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Wearing a New Denture: What to Expect
By Brian
J. Gray, DDS, MAGD, FICOI
Complete dentures are less than perfect replacements for natural teeth.
However, they have proven to be effective for countless individuals and
can be comfortable to wear if a person has reasonable expectations and
recognizes that there definitely will be an adaptation period.
It is important to understand that "showing off" with a new denture
often ends in an unpleasant and embarrassing experience. One must first
practice with their new prosthesis and learn what limitations and
compensations need to be considered.
The old adage of "learn to walk before you run" certainly applies to the successful, secure and comfortable
wearing of dentures.
Some Factors to Consider When Wearing a New Denture
This is not an exhaustive review of new denture learning considerations.
However, these are common areas of concern. If a person has a unique question or
problem, they should always contact their dentist for advice and direction.
- Full feeling: When new dentures are first placed in the mouth,
they frequently feel fuller, and it may not seem like there is enough
room for the tongue. When a person has been without teeth for a period
of time, the inside of the cheeks and tongue can become slightly thicker
or feel fuller. When a new denture is first inserted, this slight fullness
may feel enormous. It actually is not, and the full feeling will usually
go away very shortly if an individual does not dwell on the sensation.
Previously unsupported sunken facial structures and muscles usually
will be supported with a new denture to a normal position. These facial
tissues adapt rapidly to their regained normal positioning and will
feel less strained and more flexible. A more youthful appearance results
in many cases.
- Phonetic difficulty: When a person is used to producing speech
sounds without teeth or with an old denture that has no longer preserved
proper jaw relationships, they generally have adapted their speech in
such a way as to accommodate these abnormal conditions. However, when
correct jaw relationships and contours are established again with a
new denture, there may be some difficulty producing certain speech sounds
clearly, and teeth might even click together in some instances. This
is temporary.
If an individual makes an effort to speak slowly and clearly, pronouncing
words very precisely, the tongue and other muscles will adapt quickly
to produce clear speech. It is often useful to read a book or newspaper
out loud, carefully pronouncing each word precisely.
- Sore spots and irritations: These may develop as a new denture
settles in. This may require some adjustment to the body of the denture,
and, more often, careful adjustment of the bite resolves these types
of problems.
At times, the jaws may feel tired and soreness can develop. Taking
dentures out to rest the mouth for a time frequently helps resolve
these problems.
- Chewing patterns: Chewing patterns will need to be developed
over several weeks, starting by chewing with small pieces of soft food
and gradually increasing the firmness over several weeks. Generally,
food should be chewed on both sides of the mouth at the same time.
Front teeth are considered primarily for esthetics and speech and
to a lesser degree for function. Food is not bitten off with the front
teeth efficiently; rather, the bolus of food should be held by the
dentures, near the corners of the mouth, and torn off by rotating
the hand holding food in a downward motion. This will increase chewing
efficiency and reduce irregular denture rocking.
A denture patient needs to take control and keep a positive attitude
for optimal results.
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