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Dentures:
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Full Dentures
If you're like most people who are learning about dentures, you probably have many questions. Dentures have been around for many years. The earliest form of denture was introduced more than 2,000 years ago. Today, dentures are of better quality and more comfortable than ever before. Replacing missing teeth has substantial benefits for your health and your appearance. A complete denture, also called a full denture, replaces all the natural teeth and provides support for cheeks and lips. Without this support, sagging facial muscles can make a person appear older. And by replacing missing teeth, dentures improve a person's ability to speak and to eat.
Frequently asked Questions and Answers
Q: What's the difference between conventional dentures and immediate dentures?
A: Complete dentures are called "conventional" or "immediate" according to when they are made and when they are inserted into the mouth. Conventional dentures are made and inserted after the remaining teeth are removed and the tissues have healed. Healing may take several months.

Immediate dentures are inserted immediately after the removal of the remaining teeth. To make this possible, the dentist takes measurements and makes models of the patient's jaws during a preliminary visit. An advantage of immediate dentures is that the wearer does not have to be without teeth during the healing period. However, bones and gums can shrink over time, especially during the period of healing in the first six months after the removal of teeth. When gums shrink, immediate dentures may require rebasing or relining to fit properly.

Q: What is an overdenture?
A: An overdenture is one that fits over a small number of remaining natural teeth that have been prepared by the dentist. The prepared teeth provide stability and support for the denture. Your dentist can determine if an overdenture would be suitable for you.

Q: What will dentures feel like?
A: New dentures may feel awkward for a few weeks until you become accustomed to them. The dentures may feel loose while the muscles of your cheek and tongue learn to keep them in place.

It is not unusual to experience minor irritation or soreness. You may find that saliva flow temporarily increases. As your mouth becomes accustomed to the dentures, these problems should diminish. One or more follow-up appointments with the dentist are generally needed after a denture is inserted. If any problem persists, particularly irritation or soreness, be sure to consult your dentist.

Q: Will dentures make me look different?
A: Dentures can be made to closely resemble your natural teeth so that little change in appearance will be noticeable.

Dentures may even improve the look of your smile and help fill out the appearance of your face and profile.

Q: Will I be able to eat with my dentures?
A: Eating will take a little practice. Start with soft food cut into small pieces. Chew slowly using both sides of your mouth at the same time to prevent the dentures from tipping. As you become accustomed to chewing, add other foods until you return to your normal diet. Continue to chew food using both sides of the mouth at the same time. Be cautious with hot or hard foods and sharp-edged bones or shells.

Q: Will dentures change how I speak?
A: Pronouncing certain words may require practice. Reading out loud and repeating troublesome words will help. If your dentures "click" while you're talking, speak slower. You may find that your dentures occasionally slip when you laugh, cough or smile. Reposition the dentures by gently biting down and swallowing. If a speaking problem persists, consult your dentist,

Q: How long should I wear my dentures?
A: Your dentist will provide instructions about how long dentures should be kept in place. During the first few days, you may be advised to wear them most of the time, including while you sleep. After the initial adjustment period, you may be instructed to remove the dentures before going to bed. This allows gum tissues to rest and promotes oral health. Generally, it is not desirable that the tissues be constantly covered by denture material.

Q: Should I use a denture adhesive?
A: A denture adhesive should not be used for a prolonged period. Dentures are made to fit securely. When a denture feels loose it may require relining. A poor-fitting denture may cause irritation and possible sores. Although an adhesive may be used for a short time until you are able to visit your dentist, prolonged use is not usually recommended, except for special situations.

Q: How do I take care of my dentures?
A: Dentures are very delicate and may break if dropped even a few inches. Stand over a folded towel or a basin of water when handling dentures. When you are not wearing them, store your dentures away from children and pets. Like natural teeth, dentures must be brushed daily to remove food deposits and plaque. Brushing helps prevent dentures from becoming permanently stained and helps your mouth stay healthy. It's best to use a brush designed for cleaning dentures. A toothbrush with soft bristles can also be used. Avoid using hard-bristled brushes that can damage dentures.

Your dentist can recommend a denture cleanser. Some denture wearers use hand soap or mild dishwashing liquid, which are both acceptable for cleaning dentures.

Avoid using other powdered household cleansers, which may be too abrasive. The first step in cleaning dentures is to thoroughly rinse away loose food particles. Moisten the brush and apply denture cleanser. Brush every surface, scrubbing gently to avoid damage. Dentures may lose their shape if they are allowed to dry out. When they are not worn, dentures should be placed in a denture cleanser soaking solution or in water. Your dentist can recommend the best method. Never place dentures in hot water, which could cause them to warp. Ultrasonic cleaners are also used to care for dentures. However, using an ultrasonic cleaner does not replace a thorough daily brushing.

Q: Can I make minor adjustments or repairs to my dentures?
A: You can seriously damage your dentures and harm your health by trying to adjust or repair your dentures. A denture that is not made to fit properly can cause irritation and sores. See your dentist if your dentures break, crack, chip, or if one of the teeth becomes loose. A dentist can often make the necessary adjustments or repairs on the same day. A person who lacks the proper training will not be able to reconstruct the denture. This can cause greater damage to the denture and may cause problems in your mouth. Glue sold over-the-counter often contains harmful chemicals and should not be used on dentures,

Q: Will my dentures need to be replaced?
A: Over time, dentures will need to be relined, remade or rebased due to normal wear. To make a rebased denture, the dentist uses the existing denture teeth and makes a new denture base.

