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What To Do With The Broken Denture - Denture Repair

Even though dentures are fabricated from extremely durable materials, they will break, wear out, a tooth will come out, or their fit will change. Then its time for denture repair.

Accidents happen, dogs still like to chew on plates of the dental kind, and trash compacters have never taken kindly to dentures. In fact, it is frequently not a matter of "if," but rather a matter of "when" a denture will become broken, lost, or damaged beyond repair.

One can be assured that a problem will happen when least expected, and immediate, usually important, plans definitely will be altered unless a person is prepared.

Damaged Denture - How to Expect the Unexpected and Be Prepared

A short-term use duplicate denture will bridge the gap while a regular denture is being repaired, renovated, or replaced. Sometimes this type of denture is referred to as an "embarrassment denture" because it helps a person avoid the embarrassment of being without teeth in an emergency or during planned denture maintenance.

While this type of denture may be made at any time from an existing functional denture, it generally is fabricated immediately after a new denture is made. The embarrassment denture is neither as accurate nor as esthetic and durable as the original, but it is adequate and only meant for short-term use. The cost is generally considerably less than the original denture.

Such an interim prosthesis may be relined annually and adjusted in advance to fit the current changing shape of an individual's jaws, and therefore be ready to use at a moment's notice.

However, some individuals choose to have their embarrassment denture relined and adjusted only when they need the short-term denture. Following this latter course means that they will have to wait to wear their interim denture until an appointment can be scheduled with a dentist to complete the reline and any adjustments. But a reline for an embarrassment denture can be done in the dentist's office during a single appointment so a patient may leave with it refitted in the mouth.

In either case, a person would not be without a prosthesis while their regular denture is being worked on.

The Embarrassment Denture Facilitates Planned Periodic Maintenance

All dentures need to be periodically relined to accommodate the constant change in shape of a person's jaws. There are also times when the plastic body of a denture needs to be changed due to deterioration, or the entire denture replaced because of wear or poor fit from changing mouth conditions that can no longer be remedied by relining.

While relines can be completed in one appointment office visit, more durable relines may require that a dentist keep a denture for several days. Replacing the plastic body of a denture (called a rebase) takes several days and making a replacement denture takes several weeks.

It becomes easy to see how an embarrassment denture would solve being without one's regular denture for a period of time, even for planned maintenance, while getting on with one's life.

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.

What To Expect From Immediate Dentures

Immediate dentures are placed in the mouth directly after the remaining teeth are extracted. This approach is utilized when a person does not want to be without any teeth for several months while extraction tooth sockets heal and a denture is fabricated.

Immediate Dentures Involve a Two-Step Denture Process

Optimally, immediate dentures are the first denture of a two-denture process and should be considered as a temporary interim prosthesis until a second refined and esthetically enhanced denture may be constructed after healing.

First Stage

• Usually, most or all of the back teeth are removed and extraction sites are allowed to heal for a minimum of six weeks or more, depending upon an individual's healing rate.
• After adequate healing, the immediate dentures unit is fabricated.
• The remaining teeth are extracted and the immediate dentures are placed in the mouth. Wearing immediate dentures right away over extractions normally is no more uncomfortable than the extractions alone.
• Discomfort is managed with proper anesthesia and pain medication. Immediate dentures act like a Band Aid bandage, holding tissues together and protecting them during healing.
• Generally, the dentist does not remove immediate dentures until the day after surgery. Surgery is checked and denture adjustments are made as necessary.
• Immediate dentures will gradually become loose because of bone shrinkage as the jaw continues to heal. Provisional liners are placed in the loosening denture to help hold it in place during healing.
• Adhesives also maintain the denture in place as it becomes looser. If immediate dentures become too loose during this healing period of several months, it may be necessary to reline multiple times.

Second Stage

• After adequate healing has occurred, a second refined denture is fabricated. This denture allows the dentist to artistically position teeth in an optimal and enhanced esthetic relationship, which was not possible with immediate dentures. It also is now possible to establish better functional relationships of the jaws.
• Approximately six months after the second denture is delivered, it will most likely need to be relined to compensate for continuing jaw shrinkage. After this reline, a patient usually needs annual relines to accommodate a continually shrinking jaw.
• The frequency of relines is an individual matter unique to each patient and is best determined by a licensed dentist after a thorough periodic examination that should occur at six-month intervals.

Modified Approaches to Immediate Dentures

• It is possible to extract all the back and front teeth at one time and insert immediate dentures. However, such an approach is problematic and generally is discouraged unless the patient has no other alternatives.
• All teeth may be extracted with no interim denture while the jaws heal and a denture is fabricated. This is generally a more economical approach, but an individual would be without teeth for several months.

Advantages of Immediate Dentures

• A person is not without teeth for any extended period of time.
• Immediate dentures act as a bandage while bony tooth sockets are healing after tooth extractions.

Disadvantages of Immediate Dentures

• A second refined and esthetically enhanced denture is necessary soon after the immediate dentures.
• While the cost of immediate dentures is generally about the same as a conventional denture, the second denture needs to be fabricated soon after the immediate denture. Therefore, a person would be experiencing the additional cost of the second denture sooner.

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.