Problem Dentures

Problem dentures

At Smile on the Square we believe good communication with our patients is very important,  this helps in achieving excellent results, this helps in identifying any denture problems and provide solutions where possible.

This may mean that we can identify the problems and correct them with alterations, however in some cases the denture problems are too severe and this may result in the necessity for a complete remake.

Many patients are advised, that ‘they’ are the problem and not their dentures. However, this is only true in a very small percentage of cases, whereas dentures can commonly be made with many problems.

Common problems include:

  • Mal-occlusion: The dentures chewing teeth have to fit together correctly to form balanced occlusion which means that both sides of the dentures connect equally when closing the teeth together.  If this doesn’t happen dentures feel to be loose as they cockle into position, and can cause severe pain and a feeling that there is no room to chew food.
  • Solution: Adjusting the occlusion can sometimes be enough, however in severe cases this may require a remake.

 

  • Loose fit: Dentures drop or move, due to age, a poor impression from the off set, or from shrinkage from a tooth extraction socket site which has been left unaltered. This causes embarrassment, pain and often speech problems.
  • Solution: reline the ill fitting denture if the teeth are not worn, if the teeth are worn then a new set may be required.

 

  • Poor tooth positioning: If the denture teeth are set incorrectly. They are too far forward, this causes instability and the dentures drop or push out the lips.  This is also true if the back teeth are set too far into the cheek areas, which can cause biting of the cheeks or denture breakage,  whereas, teeth too far into the tongue or palate may cause tongue biting, overcrowding or speech problems.
  • Solution: teeth can be repositioned, however in severe cases this can be almost as time consuming as making a new set.

 

  • Under extension: The palate or flanges are too shallow which causes air to undermine the denture, there fore, it drops or has excessive movement. Under extension can also cause a gagging sensation.
  • Solution: reline the denture adding depth.

 

  • Over extension– Causing the denture to make the gums sore and/or lift when eating.
  • Solution- reduce peripheries.

 

  • Aesthetics “All teeth”: The general look of the mouth is too much, be that the teeth are too big or too long, or the height/size of the teeth has been increased excessively.
  • Solution: teeth can be altered by reducing length but only in slight cases as this can cause the teeth to look less natural as it removes characterisation. A remake is usually the most successful option.

 

  • Aesthetics “No Teeth”: Opposite of the above , not enough has been done, be that through poor communication, or not enough technical experience to ensure that the full smile restoration is achieved.
  • Solution: only a full remake will achieve a significant improvement.

If you identify with any of these problems, then please come for a free consultation to see how we help you.