natural healthy teeth without removing them?
A removable denture can be made using a few natural healthy teeth left in the mouth. If the denture is attached onto the tooth in front of the toothless part with a hook, it is called denture with hook. If teeth that support the denture are visible, then aesthetical problems may occur.
To eliminate the aesthetical problem caused by dentures with hook, concealed holders that rest on the slots prepared in the teeth are also used to attach the denture onto the teeth. This type of denture is called precise attachment denture.
In addition, if the patient has a couple of teeth in the mouth, which are small and can be used, and if partial denture is not preferred for aesthetical purposes, the teeth are formed as they will remain underneath the complete denture. This is called tooth-supported complete denture or telescopic denture.
A removable denture is made of a specific acrylic and combination of metals, or acrylic alone depending on the case. The acrylic teeth are usually used for removable dentures. The porcelain teeth are not recommended because they are heavy, transmit the forces improperly to the soft tissues, and have no good connection with the base of denture.
Is it necessary to veneer the teeth in the mouth before making a removable denture?
If you will have a denture with hook, it may not be necessary to veneer the teeth if your dentist deems unnecessary. However, it may be required to veneer the teeth in the mouth in case of precise holder and telescopic denture.
Clean your removable denture with soap and toothbrush under running water. You don’t need to use toothbrush to clean your denture. You will have better results if you use a toothbrush that is specifically made for dentures. In addition, cleaner tablets are available from some of the companies. Using these tablets in line with your dentist’s recommendations will give good results.
Can patients allergic to removable denture also use it?
First, an allergy test must be performed to identify the allergen. Since complete (total) dental dentures contain no metal, those who are allergic to metals can readily use this denture. However, it is not possible to use a complete denture if you are allergic to acrylic which is a material contained in the denture. In this case, you should chose to use implants.
It will take time to get used to the new denture as with any changes. You need to be patient and let the adaptation period pass. Getting used to lower denture is more difficult than getting used to upper denture because of holding problems. You should eat soft food in small bites for the first days. We recommend you to use both sides when chewing something. You may naturally have some sores for the first weeks after you start wearing your denture. It is important that you attend the visits to your dentist. Make sure that you have worn your denture for minimum 24 hours before you visit your dentist. It is natural to have difficulty in speaking. Your speech will be improved after your tissues and tongue get used to denture in some time. Read your newspaper or book out to make easy adaptation period. You need to be careful with cleaning of your denture. Uncleaned dentures will cause problems to tissues. We recommend you to wear your denture when you sleep for the first couple of days, but thereafter you must take off and put in the water your denture every time you go to bed. Your denture may require lining every 3 or 5 years that helps adaptation of palates