Anyone out there with upper and lower dentures?!


Question: Anyone out there with upper and lower dentures!?
I have a problem with my lower dentures!. They seem to want to "float"!. I use adhesive, but I have to keep reaplying several times before I have enough solidility to complete a meal and sometimes!.!.just to start it!.

Soft foods are obviuosly easy!.!.what about steak and chips!?

Yikes! Help anyone!?Www@Answer-Health@Com


Answers:
While dentures are marginally adequate substitutes for missing natural teeth, the lower denture can be troublesome for many individuals!.

Inherent lower denture problems

? A lower denture interfaces with more movable mouth surfaces than an upper denture!.


? The lower denture has less stabilizing surface to rest upon - - for example, there is no broad palatal surface (roof of the mouth) as in an upper denture!.


? Loss of jaw bone over time brings a lower denture into closer contact with tissue extensions called frenum attachments which create dislodging forces!.


While these problems are inherent to lower dentures, every person is different and not affected in the same way!. There are ways to approach these problems!.

Some considerations for improving lower denture stability

? A thin band-like tissue extension (called a frenum) may attach between a jaw ridge (called alveolar ridge) and the inside of the cheek!. This strip of tissue may become active while eating or speaking and can lift a denture from its alveolar ridge!. This frenum attachment may be surgically moved (this is called a frenectomy)!.


? Alveolar ridge bone profile lessens or literally comes closer to the floor of the mouth as jaw bone is lost over time!. The bone loss is called resorption!. This reduces the vestibule or space between the lip and alveolar ridge!. Surgical extension of this vestibule (called vestibuloplasty) provides more alveolar ridge exposure for a denture to rest upon and reduces muscle pull due to a high frenum attachment!.


? As an alveolar ridge losses bone, it may often be built-up by surgically placing various substances beneath the gum tissue to increase both bulk and height of the ridge!. This is called alveolar ridge augmentation!.


? As a person eats and speaks, the lips and cheeks exert forces towards the inside of the mouth while the tongue exerts an outward counter force!. There is a space between the tongue and lips and cheeks, called the neutral zone, where there are balanced forces during function!. These opposing forces can help maintain a denture in place, with surprising power, if the denture is fabricated so that it's bulk and teeth rest within this space!.


? Inserting metal implants into the jaw bone and fabricating a lower denture to receive and connect with these implants, in various ways, will help stabilize a lower denture - - while still allowing for comfortable and easy removal of the prosthesis for cleaning!.


? Ensuring that upper and lower teeth contact optimally during function (called balanced occlusion) is a basic means of stabilizing a lower denture!. If one tooth strikes on one side only, the denture will rock!. Even contact or biting is a necessity!.


? Fabrication of a denture that completely avoids contact with all potentially dislodging structures and having metal base for strength and some weight, will often facilitate stability!.


What's the best approach!?

Frequently several approaches are combined, and not all may be suitable for a particular patient!. After a thorough examination, a licensed dental professional can best advise an individual as to the best means of helping stabilize a lower denture in their unique situation!.
? Usefulness Of Denture Adhesives And How To Clean-up

Denture adhesives enhance the retentive interface between the surface of a denture and underlying tissues upon which a denture rests!.
Optimizing the interface space

There is a slight space at the interface between the inside of a denture and the jaw that is usually filled with saliva!. As this gap increases a denture becomes less retentive and stable!.

The interface space arises because of material and fabrication limitations used in making a denture!. This gap is also contributed to by the constant changing contour and shrinkage of jaw bone!.

While an interface space exists in all dentures and increases with time, optimum denture function and retention depends upon reducing it!. Denture adhesives fill this increasing space and improve suction, and also create a sticky contact between a denture and underlying surfaces!. This also helps resist foods from collecting under the denture base!.

How to use denture adhesives

Thin paste adhesives are preferred to powders since they are already fluid and easier to manage and apply!. However, some prefer powder types!. Whatever works best for an individual should be used!.

Pea sized amounts of the paste may be placed in a few places within a denture where jaw ridges fit and middle where the roof of the mouth contacts!. A thin film of adhesive spreads out as a denture seats in the mouth!. Use the least amount to do the "job!."

If excess amounts are necessary, then the opinion of a dental professional should be sought since denture maintenance may be necessary!. A licensed dental professional should be routinely seen at six-month intervals for routine oral examinations and bite adjustments!.

A person needs to experiment with how often to apply adhesives!. Some apply it before meals while others function satisfactorily all day with one application!.

A denture and mouth should be cleaned of all adhesives at least once a day, and the denture should be left out of a cleaned and rinsed mouth for at least an hour a day!.

How to clean up

It can be difficult removing adhesives!. The denture may be cleaned with a brush, soap and running water or with a little white distilled vinegar in water!.

All adhesives should be removed from the mouth for hygienic purposes!. Rinsing with extremely warm water or salt water helps removal!. It may be necessary to use a soft toothbrush or wash cloth-like material to assist removal from the mouth tissues!.


Advantages of adhesives

? Effectively fills the interface gap between a denture and underlying jaw!.


? Provides a sense of security with wearing dentures, even with well fitting dentures when additional confidence is desired!.


Facilitates acceptability and builds confidence with wearing new dentures!.


Reduces food impaction beneath dentures by closing prosthesis borders!.
Helps an individual open their mouth wider for more confident chewing (increases the chewing stroke) rather than eating with small strokes to compensate for concerns about the potential for a denture coming loose!.

Decreases the irritation and chafing of mouth tissues from habits such as grinding teeth together (parafunctional activities)!.
? Facilitates wearing dentures for individuals with persistent dry mouth (xerostomia)!.
Disadvantages of adhesives

? Difficult to remove adhesive from the mouth and denture!.

? A false sense of security that a denture is still satisfactory may develop using adhesives with a poorly fitting denture that should be relined, replaced or maintained in different ways!.
? When Should A Denture Be Replaced

There is no specifically agreed-upon chronological answer to,



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