Dentures may need to be replaced because a mouth naturally changes with age. Bone and gum ridges can recede or shrink, causing jaws to align differently. Shrinking ridges can cause dentures to fit less securely. Loose dentures can cause health problems, including sores and infections. A loose denture also makes chewing more difficult and may change your facial features. It's important to replace worn or poorly-fitting dentures before they cause problems.

Q:Must I do anything special to care for my mouth?
A: Even with full dentures, you still need to take good care of your mouth. Every morning, brush your gums, tongue and palate with a soft-bristled brush before you put in your dentures. This removes plaque and stimulates circulation in the mouth. Selecting a balanced diet for proper nutrition is also important for maintaining a healthy mouth.

Q: How often should I schedule dental appointments?
A: Your dentist will advise you about how often to visit. Regular dental check-ups are important. The dentist will examine your mouth to see if your dentures continue to fit properly. The dentist also examines your mouth for signs of oral diseases including cancer. With regular professional care, a positive attitude and persistence, you can become one of the millions of people who wear their dentures with a smile.
Removable Partial Dentures
An important step in maintaining a healthy smile is to replace missing teeth. When teeth are missing, the remaining ones can change position, drifting into the surrounding space. Teeth that are out of position can damage tissues in the mouth. In addition, it may be difficult to clean thoroughly between crooked teeth. As a result, you run the risk of tooth decay and periodontal (gum) disease, which can lead to the loss of additional teeth.

A removable partial denture fills in the space created by missing teeth and fills out your smile. A denture helps you to properly chew food, a difficult task when you are missing teeth. In addition, a denture may improve speech and prevent a sagging face by providing support for lips and cheeks.
Frequently asked Questions and Answers
Q: How do you wear a removable partial denture?
A: Removable partial dentures usually consist of replacement teeth attached to pink or gum-colored plastic bases, which are connected by metal framework. Removable partial dentures attach to your natural teeth with metal clasps or devices called precision attachments. Precision attachments are generally more secure than metal clasps and they are nearly invisible. Crowns on your natural teeth may improve the fit of a removable partial denture and they are usually required with attachments. Dentures with precision attachments generally cost more than those with metal clasps. Consult with your dentist to find out which type is right for you.

Q: How long will it take to get used to wearing a denture?
A: For the first few weeks, your new partial denture may feel awkward or bulky. However, your mouth will eventually become accustomed to wearing it. Inserting and removing the denture will require some practice. Follow all instructions given by your dentist. Your denture should fit into place with relative ease. Never force the partial denture into position by biting down. This could bend or break the clasps.

Q:How long should I wear the denture?
A:Your dentist will give you specific instructions about how long the denture should be worn and when it should be removed. Initially, you may be asked to wear your partial denture all the time. Although this may be temporarily uncomfortable, it is the quickest way to identify those denture parts that may need adjustment. If the denture puts too much pressure on a particular area, that spot will become sore. Your dentist will adjust the denture to fit more comfortably. After making adjustments, your dentist will probably recommend that you take the denture out of your mouth before going to bed and replace it in the morning.
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Q: Will it be difficult to eat with a partial denture?
A:Replacing missing teeth should make eating a more pleasant experience. Start out by eating soft foods that are cut into small pieces, Chew on both sides of the mouth to keep even pressure on the denture. Avoid foods that are extremely sticky or hard. You may want to avoid chewing gum while you adjust to the denture.

Q: How often should I see my dentist?
A: Your dentist will advise you on the frequency of dental visits. Regular dental check-ups and having your teeth professionally cleaned are vital for maintaining a healthy smile.


Removable bridges, also known as partial dentures, are a very effective way of replacing missing teeth. Flexible removable bridges are made with acrylic teeth replacing the missing natural teeth, and a flexible acrylic structure joining all the teeth together and clasping onto natural teeth for support.  In using this "gum colored"  flexible acrylic it is possible to avoid using metal clasps (clips) in order to get a more natural looking replacement.

Removable bridges have advantages and disadvantages over other forms of tooth replacement. On the positive side they can effectively replace many missing teeth with one appliance. They restore chewing ability and prevent undesirable tooth movement of the natural teeth. They are relatively inexpensive compared with other forms of tooth replacement. In addition, flexible bridges are very light and their clips blend in with the gum tissue making them almost undetectable. On the minus side, partial dentures can feel bulky in the mouth and take time to get accustomed to. They may affect speech for a while, and some people find that food gets trapped during meals. However, most people quickly overcome these annoyances and find their new bridges comfortable and effective.

As the name implies, removable bridges are designed to be removed from the mouth for various reasons. They should be removed for cleaning both the denture and the natural teeth. Also, many people prefer to remove them when sleeping, although this is a personal decision.
Flexible removable bridge
(631) 226-4540
Copyright 2011 Dr. Kenneth Epstein, DDS - 26 West John Street - Lindenhurst, New York  11757 - (631)226-4540 - epsteindds@gmail.com