Caring for removable dentures. Advice from professionals.


Several decades ago, removable dentures were called “teeth in a glass” because they had to be removed from the mouth at night and placed in a container of water. This was due to the need to maintain in good condition the manufacturing material that was used at that time to create such structures. Let's talk about whether anything has changed since then and whether it is necessary to take off dentures at night now.

How long does it take to get used to removable dentures?

On average, 30 days. At the beginning of use, removable dentures feel like a foreign body and can cause discomfort. They can interfere with the production of sounds (diction), cause increased salivation, changes in taste and temperature sensations, and difficulty biting and chewing food. Sometimes, when applying removable dentures, the urge to vomit may occur. It is also possible that the dentures do not adhere satisfactorily, or food debris gets underneath them, or biting the cheeks, lips, or tongue. All these phenomena decrease by the end of the first week of wearing the prosthesis and disappear after 3-4 weeks. After an adaptation period, the patient already feels more comfortable with prostheses than without them.

The main condition for quickly getting used to prostheses is their constant use. The rules and recommendations below will help you shorten the adaptation period.

How to quickly get used to new dentures

  • Immediately after submitting the finished work in the dentist’s chair, learn how to remove and put on removable dentures yourself. At home, practice again, first in front of a mirror, then without it.
  • Before applying, soak removable dentures in water or use a fixative.
  • For the first one and a half to two weeks after the application of dentures, they should not be removed from the mouth, even at night. Take them out only for cleaning and oral hygiene.
  • To reduce the gag reflex, try sucking the candy by placing it towards the roof of your mouth and holding it in this position with your tongue.
  • Rinse your mouth often with warm water (8-10 times a day) or drink hot tea.
  • Reading aloud in a calm, relaxed atmosphere for 2 hours helps to quickly restore correct pronunciation. In most patients, diction is restored quite quickly (after 5-6 days)
  • For the first 2-4 days of wearing the prosthesis, try to eat soft foods and not load the prosthesis until you fully adapt to it. Try not to bite with your front teeth. Chew your food slowly and thoroughly.
  • Chew food with your side teeth at the same time (left and right at once). Cut food into small pieces. Introduce more fruits and vegetables into your diet (this will allow you to switch to your usual diet earlier).

FAQ

There are many questions on the Internet that concern people who are faced with the need to dismantle orthopedic structures. Let's look at the most popular ones.

Is it possible to remove a permanent crown?

Undoubtedly. And this is far from the most difficult manipulation in the dentist’s chair. But it requires professionalism and skill from the doctor. For this purpose, today clinics most often use the Coppa crown remover (push method), Coronaflex (compressed air exposure) and ultrasound - that is, all the methods listed in the article above.

How is a dental bridge removed?

To dismantle the bridge structure, the doctor needs to carefully examine the patient’s oral cavity and decide on the method of removing it. Is it painful to remove a dental bridge? No. With the help of an ultrasonic scaler, the decementing process occurs quickly and without any pain. However, it all depends on the individual characteristics of the particular patient and pain threshold. If you feel any discomfort, you can always ask your doctor to apply anesthesia.

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Is it painful to remove the structure?

Is it possible to quickly remove an artificial device from a tooth? Does it hurt? It all depends on the professionalism of the orthopedist and the chosen method of extraction. So, if the tooth has not previously hurt or the structure has not been loosened, the latter can be removed quite quickly and painlessly. If the most cost-effective removal method is chosen or it is important to preserve the integrity of the crown, the procedure may be accompanied by discomfort. But the patient definitely won’t have to suffer. If pain appears, the doctor will give an injection with an anesthetic.

Can I remove the product myself?

Often a tooth covered with a crown manifests itself as anxiety quite unexpectedly. Moreover, the degree of pain can be very high. Such that a person, under the influence of impulses, loses all common sense and begins to try to get rid of the prosthesis right at home. However, it will be difficult to dismantle it correctly yourself. Yes, and it's not safe.

