Management of Loose Fitting Dentures

Management of Loose Fitting Dentures

Loose or ill-fitting dentures are an issue that many people deal with on a daily basis.  As we get older our mouths tend to change in shape, gum ridges shrink, the bone can shrink causing the jaws to misalign, all whilst the denture remains the same. Ill fitting and loose dentures ultimately can lead to sore spots in the mouth, a change in facial features as well as stomach issues from not being able to chew food properly.

So what can we do to manage this?

First and foremost, the best way to ensure good chewing function throughout life, is to hold to your natural teeth. In the upper jaw, three strong natural teeth are required as a minimum to secure a denture

Firstly it is important to understand nothing will ever be as comfortable as your own natural teeth. Full upper dentures are generally easier to adapt to due to the suction created from the palate of the mouth. Patients usually find they are able to function and eat while wearing an upper denture. However it is not always the same for full lower dentures, with minimal bony support, the tongue space and no suction, these teeth can be quite uncomfortable and move around the mouth.

If lower teeth can be preserved to use as an anchors and support the denture can improve comfort and function but in some circumstances this is not possible to do.

There are multiple ways in which your Dentist or Dental Prosthetist can help with comfort and function of dentures. These include;

Denture Adhesives
Adhesive products can be used to help hold your denture in place, they are tacky , gum-like products that work by sticking the denture to the gums. They are often a short term solution used in the interim of something more permanent.

Denture Reline
This can be done when a denture is loose and not fitting as it used to, often due to bone shrinkage. The dentist can take a mould of your mouth and get a lining placed inside the denture so that it will fit more precisely inside the mouth.

Implants to Retain Dentures
Implant retained dentures are a relatively new dental procedure that help hold a denture in place.

Small titanium posts, (usually around four to six) are implanted  in to bone and a bar or ball clasps are placed to attach the denture to

The time frame to complete the implant process varies depending if bone grafting or other preliminary procedures are required but usually takes around 6months.

Implant retained dentures tend to be more stable than a regular denture which improves speech, comfort and function also.

If you have any concerns with your teeth or dentures then the team at Riverside Dental spa (where we have both Dentists and Dental Prosthetists) would be happy to discuss options with you.

By Riverside Dental Spa – Central Coast Denture Specialists


Children’s Dentistry – Dental Infections in Children.

Tooth decay, cracks and chips in kid’s teeth, if left untreated (and sometimes even when treated) can lead to dental infections.

Kids teeth are particularly susceptible to infection because the hard parts of the teeth that the bacteria in decay need to get through in order to infect the teeth are much thinner, and the nerve part of the teeth, which is the target of the bacteria, is much nearer the surface. As a result, relatively small holes can cause pain and abscess.

In kids this can show up in a number of ways. It may start as sensitivity to cold, and then heat, much as in adult teeth, or there may be no symptoms at all until the infection shows up as a pimple on the gum. A potential reason for the lack of symptoms in some cases is that the adult tooth may have already cut of the nerve to the tooth, as it eats through baby tooth and pushes its way to the surface.

Once a nerve is infected, we have to make a treatment decision based on a number of factors, such as the child’s ability to co-operate with treatment, how long we need to keep the tooth in its place to preserve space for the adult tooth to follow, and how successful the treatment is likely to be.

Once we have diagnosed a dental infection, we are left 3 options. We can take out the tooth, with the risk that we lose space, and create the need for braces in the future, we can take the tooth out and attempt to preserve the space with various devices, or we can take out the nerve tissue and seal the tooth with medicine inside to kill the infection. In many cases the last option is done in conjunction with placing a stainless steel crown.

All of these options have their pros and cons. The problem with the last option, aside from expense is the high failure rate (30%), which leads to the tooth being lost anyway. The problem with the first two, is that taking out teeth from children can be a challenge, and space maintainers of the second option can create their own problems. On the plus side, all three can eliminate the infection.

You will notice that I have omitted from the options, the option to do nothing. Leave the infected tooth where it is, until it comes out on its own, and treat it occasionally with antibiotics. In my view, this is only an option if the tooth is already wiggling. There are very good reasons why we just don’t leave infections around the body. When infections spread, they can be very aggressive, eating away structure which will often scar or change shape as a result. We are also now beginning to understand the whole body consequences of untreated dental infections in particular.

By far and away the best way to treat dental infections in children is to avoid them with preventative care. Get to your local dentist and catch problems early. Your dentist can provide you with dietary advice, and help you develop a routine of oral care that will keep your kids teeth healthy, and where they should be. Riverside Dental Spa provides the best family & children’s dentistry on the Central Coast.

By Riverside Dental Spa – Central Coast Family & Children’s Dentistry.

Children’s Dentistry at Riverside Dental Spa!

Your child’s first visit to the dentist…

“At what age should I bring my child to the dentist?”

Children as young as 1 or 2 years old can commence regular dental visits, however this may vary from child to child. Some two year olds are very able to “ride in the chair and have their teeth counted” however other two year olds may take several visits to “warm up” to the dentist and the surroundings before they go for a ride in the chair.

