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Prosthodontist - Denture and Prosthodontic Questions

Q. What is a prosthodontist?

A. A prosthodontist is a specialist in the restoration and replacement of broken and missing teeth. Their training lasts an additional three years after four years of dental school. During that time, a prosthodontist is taught in greater detail about both removable and fixed prosthodontics.

Removable prosthodontics includes replacing missing teeth with appliances that the patients themselves can take in and out of their mouth, such as dentures and partial dentures.

Fixed prosthodontics includes replacing missing and/or broken teeth with restorations that the patient cannot take in and out, such as veneers, crowns, bridges, and implants.

Q. What are dentures?

A. Dentures are removable prosthetic devices designed to replace missing teeth.

Q. What are complete dentures?

A. Complete dentures are dentures that replace a complete set of missing teeth.

Q. What is the difference between conventional dentures and immediate dentures?

A. Conventional dentures are dentures that are made and placed after the remaining teeth are removed and the tissues have healed. Immediate dentures are dentures that are placed immediately after the removal of the remaining teeth.

Q. What is an over-denture?

A. An over-denture is a denture that fits over a small number of remaining natural teeth or implants.

Q. What do dentures feel like?

A. For a few weeks, new dentures will feel awkward until you become accustomed to them. They might feel loose until the cheek and tongue muscles learn to hold them in position. It is not unusual to feel minor irritation or soreness. The patient needs to see his or her dentist or prosthodontist for regular fit adjustments to relieve any sore areas.

Q. Are you able to eat with dentures?

A. Eating with dentures will take a little practice. You should start with soft foods that are cut into small pieces. As you become used to chewing, you can return to your normal diet.

Q. Are there foods you should avoid if you wear dentures?

A. There are only a few eating restrictions for denture wearers. Avoid biting down directly on crunchy or hard foods, like whole apples, hard pretzels, crusty bread, or large sandwiches. They can break because of the angle where the denture comes into contact with the hard surface.

Biting is limited only by the stability of the dentures themselves. Insufficient bone structure (shrunken bone ridges covered by gum tissue), old or worn dentures, and a dry mouth decrease stability.

Q. If you wear dentures, are dental adhesives necessary?

A. Today's dentures have been significantly improved through advances in both dental and materials technologies. As a result, dentures that fit properly usually do not require adhesives to secure the dentures. When you are just getting used to dentures, adhesives may be advised, but otherwise should not be necessary.

A loose denture is a sign that it doesn't fit your mouth correctly. When first getting used to dentures, you may notice them slipping when you laugh, smile, or cough, which is caused by air getting under the base and moving it. The more you wear dentures, the better you will be able to control their movements in these situations.

If your mouth has insufficient bone structure, dentures will be more difficult to retain. Your dentist or prosthodontist may advise the placement of implants. These are placed in the bone and retain the denture with small, precision attachments.

+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.

Seniors - Age Brings Changes in Oral Care

It's an indisputable fact -- our bodies change as we get older. These changes take different forms in different people, depending on our inherited physical traits, our lifestyle and nutritional habits, and our medical conditions.

Age brings changes in oral health and dental care, too. There are some specific areas where seniors need to pay close attention to protect and extend their oral health and dental care.

Tooth Color:

Plaque is an invisible layer of bacteria that forms on our teeth, and can trap stains at any age. But as we get older, plaque builds up more quickly and is harder to remove. At the same time, the tissue that lies underneath the tooth enamel, called "dentin," is changing, and those changes can make teeth appear darker. Finally, decades of consuming coffee, tea, or tobacco leave stains that build up over time.

Daily brushing and flossing are important, particularly first thing in the morning and just before bed, to combat the plaque that builds up overnight. You may also want to consult your dentist about using commercial dental care rinses that remove plaque.

Dry Mouth:

Many seniors experience a reduced flow of saliva, sometimes as a side effect of medications such as painkillers or decongestants. For some, the lack of moisture inside the mouth can lead to sore throats, a burning sensation, hoarseness, or difficulty swallowing. In addition, if you leave dry mouth unattended, it can damage teeth, since saliva's natural rinsing keeps bacteria washed away from teeth and gums. Sugar-free chewing gum and hard candy will stimulate natural saliva, and artificial saliva and oral rinses will provide much-needed relief. Ask your dentist which commercial dental care products are the best for you.

Cavities:

If your gums begin to recede, the portion of the tooth that used to be below the gum line is now exposed. Roots are softer than tooth surfaces and are susceptible to decay; they are also likely to be sensitive to hot and cold beverages and food. Most people over age 50 suffer from some form of dental disease. Make sure you take good care of teeth and gums with daily brushing and flossing. A word of caution: your gums may be starting to thin. Brush thoroughly but gently to keep from tearing your gums.

Fillings:

Your fillings are getting older, too. They can weaken or crack, or your tooth may decay around the edges of the filling. As a result, bacteria can seep into your tooth, causing more decay. Regular check-ups will give your dentist the chance to keep an eye on your existing fillings.

Gum Disease:

Daily cleaning and good nutrition are critical for healthy gums. When gums become infected and diseased, they set off a chain reaction that can result in losing teeth or weakening the jawbone. Either condition creates more problems for your health and increases your medical costs. Contact your dentist if your gums become red or begin to bleed.

Good Nutrition:

What you put into your mouth has a direct impact on the health of your mouth -- and the health of the rest of your body. As you age and your lifestyle changes, keep your nutritional goals in mind. Balanced meals are one the best ways you can contribute to your own good health.

Regular Exams:

The dentist will check your mouth, teeth, and jaw for any problems. You should also mention any sores, swelling, or pain you might be experiencing. Regular checkups enable the dentist to spot problems early. Early resolution of problems will help you keep your natural teeth.

Good dental care, regular check-ups, and good nutrition are the keys to really keep you smiling in your golden years!

+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.