However, there are only 2 exceptions to this rule:

  • the orthopedic product has become loose/comes off entirely with its cement base,
  • the structure has fallen apart and its fragments need to be removed from the mouth.

In any case, in order to avoid complications after self-removal of a fallen prosthesis or part of it, it is important to see your dentist as soon as possible.

What are the main rules when using removable dentures?

Dentures must be clean. After each meal, they should be removed from the mouth and washed thoroughly with soap and water.

Removable dentures should be protected from mechanical and chemical damage, as well as from exposure to high temperatures. If cracks or breakages appear in a removable denture, you cannot use it; you must consult a doctor for repairs.

Do not take breaks from wearing a prosthesis for more than one and a half to two weeks, because... this can lead to an initial discomfort that can make it difficult to fit the prosthesis exactly into place. As a rule, if a prosthesis is not used for more than a month, it becomes unusable and a new one needs to be made.

Reviews

I have known about prosthetics for a long time. Grandparents have been wearing them for quite a long time. At the same time, grandfather does not take them off at all. He does not experience any unpleasant sensations from wearing them. Every evening, as expected, he carries out a thorough cleansing procedure. It was not possible to protect natural teeth, now he is looking after artificial ones. And my grandmother wears removable dentures only when eating. She explains this by saying that she feels uncomfortable being in them. In her free time, grandma, in the old fashioned way, puts them in a jar of water. After reading your article, I will definitely bring it to your attention that dentures can be stored dry.

My aunt keeps her dentures in a special dry container. Before putting them inside, she cleans them with a brush and paste, then rinses them with a special solution. She then wraps the dentures in a handkerchief and places them in a container. She says that she was told about this method of storage at the clinic where the prostheses were installed.

I learned from special sources that dentures should be stored in the following way: first, I clean them of accumulated food debris and bacteria (I clean them only with a brush with soft fluffy bristles), then I rinse them with boiled water and put them in a solution purchased at the pharmacy. I keep my dentures this way all night. In the morning I put them on again. For storage I use a specially purchased container. The container is so convenient that it fits easily into my purse. In this case, the poured liquid does not pour out of the container. So I can easily carry my dentures.

Sources used:

  • “Orthopedic treatment with fixed prostheses” (Rozenstiel S.F.)
  • National Library of Medicine (USA)
  • Chalifoux, Paul R. (2015). "Acrylic and other resins: Provisional restorations". Acrylic and other resins: Provisional restorations – Esthetic Dentistry

What is prosthesis correction and when should it be done?

After applying removable dentures in the oral cavity, as a rule, pain appears in some areas underneath. This is due to the inevitable gradual subsidence (pressure) of the removable denture on the mucous membrane. This factor cannot be fully taken into account when designing these orthopedic structures, therefore, correction is necessary to eliminate unpleasant sensations. It consists of “undermining” the dentures in those areas where it presses on the oral mucosa.

The first correction must be carried out the next day after the start of using dentures. The next 3-4 corrections must be carried out over a period of one and a half to two weeks as necessary. You may need more visits to the dentist after completing your work (up to 10).

In case of severe pain, you need to remove your dentures and put them in a special container or glass of water. Before going to the doctor for correction, you must wear dentures and walk around with them for at least 3-4 hours. This will allow the doctor to see a clear imprint on the mucous membrane and correct only the place that is rubbing the gum. Bringing a denture in your pocket and pointing your finger in your mouth is useless. In removable dentures, every centimeter, and sometimes even a millimeter, of the supporting surface is of great importance. If the correction is inaccurate, the fixation of the prosthesis may be impaired. This is exactly what happens if you try to grind or file dentures yourself. After correction (adjustment) of removable dentures, you must not use them for 1 day. During this period (during the healing period of the namin), it is advisable to rinse your mouth and make baths (hold the solution in the mouth at the site of the namin) with herbal decoctions. Use a decoction of chamomile flowers, oak bark, etc. For example, take 0.5 tablespoons of dry oak bark, brew in one glass of boiling water, cool, apply the decoction 3-5 times a day. You can also use medicines, for example Kamistad gel, sold in pharmacies.