Teaching kids about proper oral hygiene at a young age is something that will benefit them for the rest of their lives. Taking good care of your own teeth sends your kids a message that oral hygiene is important for everyone. At Riverside Dental Spa, we understand and provide the best in children’s dentistry.

“What do I expect at my child’s first visit to the dentist?”

The dentist will:

  • Review your child’s history
  • Discuss what to expect for the future including any areas to monitor or where tooth brushing technique can be improved upon

They will also talk to you about your child’s overall oral health including:

  • development
  • teething
  • bite (how your child’s teeth come together)
  • gums and teeth

“Why get baby teeth checked- they fall out anyway?”

It is important to ensure baby teeth are healthy. Neglected cavities can lead to pain and problems that effect permanent teeth. Baby teeth (primary teeth) are important for

  1. Proper chewing, eating and speech
  2. Providing space for the adult teeth and guiding them into the right position
  3. Allowing normal development of jaw bones and muscles

While the front four teeth last until 6-7 years of age, the back teeth aren’t replaced until 10-13 years of age!

Tips for your child’s first dental visit

Your child’s dental experience should be comfortable, stress free and fun!

  1. Try not to pre-empt too many scenarios. Tell them where they are going and assure them that the dentist will show them everything and explain everything as they go.
  2. Be prepared that the first visit may just be to familiarise the child with the surroundings (See Tip (1)).
  3. If you are anxious about dental visits, try not to show this to your child. If you are unable to disguise your own nervousness, you may wish to consider having another adult bring your child to their first appointment.
  4. It is best if you refrain from using words that may cause unnecessary fear around your child, such as needle, pull, drill or hurt.
  5. Don’t use the dental visit to scare children into brushing their teeth with threats like “If you don’t brush your teeth you will have to go to the dentist and they will pull your teeth out.”
  6. Avoid statements like “There is nothing to be frightened of Johnny – you just need to be really brave and tough!” Kids will wonder why you never say that when you go to the park yet you say it before seeing the dentist!

In summary, modern dentistry has come a long way and a dental visit really should be a positive experience for your child. Gone are the “bad old days” of dental treatment! Good oral hygiene habits established as a child will benefit the health and wellbeing of your child throughout life.

By Riverside Dental Spa – Central Coast Children’s Dentistry.


The Benefits of Fluoride for a Healthy Mouth.

Yes we are going to talk about the widely debated topic of Fluoride!

Countless articles claim that fluoride is bad for our health and is a poisonous toxic. Of course we as Dental professionals disagree and you will find that the vast majority of us are strong advocates FOR fluoride. Day in and day out we see both the positive effects that fluoride has on the oral cavity as well as the destruction on teeth (especially young kids teeth!) if they aren’t exposed to fluoride. If you are a non-believer search for images on the internet relating to rampant caries – I think you will be shocked at what you see. Unfortunately, most of us over our career in the Dental Industry have seen one too many of these cases.

Without getting too carried away amongst this debate here is a few sources of where and why fluoride plays a vital role to ensure healthy teeth for life.

Toothpaste – Fluoridated toothpaste helps to strengthen the teeth to prevent tooth decay. Foods in today’s society are highly processed and contain refined and hidden sugars. Bacteria thrives on sugar – consequently, if it is left on the teeth for an extended period of time the teeth become weak and susceptible to tooth decay. Brushing twice a day with a fluoridated toothpaste will help to remineralise and protect the teeth fighting off the bacteria that causes tooth decay.

Our mouths are in a continual changing state of demineralizing (this occurs when exposing the teeth to food/drink) and remineralising (replenishing all the lost minerals after eating/drinking through the composition of saliva, water or fluoride).

Our hygiene tip after brushing is to spit but don’t rinse!

Tap water – Drinking tap water will help keep decay away. For years we have been told to drink 2-3L (8 glasses) of water a day for our general health. The same saying goes for maintaining a healthy mouth. Tap water contains fluoride (a safe low dose) that helps to neutralise the acids in the mouth preventing tooth decay.

Soft drinks, sports drinks and fruit juices should only be drunk in moderation as they are loaded with sugar and acids that if consumed too frequently make the teeth susceptible to tooth decay/erosion.

Remember, in our lifetime we are only given two sets of teeth – The first set (baby teeth) we have lost by about the age of 12, and for the adult teeth we all know most of us plan on living fulfilling lives to the age of 75+ so caring for your teeth from a young age is essential.

At our surgery – Yes we like to encourage you to come and see us every six months for a routine check up and clean. At this appointment often a higher concentration of fluoride is applied to the teeth to help keep them nice and strong. At this visit an inspection of the teeth will allow us to determine if you are more susceptible to decay or erosive sources. If this is the case we may recommend other oral hygiene products with the aim of prevention in mind.

Teeth are the only part of our body that can’t repair itself! That is why it is essential to follow the advice from us to ensure that you can keep your pearly white teeth for a lifetime. Fluoride is your teeth’s best friend!

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