Fixed Dentures Cost - in Your Local Area

Relieve Irritation With Soft Denture Liners

A soft denture liner is placed in the part of a denture base that contacts tissues. This provides comfort for those persons experiencing considerable pain while wearing a denture that has a hard plastic interface (the inside of the denture).

These individuals may have a low threshold for pain, and/or the gum tissue that overlays jawbone is usually thinner than normal and does not resist pressure well. When such tissue is compressed between hard jawbone and hard denture plastic, pain is easily elicited. Replacing one of these hard interfaces with a soft denture liner helps eliminate or reduce this painful tissue compression.

Some Characteristics of Soft Denture Liners

Denture liners are usually fabricated from special medical grade rubber or silicone-type compounds. The silicone materials are generally more compressible and, consequently, softer.

In order for these materials to function adequately, they must be reasonably thick. Therefore, the amount of plastic that needs to be removed from the inside of a denture to allow room for these liners may weaken some dentures. In those cases, it becomes necessary to incorporate a reinforcing metal framework within the body of certain dentures. There are several steps involved in installing a soft denture liner, such as impressions and various laboratory procedures.

Soft denture liners tend to continually harden, though a patient may not be aware of this happening because the process is gradual. However, they eventually will begin to have increasing problems until a new soft denture liner is placed.

Denture liners are porous in nature, which accounts for why they are soft. However, this porosity contributes to their deterioration and collection of microorganisms.

If a soft denture liner becomes contaminated with disease-causing microorganisms (a fungus for example), it may not be possible to decontaminate the denture without having to replace the denture liner.

Persons with dry mouth usually have difficulty wearing dentures due to pain and irritation caused by the hard denture surface rubbing against underlying tissues that are not lubricated with adequate saliva. While soft denture liners would appear to be ideal for such individuals, they are generally much more difficult to maintain. Because impaired saliva production allows a very significant collection of microorganisms to buildup in the mouth, this usually results in unacceptable contamination of porous soft denture liners unless meticulous oral hygiene is maintained.

While denture liners generally will last longer than a year, they should be replaced on an annual basis or sooner. The frequency of replacement depends on each situation and the patient's oral hygiene.

Advantages of Soft Denture Liners

• A gentle and kinder denture interface for those individuals with sensitive underlying tissues.
• The soft denture liner tends to compress and conform to a constantly changing jawbone surface. While this helps prevent pain from a moderately unbalanced bite resulting from jawbone shrinkage, it is not a long-term substitute for regular adjustments to balance a denture bite.

Disadvantages of Soft Denture Liners

• Soft denture liners continually deteriorate and collect microorganisms easily; therefore, they generally are replaced on an annual basis.
• Because soft denture liners help reduce pain from an uneven bite, patients may get a false sense of security, thinking their denture is adequately functioning while the bite continues to deteriorate. Routine dental check-ups are a necessity.
• Generally, soft tissue liners are more expensive than a conventional hard denture liner.

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.

The Effects of Aging and Wear on the Mouth

Tooth loss is not part of the normal aging process. In fact, tooth loss is declining among older adults. Aging does not cause oral diseases, yet oral diseases such as tooth loss are more prevalent with age due to changes in the oral soft tissues, a depression of the immune system, an increase in the number of systemic diseases, a decreased ability to perform adequate oral hygiene and self care secondary to stroke, arthritis, Parkinson's disease, dementia, or Alzheimer's disease, and dry mouth due to greater use of prescription and over-the-counter medications.

With age, teeth become less white and more brittle; however, oral hygiene habits and use of tobacco, coffee, and tea also will affect tooth color. Teeth also can darken or yellow due to the thickening of the underlying tooth structure (dentin). Brittle teeth tend to be susceptible to cracks, fractures, and shearing. Over the years, the enamel layer (outer tooth layer) is subjected to wear due to chewing, grinding, and ingestion of acidic foods. In severe cases, the enamel is completely worn away and the underlying dentin is worn down as well. Inside the tooth (pulp), the number of blood vessels and cells decrease and fibroses increase with age; thus, capacity to respond to trauma may also decrease.

The fiber content and number of blood vessels of the periodontal (gum) tissues decrease with age. However, periodontal disease represents a pathologic or disease change and is not due to just age. The loss of bone and gum attachment (receded gums) associated with periodontal disease is collective and therefore greater in older adults. An outcome of periodontal disease is exposed root surfaces. Exposure of the root in older people probably gave rise to the term "long in tooth". Oral hygiene practices and certain medications affect the health of gum tissue. Receded gums and exposed root surfaces put older adults at high risk for dental decay (root caries) on the relatively soft root surfaces. Dental caries on root surfaces is a disease that is common among older adults. Dry mouth and a diet high in sugars and fermentable carbohydrates greatly increase the risk for root caries. Dental caries are a major cause of tooth loss in older adults.

Studies show some reduced chewing effectiveness, decreased tongue strength, and increased swallowing time with age; however, the studies do not indicate that there is any real change in the ability to swallow with age.

The number of cells that produce saliva decrease with age. However, healthy, unmedicated older adults do not have reduced saliva flow. This is because the salivary glands have a high reserve capacity. Usually when a decrease in saliva flow is noted, it is associated with medication use, illness, medical conditions, or their treatment. The number of taste buds do not appear to change with older age; thus, the ability to taste does not change significantly with age. However, smell decreases with age. Since the ability to taste is closely related to smell, taste perception may be altered in older adults.

Soft tissues of the mouth become thinner and lose elasticity with age. Soft tissue lesions are more common in older adults and tooth loss may occur. Chronic inflammation such as candidiasis (fungus growth) and denture irritation also occurs more often. Wound healing is decreased due to reduced vascularity (blood flow to the area) and immune response with age.

Oral and oropharyngeal cancer is the most serious disease associated with age. Oral and oropharyngeal cancer lesions usually are not painful. Oral and pharyngeal cancer may appear as a red or white patch, a sore or ulceration, or a lump or bump that does not heal within two weeks. Swollen lymph nodes of the neck, difficulty swallowing and speaking, and voice changes also may be signs and symptoms of oral and oropharyngeal cancer. The risk for oral and oral pharyngeal cancer increases with age, use of all forms of tobacco, frequent alcohol use, and exposure to sunlight (for lip cancer). See a dentist if any signs or symptoms of oral and pharyngeal cancer are present.

+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.