One of the treatments that continues being carried out with certain frequency in the dental consultations is the replacement of all or almost all the teeth by means of the realization of a dental prosthesis removable or more popularly known like "denture of remove and pon".
Despite the advances in implantology, which are an effective and more comfortable alternative in these cases, the motivations (economic, general health, advanced age, etc.) that many people opt for this treatment vary.
Elaboration of the removable dental prosthesis
The development of removable dentures is done in several sessions that include:
- Taking impressions of the jaws
- Taking records to fit the bite and check the aesthetics
- Delivery of the prosthesis and instructions for use
- Successive controls for retouching and adjustment
The prostheses can be superior or inferior or in their defect to replace all the teeth with both prostheses and they are of hard material, acrylic resin. This causes that, frequently, it produces certain rubs and irritations that must be relieved by the dentist touching up those prostheses.
First dental prosthesis: sensations
When a patient is treated for the first time with this type of prosthesis, since its retention is given by the support and adjustment to the oral mucosae, gums, and palate, the sensation is usually in principle of discomfort and filling of the mouth.
Little by little, the patient, must get accustomed almost like learning to eat, talk and live with her. The tongue will not touch the palate but the prosthesis also the sense of taste is slightly altered because the prosthesis interposes between the tongue and tissues and also covers a large number of taste buds that are on the palate.
Instability of the dental prosthesis: causes
One of the problems that concerns most dental prosthodontists is the fact that they do not stay stable, and leave when talking or eating.
This situation, which occurs most in the lower prostheses, is given first by the anatomy of the jaws, ie, the quantity, quality and shape of the gingiva and the palate and, second, by trying to achieve The greatest possible adjustment of the prosthesis to oral tissues assuming the more or less favorable starting point that we have.
Tips for a good sealing of the dental prosthesis
Dental adhesives can be helpful in certain cases. Although in patients with thick, abundant and retentive gums, it will generally not be necessary because with a good fit it will be sufficient, in cases of atrophic jaws and low gingiva and support, it may be interesting to use these adhesives, which will allow a certain sealing of the Prostheses and improve their retention. The application of four pea-sized points spread over the part of the prosthetic, previously free of moisture, that comes into contact with the gingiva should be sufficient.
However, it is advisable to remember that every 1 or 2 years, because the gums are atrophied, the prosthesis will need a rebase (filling) and adjustment by the dentist to recover its retention and avoid misalignment and ulcers and gall.
It is not advisable to replace the process of adjustment and overrun by the continued use of adhesives that will give a feeling of false comfort, will suppose an unnecessary continued economic expense and are not always pleasant for their taste and touch. So the dental adhesives are an aid to consider when the gums are atrophic and suppose a low support, but they are never going to substitute a good adjustment of the same ones.
On the other hand, dental implants have taken a great qualitative leap, since they allow solving most of these problems through various alternatives and significantly improve the quality of life.