Dentists sometimes repair their own teeth
Care, repair and problems with dentures
Repair and expansion
Removable dentures in particular can be damaged if they are dropped or incorrectly loaded. Most of the time, the damaged prosthesis can be repaired in the dental laboratory; replacements are only required in the event of major damage or completely bent prostheses. To be on the safe side, put a towel in the wash basin when removing the prosthesis or let in a little water - this will keep the prosthesis intact if it falls.
A prosthesis that no longer fits is relined in the dental laboratory and thus adapted to the jaw again. Some types of prosthesis (e.g. clasp prostheses) can be expanded relatively easily if additional teeth are missing. With others (e.g. bridges or attachment prostheses), expansion is more complicated or not possible at all.
In the case of partial dentures with brackets, the stops are subject to special loads. Caries damage can be avoided through careful oral hygiene (as in this adolescent patient, which can be seen particularly well after removing the brackets in the picture below).
Georg Thieme Verlag, Stuttgart
The third teeth, like natural teeth, should be cleaned after every meal. To do this, they are removed and cleaned under running water with a toothbrush and a little liquid soap or washing-up liquid. Many doctors recommend toothpaste because of its good cleaning properties, but over the years the cleaning material it contains can gradually roughen the denture.
In pharmacies, drugstores or at the dentist, you can get special denture brushes with a wedge-shaped brush field that you can use to clean hard-to-reach areas on partial dentures. You should use cleaning tablets occasionally at most, as they do not clean as well and fade the dentures - they also cost a lot of money. At the same time as taking care of the prosthesis, you should also clean the teeth or implants in the mouth and brush the gums.
Dental laboratories offer professional cleaning of the dentures. The dental technician cleans the dentures in a special bath with ultrasound and then polishes them. With sufficient care, this is necessary once or twice a year.
Basically, you should always wear your dentures, even at night. It sucks on the oral mucosa and exerts tension on the jaw via the negative pressure - this prevents the jawbone from gradually breaking down. If the prosthesis is left in the water glass on the bedside table night after night, however, sooner or later it will no longer fit so well.
Pressure points and poor grip are the most common problems with removable dentures. Pressure points occur when the dentures press too hard on the jaw and the gums are sore at this point. The dentist grinds the denture down at this point and treats the sore gums with a pressure point ointment (e.g. Recessan®).
Poorly holding prostheses, especially in the lower jaw, are also a frequent cause of complaint. This is due to the unfavorable anatomical shape of many toothless jaws. In the case of the lower jaw, an additional complication is that space has to be left out for the tongue so that the prosthesis can only attach to the gums in a few places. Remedy creates a careful Relining the prosthesis. After a precise impression of the mouth in the dental laboratory, liquid plastic is applied to the prosthesis and, after hardening, is ground to fit. Lining with soft plastic is also possible, but is rarely used for reasons of hygiene.
If the relining is not enough, only implants or other surgical interventions will help in the long term. In many cases, however, you quickly get used to the supposedly moderately holding denture and unconsciously learn to fix it with your muscles. Eating and speaking are also unfamiliar at first and require a bit of practice. If after two weeks you still have problems with the third party, the dentist will have to adjust them again.
Oral care tips for denture wearers
- U. Wiebler; G. Zieres (Ed.): Counselor dentures. Information for insured persons, supply options, decision support. Iatros, 2004. This book from the series of publications by the Medical Service of the Rhineland-Palatinate Health Insurance Company presents various supply options in detail and compares them using the example of findings.
- Stiftung Warentest (Ed.): Teeth - Prevention, Treatment, Costs. Association for consumer information, 2005. Advice about teeth and dental treatments. Highly recommended.
AuthorsDr. med. dent. Gisbert Hennessen, Thilo Machotta, Dr. med. Arne Schäffler in: Gesundheit heute, edited by Dr. med. Arne Schäffler. Trias, Stuttgart, 3rd edition (2014). Revision and update: Dr. med. Sonja Kempinski | last changed on at 17:14
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