Feel free to visit your dentist for adjustments. Removable dentures, even if they are made in the most careful manner, require correction. Even if you do not experience any pain or discomfort, you should visit the dentist for an oral examination.

WARNING : Do not attempt to straighten dentures yourself with a file or any other tool. This can lead to breakage of the prosthesis and disruption of its fixation. Moreover, after such “repairs” it is no longer possible to do anything with the prostheses in the clinic. As a result, all that remains is the manufacture of new orthopedic structures.

Bottom line: how long does it take to replace crowns?

According to the book rules : in 5-7 years.

It is better to replace poorly made crowns immediately after placement, so that the teeth underneath do not deteriorate.

Well-made crowns can last 10 years or more.

Conclusion: any crown has a certain service life, which depends on the characteristics of the clinical situation (tooth condition), quality of workmanship, material and method of fixation. The need for replacement is determined by the doctor based on a number of objective factors. Timely replacement allows you to reuse the same foundation (tooth, root) to repeat the structure. Accordingly, the tooth will last for many years. Untimely replacement of the crown (unreasonably long use) can lead to deep tooth destruction, which will be impossible to restore.

An attentive attitude to one’s health on the part of the patient, coupled with timely and qualified assistance from a doctor, leads to a long-term positive result.

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Be healthy!

Kirill Andronov on how often you need to change crowns

How to care for removable dentures

Proper care of them is of great importance for the period of adaptation (adaptation) and the service life of prostheses. Removable dentures require regular cleaning. The best option is to clean dentures daily after each meal under running water. The obligatory minimum is cleaning the prosthesis before going to bed. The main criterion is that the prosthesis must be as clean as on the first day. The cleaner the denture, the more comfortable you will feel it in your mouth.

When cleaning a denture with whitening toothpaste, scratches may form on it, which contributes to the rapid accumulation of plaque on the denture, because Such pastes contain abrasive substances, so for daily care you can use a weak soap solution.

Dirty removable dentures cause rapid wear and tear and inflammation in the oral cavity. If there is inflammation of the mucous membrane in places of contact with a removable denture, pain, or burning, you should immediately consult a doctor. From strong tea, coffee and smoking, removable dentures lose their appearance, turn yellow, and a brown coating appears on them. With good care, removable dentures retain their color and shine for a long time.

An indicator of good care is the absence of food and plaque on the prosthesis. To remove age spots from coffee and nicotine, etc., which may appear over time, you should consult a doctor. The dental technician will restore the necessary polish and shine.

To clean dentures, you can use special cleaning agents sold in pharmacies (President, Corega, Protefix). They also help get rid of plaque and destroy bacteria that cause bad breath. The prosthesis is placed in a glass of clean water and a tablet is lowered; the prosthesis is kept in the solution for a certain time recommended by the manufacturer.

What determines the service life of a crown?

