Dentures: Indications, Warnings, Preparations and Procedures – Dentures are prosthetic devices that can replace missing teeth and gum tissue around them. Dentures are generally made of acrylic plastic, metal, or nylon. Dentures are often used to overcome problems that arise from tooth loss, such as disturbances in chewing food or talking.

Based on the type, dentures can be divided into two, namely partial dentures and complete dentures. Partial dentures are used to replace one or more loose teeth, not all of them. While complete dentures are used to replace all lost teeth, both upper and lower teeth. Dentists will usually use a special wire to connect several dentures that are attached.

For complete dentures, they can be made immediately or conventionally. Conventional complete dentures are made and installed after all the upper or lower teeth have been removed, and the gums where the extracted tooth has healed well. Meanwhile, complete dentures that are made immediately mean that they are made before the upper or lower teeth are removed. So there is no period of patients without teeth. However, in the healing process after tooth extraction, gum tissue and bone can contract, so that the shape of the dentures made immediately needs to be adjusted again.

Dentures Indications

Someone usually installs dentures because they lose their permanent teeth. Teeth can still be lost or separated from the gums due to various things, especially due to dental and gum disease. Gums can get disease due to bacteria that collect on the surface of the teeth and cause plaque. Bacteria found in dental plaque can weaken the bond of teeth with gums, so the teeth will be easily separated from the gums. Gums can also be weakened due to decay of cavities. Cavities will usually be patched using special fillings. However, as we get older, these patches will weaken and detach, so that it can trigger tooth decay. These conditions cause the teeth more easily separated from the gums, especially in the elderly. This is what causes dentures users are generally the elderly.

Dentures Warning

Generally, if treated properly, dentures are safe enough to wear. However, if not treated properly, dentures can actually cause health problems. In addition, it is also important to remember that the use of dentures is generally the elderly whose health condition has also declined.

Removing dentures during sleep because using false teeth during sleep can increase the risk of various diseases, such as:

  • Plaque on the tongue and dentures
  • Gingivitis
  • Fungal infections of Candida albicans
  • Pneumonia

Preparation of Dentures

The patient will be fitted with trial dentures first. The aim is to measure and get a picture of the patient’s teeth and mouth. In addition, the dentist will also take a picture of the color of the gums and mouth to match the dentures to be used. The doctor will also arrange a check-up schedule so that the patient’s oral health condition can be monitored well before installing dentures.

Denture Installation Procedure

Dentures will first be made by doctors and specialized technicians, based on measurements that have been made. The doctor first prints a wax or plastic model to get a more accurate picture of the teeth. This wax model is applied to the patient to match its shape, so that the printed dentures can be worn snugly. Doctors and technicians then print the denture model for several days.

After finished, the doctor will re-examine the condition of the teeth and gums before the installation of dentures. If the patient uses partial dentures, the doctor will not take a tooth extraction. If the patient uses complete dentures, the doctor will pull out the remaining teeth in the gums. Complete dentures are made immediately, that is, made before the natural teeth are extracted, or conventionally, that is, after the natural teeth have been removed and the gums healed completely. For dentures made immediately, they can be installed immediately after tooth extraction, but because the bones and gums will shrink during the healing process after tooth extraction, this type of complete denture needs to be resized to be comfortable to wear.

If needed, the doctor can use special glue to attach dentures to the oral cavity. This special glue can be either powder or paste. Denture glue is used to maintain the position of dentures and maintain tooth stability when biting, especially in patients with conditions that cause the attachment of false teeth to be disturbed, such as dry mouth or stroke. Denture glue is first used little by little, and the dosage can be increased over time. Denture glue must be spread or spread evenly across the surface of the denture. Glue can be added again if deemed necessary.

After Denture Installation

Dentures, both partial and complete, still require routine maintenance. If not treated, dentures can actually interfere with the patient’s oral health and cause negative effects, such as plaque and increased bacterial growth in the mouth. Ways to clean dentures that can be done are as follows:

  • Remove the dentures from the mouth slowly and carefully.
  • Turn on the tap or sink at medium water speed, then flush the dentures with water from the tap to clean up any leftover food.
  • Wet a false toothbrush, then use a special toothpaste for false teeth and soft toothbrush.
  • Keep in mind, do not use ordinary toothpaste because it does not match dentures.
  • After brushing, clean dentures using clean water, and after that dentures can be used again.

Dentures must also be treated properly. The steps for denture care include:

  • Remove false teeth every night so the mouth and gums can rest.
  • After the dentures are removed, brush the dentures in the manner described above, then soak them in clean water. You can add denture cleaning water to help clean the dentures.
  • If not in use, store dentures in a watery container to prevent dryness. Do not use hot water to soak false teeth.
  • When cleaning or treating dentures, cover the floor with a mat or towel to prevent dentures from falling on the floor and damage.
  • Check dentures regularly to monitor for cracks.

To treat partial dentures, patients should brush their teeth and dentures together with a soft bristled toothbrush. When the patient does not use dentures, massage the gums or brush the gums using a special toothbrush with soft bristles.