FAQs

Some reasons why your current dentures DON”T Perform

Following are some of the issues and problems that we have seen with some of our new patients with dentures that have been built and fitted elsewhere prior to consulting with us

Question:
Why are my dentures not very comfortable and I have lots of sore spots?

Answer:

  1. You need to have an ease to adjust sore spots.  Often as your new dentures settle into place, little bony projections under the tissue will create pressure points.  This problem requires a small amount of the denture material to be removed.
  2. In some cases, patients with a very sharp bone or excessive boney undercuts will require further surgery.  A flap is opened and bone removed with a burr.  The tissue then needs to heal, we often fit a temporary lining and then have them relined later.
  3. Soft lining in a denture is very rarely used, but if it has then it is difficult to adjust and keep clean and will need replacing every 18 months.


Question:

Why is my bite is not correct?

Answer:

  1. When dentures are manufactured, the bite is carefully recorded so that when the patient bites together the teeth all meet evenly.  The accuracy of this is totally dependent on you being able to accurately reproduce the bite at the bite stage.
  2. Sometimes patients we’ve seen with very poor fitting dentures and with excessive wear, learn to position their jaw in an acquired bite or thrust their jaw forward to try to make contact with their front teeth because the posterior teeth are so worn.
  3. This complicates your treatment and in some cases requires more sophisticated bite taking methods to be used, either Face bow or Gnathnometer.
  4. Small bite corrections can be made with a Mill-in or indeed as the denture settles in and repositions itself, a denture reline can improve the bite in some cases.


Question:

What about Vertical Dimension?

Answer:

  1. It is important when you are relaxed and at rest there should be a gap of 3-4 mm between the teeth, although older patients will often require more of a gap.
  2. If this space is not present then you are in a state of being propped open.  This continuously puts pressure on your gums and TMJ (Temporomandibular Joint), making them feel really uncomfortable and like you have a mouthful of too much teeth.
  3. Or the opposite is if you have too much space and the chin almost touches the nose causing the jaw to dislocate when you try to bring your teeth together.
  4. Both these conditions can create trauma to the tissues and TMJ and require corrections.


Question:

Why do my dentures keep fracturing?

Answer:

  1. Careful analysis of the position of the posterior teeth is required – are they over the ridge, especially in the upper.  One of the most common mistakes often made in denture manufacture is trying to take the teeth too far off the ridge in the back of the upper.
  2. Change the type of denture to a cast chrome cobalt or Titanium metal denture.  Dentures with these components are often necessary when Implants are fitted in dentures.
  3. Some patients have extremely heavy bites which require a more robust denture being made
    • 1st stage High Impact Acrylic
    • 2nd stage Stainless steel reinforcing in palate
    • 3rd stage Cast chrome cobalt reinforced frame work custom made for patient

All require more expensive components and can be re-fitted at the reline stage.

Call 07 3483970 To Book Your FREE Consultation TODAY

Copyright © P Tasker Dental