  • The service life and the need to replace the structure greatly depend on the accuracy of manufacturing at all stages. Precision work means that the crown fits to the tooth without gaps, without steps, without voids, oral fluid and food do not get under it, the gums around it do not become inflamed, it is no different from the “native” tooth. It is the precision of manufacturing that determines the quality of work, and therefore is the key to a long service life of the crown. For example, I had to deal with a situation where the crown was made only a year ago, and upon examination, strict indications for its urgent replacement were revealed (due to poor quality, namely inaccurate manufacturing). And vice versa, when examined, the crown meets all the requirements, all parameters are normal, there is no need to replace it, and it has been standing for 10 years (which means it was manufactured very accurately and in a timely manner).
  • We have repeatedly mentioned that accuracy, and therefore quality, is at the forefront. If we take quality as a given, then the material and method of fixation come to the fore. So, the service life also depends on the material from which the crown is made and, accordingly, on the method of fixing it to the tooth . Classic metal-ceramics and zirconium dioxide-based crowns are attached to a special “cement,” that is, an intermediary between the crown and the tooth, and do not enter into a “chemical” bond with either this cement or the ground tooth. Namely, this cement is “destroyed” and “washed out” over time, leading to a violation of the seal of the entire structure. Crowns based on lithium disilicate (also called “E-max”) are fixed without an intermediary: using the adhesive (“glue”) method, that is, they are glued to the tooth tissue, which leads to a very strong connection between the crown and the tooth. Accordingly, the service life of such structures is longer than the 5-7 years described above, which means that a crown change will not be required soon.
  • In addition, the service life is greatly influenced by the condition of the tooth for which the crown was made. If a patient hesitates for a long time to adequately restore a damaged tooth, he comes for prosthetics at an untimely rate, in particular when the tooth is destroyed by a carious process to the level or below the level of the gum, becoming “soft” and unreliable. In such conditions, the doctor is no longer able to make an accurate marginal fit; such a structure will never be completely sealed, which means the tooth under such a crown will be destroyed. In such conditions, neither good materials nor the method of fixing the crown will help. And if the doctor nevertheless undertakes the restoration of such a tooth, this will be the last crown on it, since it will be impossible to repeat the restoration.

Important! Dear patients, do not delay the restoration of damaged teeth, do not deprive yourself of the opportunity to save your own tooth faster, more reliably and cheaper!

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How to improve the fixation of removable dentures

The anatomical conditions in the oral cavity do not always allow for the creation of good fixation for removable dentures. This especially applies to prosthetics for the complete absence of teeth in the lower jaw. Under unfavorable conditions, special fixing agents in the form of creams, fixing pads, and powders are used to keep it in the mouth. They are sold under the brands “President”, “Corega”, “Protefix” in any pharmacy.

The fixing cream is applied in a thin broken line to the prosthesis. Before applying the cream, removable dentures must be dried, for example with a cotton swab. Fixing powder is used for low salivation. It is applied in a thin layer to the wet denture, after which the removable dentures can be put on. Your dentist will help you decide on the choice of fixative.

What to do if your prosthesis breaks?

During the use of removable dentures, a fracture of the prosthesis or its individual parts (tooth, clasp) may occur. In this case, you need to consult a dentist. If a tooth(s) on which partial removable dentures are held or supported are lost, it is possible to weld an artificial tooth to the denture in place of the lost one. Repairing a removable denture takes 2-3 days. Repairs are made without warranty.

In case of cracks, fractures, etc. Do not try to fix the denture yourself, even if urgently. Only specialists can repair the prosthesis.

Making new removable dentures takes about 1 week. The warranty period for plastic removable and clasp dentures is usually up to 1 year. During the warranty period, the prosthesis is repaired or altered free of charge. After the warranty period expires, the work is paid in full.

Interesting things about prosthetics:

REMOVABLE PROSTHETICS

Types, pros, cons

From 25,000 rub.

FIXED PROSTHETICS

Types, pros, cons

From 45,000 rub.

Repair and correction of removable dentures

Restoration methods

From 2,000 rub.

Crowns

In what cases is it necessary to contact a dentist?

If you notice a burning sensation in the mucous membrane, severe dry mouth, skin rash and other unusual symptoms, you should contact your dentist, who, if necessary, will refer you to an allergist for allergy tests.

Once a year it is necessary to reline the removable denture. The fact is that while wearing a prosthesis, atrophy of the mucous membrane and bone tissue occurs under it. Because of this, a void appears between the prosthesis and the mucous membrane and the prosthesis does not fit tightly to the prosthetic bed. To eliminate these negative aspects, the prosthesis is relined - plastic is placed in place of the void formed due to atrophy and a tight fit of the prosthesis is restored. If relining a removable denture is done at the wrong time or not done at all, the removable denture becomes unusable.

Visit your dentist at least twice a year, consult with him about the specifics of caring for your oral cavity, and use special devices and medications recommended by him, if necessary!

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