Local 60614 Denture Care - Partial Denture

False Teeth - Usefulness of Denture Adhesives

Denture adhesives enhance the retentive interface between the surface of a denture and the underlying tissues upon which false teeth rest.

Optimizing the Interface Space

There is a slight space at the interface between the inside of a denture and the jaw that is usually filled with saliva. As this gap increases, a denture becomes less retentive and stable.

The interface space arises because of material and fabrication limitations used in making a denture. This gap also is contributed to by the constant changing contour and shrinkage of jawbone.

While an interface space exists in all dentures and increases with time, optimum denture function and retention depends upon reducing it. Denture adhesives fill this increasing space, improve suction, and create a sticky contact between a denture and underlying surfaces. This also helps resist foods from collecting under the denture base.

How to Use Denture Adhesives

Thin paste adhesives are preferred to powders since they are already fluid and easier to manage and apply. However, some prefer powder types. Whatever works best for an individual should be used.

Pea-sized amounts of the paste may be placed in a few places within a denture where jaw ridges fit and where the roof of the mouth contacts. A thin film of adhesive spreads out as a denture seats in the mouth. Use the least amount to do the "job."

If excess amounts are necessary, then the opinion of a dentist should be sought since denture maintenance may be necessary. A licensed dentist should be routinely seen at six-month intervals for routine oral examinations and bite adjustments.

A person needs to experiment with how often to apply adhesives. Some apply it before meals while others function satisfactorily all day with one application.

A denture and mouth should be cleaned of all adhesives at least once a day, and the denture should be left out of a cleaned and rinsed mouth for at least an hour a day.

How to Clean Up Your Dentures

It can be difficult removing adhesives. The denture may be cleaned with a brush, soap, and running water, or with a little white distilled vinegar in water.

All adhesives should be removed from the mouth for hygienic purposes. Rinsing with extremely warm water or salt water helps removal. It may be necessary to use a soft toothbrush or wash cloth-like material to assist removal from the mouth tissues.

Advantages of Denture Adhesives

• Effectively fills the interface gap between a denture and underlying jaw.
• Provides a sense of security with wearing dentures, even with well-fitting dentures when additional confidence is desired.
• Facilitates acceptability and builds confidence with wearing new dentures.
• Reduces food impaction beneath dentures by closing prosthesis borders.
• Helps an individual open their mouth wider for more confident chewing (increases the chewing stroke), rather than eating with small strokes to compensate for concerns about the potential for a denture coming loose.
• Decreases the irritation and chafing of mouth tissues from habits such as grinding teeth together (parafunctional activities).
• Facilitates wearing dentures for individuals with persistent dry mouth (xerostomia).

Disadvantages of Adhesives

• Difficult to remove denture adhesive from the mouth and denture.
• A false sense of security that a denture is still satisfactory may develop from using adhesives with a poorly-fitting denture that should be relined, replaced, or maintained in different ways.

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.

Periodontal Disease And Older Adults

The proverbial way of referring to older people as being "long on the tooth" suggests that it is predetermined that as we get older our teeth get "longer" or "no longer." This is not true. Periodontal disease and loss of teeth is not an inevitable aspect of aging. Loss of attachment or bone support around a tooth is the result of a bacterial infection. What is true is that as we get older, we have more exposures to these infectious organisms, and more probability of being infected and developing periodontal disease. Half of the people over 55 have periodontal disease.

Risk factors that make older adults more susceptible to periodontal disease include:

Systemic diseases:

Certain systemic diseases such as diabetes may decrease the body's ability to fight infection and can result in more severe periodontal disease. Osteoporosis also can increase the amount and rate of bone loss around teeth. Systemic illnesses will affect periodontal disease if it is a pre-existing condition. To reduce the effects of systemic diseases on the oral cavity, maintain meticulous plaque control and visit your dental care provider routinely for examinations and professional cleanings.

Medications:

Heart medications can have a direct effect on the gums by creating an exaggerated response to plaque and resulting in gum overgrowth. Antidepressants may create dry mouth and reduce the saliva's ability to neutralize plaque. Immunosuppressants and other disease-fighting medications may reduce the body's ability to combat infection, increasing the risk for periodontal disease. The dental care provider needs to be aware of any medications you may be taking and you need to maintain meticulous plaque control and visit your dental care provider routinely for examinations and professional cleanings.

Dry mouth:

Lack of saliva can result from the use of certain medications or as a result of illness. If there is not enough saliva available to neutralize plaque it can result in more cavities and periodontal disease. Also, dry mouth, or xerostomia, can make dentures more difficult to wear and may also complicate eating, speaking, or swallowing of food. Oral rinses or artificial saliva can be very helpful with these problems. Frequent sips of water or eating candy may be helpful as long as it doesn't contain sugar. Fluoride rinses and gels are helpful in reducing or preventing the cavities that can be caused by having a dry mouth.

Dexterity problems:

Physical disabilities can reduce dexterity and the ability to remove plaque on a daily basis. Poor oral hygiene can increase the risk for cavities and periodontal disease. Electric toothbrushes and floss holders are helpful in improving plaque control. Frequent professional cleanings combined with oral anti-microbial or fluoride rinses also may be helpful in reducing the incidence of cavities and periodontal disease.

Estrogen deficiency:

Older women may have some special concerns in relation to periodontal disease. Scientific studies have suggested that the estrogen deficiency that occurs after menopause may increase the risk for severe periodontal disease and tooth loss. Estrogen replacement therapy may reverse these effects.

It is important to keep teeth as we age because every tooth has an important function in chewing and speaking. They affect our appearance and self esteem. Having dentures or loose or missing teeth can restrict our diets, resulting in poor nutrition and systemic complications. With the advances in modern dentistry and with current prevention and treatment techniques, we must count on keeping our teeth for a lifetime - no matter how "long" that may be!

+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.