Westfield's Dental Department

Posts for tag: Dentures

By Kenneth Krause, DMD
June 11, 2018
Category: Oral Health
Tags: Dentures  

Perhaps you’ve heard the old saying: “Take care of your dentures and your dentures will take care of you.” Well, maybe it’s not that old—but it’s still a sensible notion. Maintaining your dentures by routinely cleaning them and having them checked for fit will improve their longevity.

There’s one other thing you should include on your maintenance routine—avoid wearing your dentures 24/7, especially while you sleep. This bad habit could lead to some unpleasant consequences.

For one, wearing dentures continuously can accelerate bone loss in the jaw that eventually causes your dentures to lose their comfortable fit. Bone loss is a natural consequence of tooth loss because the bone no longer receives the stimulation to grow transmitted by the teeth during chewing. Dentures can’t transmit this stimulus; what’s more, the pressure they place on the gums and underlying bony ridges could make bone loss worse. You can relieve this gum pressure at night by taking them out.

Dentures can also become a breeding ground for bacteria and fungi that cause disease, irritation and unpleasant mouth odors. Taking dentures out at night deprives these microorganisms of a prime opportunity to carry on business as usual—and it’s also a great time to clean your dentures. People who sleep with their dentures in their mouth are more likely to have gum or oral yeast infections and higher levels of proteins produced by white cells that increase inflammation. That could contribute to other diseases throughout the body.

Besides taking your dentures out at night, you should also practice other daily hygiene tasks. Remove your dentures after eating and rinse them with clean water. Brush your dentures daily with a soft-bristled brush and dish or antibacterial soap or dental cleanser (no toothpaste—it’s too abrasive for denture surfaces). Be sure you clean your gums and tongue every day too. When your dentures are out, store them in clean water or preferably an alkaline peroxide-based solution.

Removing your dentures at night and these other good habits will help extend the life and fit of your dentures. It could also help keep the rest of you healthy.

If you would like more information on denture care, 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 “Sleeping in Dentures: A Habit that Can Cause Health Problems.”

By Kenneth Krause, DMD
December 26, 2014
Category: Dental Procedures
Tags: Dental Implants   Dentures  

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.”

By Kenneth Krause, DMD
September 23, 2014
Category: Dental Procedures
Tags: Dentures  

While dental implants are considered the gold standard for tooth replacement, removable dentures are still a viable choice, especially for patients with edentulism (complete tooth loss). Removable dentures have also undergone considerable advancement to improve their function, appearance and longevity.

But even with these advancements, dentures still require a fair amount of skill, experience and — of utmost importance — a sense of art. If you’re considering this option, long-term success depends on a careful process of construction, fit adjustment and regular checkups to maintain that fit.

Our first step is to determine exact tooth placement on each denture. Using facial features (or photos before tooth loss) we establish placement landmarks so that corresponding upper and lower teeth align properly. We also consider tooth size, their orientation in relation to the lip, and the needed space to leave between the upper and lower teeth when they are at rest. We make these determinations based on accepted standards of beauty, but also taking into account your particular comfort level with any features that might alter your appearance.

The denture’s gums must also look realistic when you smile, especially if your upper lip rises above the teeth to expose more gum tissue. We also want to match the color and texture of your natural gums, as well as incorporate palatal rugae, the little ridges behind the upper front teeth that aid with speech and chewing food.

When we first place the new dentures in your mouth, we may need to adjust them for balance between the upper and lower sets when they come together. An imbalanced fit could have an adverse effect on your ability to bite, chew and speak normally.

Your dentures should have a good, comfortable fit. Over time, however, you will encounter some degree of bone loss because you no longer have your natural teeth to stimulate bone growth and absorb the forces created during function when your teeth contact. This and other factors may cause your dentures to become loose and uncomfortable to wear. For that reason, it's important for you to visit us regularly to maintain that good fit and check the health of underlying tissues and bone.

Careful planning and denture construction help ensure your new dentures successfully restore form and function to your mouth. Regular monitoring will also ensure they continue to serve you well for as long as possible.

If you would like more information on removable dentures, 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 “Removable Full Dentures.”

At Krause Dental, our primary goal is to keep the teeth you already have healthy, and in order to do so, we are dedicated to educating our Westfield patients about all aspects of oral health. You can prevent tooth loss with good oral hygiene and regular visits to our office. However, if you happen to fall victim to any one of these common causes of tooth loss, we’re here to help you with that too.

Common Causes of Tooth Loss

Tooth loss can occur for a number of reasons, namely gum disease, decay, or injury. In some cases, congenital disease can prevent teeth from ever developing. Tooth Restoration
  1. Disease and Decay: The most common reason for tooth loss is gum (periodontal) disease. When gums and root structures become infected, bone loss can occur. When this happens, many teeth fall out or become too weak to be useful and must be extracted. Tooth decay can also progress to an extent that warrants removal.
  2. Injury:  Sports accidents are among the leading causes of tooth injury, but they are by no means the only cause. Any blunt trauma to the face—especially the jaw—can potentially cause tooth injury, which often leads to tooth loss. When teeth are chipped or fractured, they will need to be treated or removed to prevent periodontal disease.
  3. Trauma can lead to tooth loss in a variety of ways—sometimes in ways that do not become apparent until months or even years have passed. Root fracture, for instance, may not be evident until infection develops and the injury site becomes incredibly painful. In some rare cases of root resorption, body cells attack the root surface and break down its structure, even after the injured tooth has been treated.
  4. Hypodontia: This cause of tooth loss is not as uncommon as you might think. Hypodontia is the congenital absence of one or more teeth. Some people are unlucky enough to be born with anodontia, a condition where all permanent teeth fail to develop. In rare cases of anodontia, teeth do not develop at all. Most commonly, when a person has congenital tooth absence, their baby teeth will stay in place until they fail due to lack of root support or dental disease and need to be removed.

Options for Restoring Missing Teeth

  1. Dental Bridges: A form of crown restoration called a tooth bridge can be placed over teeth adjacent to the gap left by the missing tooth or teeth. Dental bridges are often recommended for patients who are missing multiple teeth. They improve overall appearance and prevent bad “bites” from forming when the remaining teeth begin to shift.
  2. Dentures: A denture is a removable replacement for missing teeth and is available in two forms—partial or complete. Complete dentures are used when all teeth are missing; when natural teeth are present, partial dentures are a better option.
  3. Dental Implants: Before dental implants, dentures and bridges were the only options available to Westfield residents. However, our facilities are now equipped with the technology to provide patients with the best tooth restoration method available today. A dental implant is a prosthetic device that is surgically inserted into the jaw and topped with a dental crown that looks and functions just like a natural tooth. Implant restoration is a great option for people who have one or multiple missing teeth; implant-supported dentures are even an option. Implants offer many benefits over the alternative restoration methods, including comfort, improved speech, and easier eating. Unlike dentures and bridgework, implants also stimulate bone growth, protecting your healthy teeth and discouraging bone loss in your jaw.
To determine which restoration options are best for your permantnet tooth loss, schedule your appointment with Westfield dentist Kenneth Krause or call us at  (317) 399-9329 today.