Denture adhesives are used to help retain dentures in the mouth. Before denture adhesives are used, a dentist should be consulted. Ill fitting dentures can cause areas of chronic irritation which can lead to mouth sores and ulcers and eventually could be a source of malignant transformation. Mouth cancer is not something to be taken lightly, so a dental examination is always best to have before considering denture adhesives. Most ill-fitting dentures can be relined with new plastic to have them conform to the gums better. When teeth are removed, the body realizes that there is no need for the bone to hold the teeth in, so it slowly allows the bone to dissolve. Since the denture plastic doesn’t change, gaps begin to form which causes a loss of suction. A reline will fill in the gaps, restoring the suction. There are other times, especially on the lower, where there is not enough bone for adequate retention and stability. In this case, it is best to train the muscles to keep the denture in place while chewing and talking. This will allow the denture to stay in place during function.
As the big day approaches to get ones braces on, there is usually a quick step that precedes that appointment. With modern technology, the newer braces can be made in small dots making them much more esthetic. These are bonded to the teeth by etching the enamel surface with acid. However, the molar teeth bear quite a bit of brunt of the bite, so bonding brackets onto those teeth can be frustrating because they can become debonded under normal chewing. Thus, many times it is helpful to go back to the old style bands for those molars. To seat the bands comfortably, there needs to be a small gap between the teeth. Therefore, separators must be placed ahead of time to create that space. A separator can be an elastic “donut” or a twisted wire. They are placed about a week before the big appointment. This will allow the bands to be slipped on with minimal fuss. They usually will make ones teeth sore for a day or two – nothing that a little ibuprofen wouldn’t take care of. But it is sure well worth it because otherwise, the bands would have to be forced on.
Crowded teeth are a very common problem affecting many people. To straighten these teeth orthodontically, a dentist needs to make room in the mouth to fit all of the teeth in a nice straight line. Many times, the crowding is so severe that teeth have to be removed to make room. However, it is preferable to keep all of the teeth (except for the wisdom teeth) if possible. This way, it is easier to get teeth to mesh properly. The other alternative is to reduce the size of the teeth.
Teeth are coated with enamel, the hard white substance that we see in our pearly whites. It has no nerve endings, just like hair and fingernails, so it can be smoothed and shaped without the need for local anesthetic. A quarter of a millimeter can be safely removed from each side in between the teeth without causing an increase in decay. That doesn’t sound like much, but when that small increment is added up over an entire arch of teeth, that can amount to a few millimeters which can be enough to allow for an adequate amount of space to makes ones teeth picket fence straight.