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When Should a Denture Be Replaced?

There is no specifically agreed-upon chronological answer by dentists to "When should a denture be replaced?" There are instances where dentures have been replaced after 1 year or less, and on the opposite side of the spectrum, there are people who have worn the same dentures for 25 or more years. These ranges obviously are extremes.

However, on average, dentists seem to be replacing dentures somewhere between four to eight years. This would seem to imply that the average denture fabricated from contemporary biomaterials will wear out and deteriorate within that time and/or the average denture patient's jaws have changed so much that a new denture must be redone.

Each individual's denture needs are different. There are some factors that a licensed dentist takes into consideration when evaluating the need to replace dentures.

Denture Longevity Considerations

Lost vertical dimension:

The proper linear distance relationship between the upper and lower jaws is called vertical dimension. This is unique for each individual.

As one's jaw changes and the ridges upon which dentures rest shrink, a denture becomes loose and vertical dimension begins to change (the vertical dimension is said to be lost by a certain linear measurement unit such as millimeters). Additional plastic (acrylic resin) is added to the inside of a loosening denture (called relining a denture) to stabilize it by reducing looseness caused from jaw shrinkage. However, relining does not restore vertical dimension in an accurate way.

The current position held by most dentists is that when vertical dimension has been lost by three millimeters or more, a new denture should be fabricated in order to restore vertical dimension and maintain functional health.

There are individuals who have worn the same denture for extended periods with considerable loss of vertical dimension over time. Since vertical dimension loss is a slow, but nevertheless progressive, process, they have gradually adapted to a continually increasing closed bite position. These individuals often have a sunken facial appearance and usually appear much older than their chronological age.

Functioning with an abnormal vertical dimension may eventually result in alterations of the temporomandibular joints (TMJ, the jaw joint located in front of the ears). This can lead to significant pain and difficulty with effective eating and even the jaw motions involved with speech. It frequently becomes quite difficult, if not impossible, to restore such individual's proper vertical dimension and chewing efficiency by relining and repairing this older denture.

Tooth wear:

Aside from impaired ability to chew effectively, excess tooth wear will adversely affect esthetics and cause other problems associated with lost vertical dimension, as described above. While porcelain denture teeth will wear at a slower rate than plastic teeth, they nevertheless will wear and are more susceptible to chipping and cracking. Multiple cracked teeth will need to be replaced.

Deterioration: While the biomaterials used by dentists to fabricate dentures today are quite durable, they still deteriorate and exhibit dimensional change over time -- no longer fitting properly, even after relining.

Aging plastic looses its natural appearance and texture, and coloration fades, making dentures look quite artificial.

Deteriorating plastic also makes it easier for dentures to become excessively contaminated with microorganisms. This contributes to mouth irritation and bad taste, and socially unacceptable odors will develop that no amount of denture cleaning will seem to eliminate.

Keeping regular dental check-ups with your dentist so that one's dentures, soft tissues, and jawbone may be checked is essential to extending the life of a denture and maintaining oral health.

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.

Denture Adhesives and Loose Dentures

When the subject of dentures comes up, people often think of commercials for denture adhesives. These commercials imply that everyone uses adhesives to keep their dentures in and that denture wearers run the risk of having dentures fall out at embarrassing times!

When considering dentures, it is important to remember that they are custom-made to fit your mouth precisely and comfortably. In fact, dentures that fit properly do not require denture adhesives to stay in place. One exception to this rule may be when your dentures are new. Your dentist may suggest using an denture adhesive while you get used to the denture.

As time goes on and your mouth changes with age, you may find that your dentures must be replaced. Your dentist will provide advice on this, which is one reason to continue regular checkups after you begin wearing dentures.

A loose denture is a sign that it no longer fits your mouth or works properly. If your dentures become loose, you should see your dentist immediately. Continuing to wear a poorly-fitting denture will cause irritation to your gums and mouth, and can lead to infection over time. If you persist in wearing dentures that do not fit, your mouth may change shape and your ability to eat the foods you want and like will diminish.

A tip to keep in mind: you may feel your denture slip when you laugh, smile, or cough, particularly when your dentures are new. This slippage is caused by air suddenly getting under your denture base and moving it. The longer you wear your denture and become more comfortable with it, the better able you will be to control its movement in these situations.

While many of us remember grandparents or other older friends and neighbors whose dentures did indeed slip or require denture adhesives, today's dentures benefit from advances in dental and materials technology. Dentists work with respected laboratories where trained technicians make your personal dentures to the specifications that your dentist has provided. A good fit is crucial to enjoying life with your new dentures, and to letting others continue to enjoy your smile!

by Thomas Warner, 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.