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From: Kira Dirlik on 13 Nov 2005 17:57
Hello,
I apologize if this group is for dental professionals only. Since
previously posting, I have been receiving spam in my e-mail as though
I were a dentist !!!!
Anyway, questions:
I've had upper full dentures and torus removal for past 3 months &
need some advice. I'm getting contradictory info from the surgeon and
the dentist.
Good news is little pain and good healing, the teeth look good, &
I've lost 12 pounds, but here are questions:
1. Surgeon calls plate temporary, while dentist said a second plate
in a year was optional. I've seen "immediates" implying a permanent
plate is not optional.
2. Is it normal for a relining of my plate to not occur for 3 months?
It has never been done. Dentist doesn't really tell me much, and I
had to request appointment, since teeth are a terrible fit right now.
3. Here are problems. I'd be thankful for comments.
a. I leave them out at night. Dentist said important to do so for
optimal bone preservation. But when I put them in in the a.m., they
are really BIG. There is painful pressure on roof of mouth and where
tops of plate hit the gum. If I try to eat, they fall off (blocking
any food I'm attempting to put in my mouth). Very awkward, and
chewing hurts at those points of contact.
b. In a few hours I find myself continuously sucking at them to make
them stay in place. It's become a tic. This works somewhat, but by
3:00 p.m. my tongue, roof of mouth, upper gums are all throbbing from
one giant hickey in my mouth. This must be harmful in long run (like
rest of my life). It is such a relief to take them out in the evening
& wrecks havoc on any social enjoyment.
c. I can't bite anything with front teeth (bread crust, the skinniest
mini-carrot, etc). If I try, teeth just bounce around. Not enough
pressure possible to cut through anything. Is this forever?
d. Chewing anything difficult (raw veggies, bread crust, meat, nuts,
anything "chewy") becomes so tiring and painful, I swallow most food
half-chewed. Even the smallest plateful takes me way longer than the
next slowest person, at any social meal. Food and cooking were always
one of life's greatest pleasures for me, and rewarding part of any
social occasion. Is this now over for me? (I feel like a hiker who
now has to use crutches.)
e. Half my taste buds seem to have gone. I can only taste foods half
as much as I used to.
f. I can only chew on one side now, because lower bridge on one side
will come in the future (Jan '06, hopefully.. new procedure, new
insurance). Is this uneven chewing harming the way this is all
healing?
g. There are still holes from the extractions, so I don't want to try
that polident gunk.
Does it really hold teeth in, even while biting off a mini-carrot?
How does one then get their plate off in eve at removal time?
Is it difficult to get all the pieces out of one's mouth, and the
denture?
How does one apply it? (Manufacturers, ie toothpaste, indicate you
need 6 times more of their product than you actually need.)
Thanks very much for any advice.
Kira

From: Steven Bornfeld on 13 Nov 2005 22:16


Kira Dirlik wrote:
> Hello,
> I apologize if this group is for dental professionals only. Since
> previously posting, I have been receiving spam in my e-mail as though
> I were a dentist !!!!
> Anyway, questions:
> I've had upper full dentures and torus removal for past 3 months &
> need some advice. I'm getting contradictory info from the surgeon and
> the dentist.
> Good news is little pain and good healing, the teeth look good, &
> I've lost 12 pounds, but here are questions:
> 1. Surgeon calls plate temporary, while dentist said a second plate
> in a year was optional. I've seen "immediates" implying a permanent
> plate is not optional.
> 2. Is it normal for a relining of my plate to not occur for 3 months?
> It has never been done. Dentist doesn't really tell me much, and I
> had to request appointment, since teeth are a terrible fit right now.
> 3. Here are problems. I'd be thankful for comments.
> a. I leave them out at night. Dentist said important to do so for
> optimal bone preservation. But when I put them in in the a.m., they
> are really BIG. There is painful pressure on roof of mouth and where
> tops of plate hit the gum. If I try to eat, they fall off (blocking
> any food I'm attempting to put in my mouth). Very awkward, and
> chewing hurts at those points of contact.
> b. In a few hours I find myself continuously sucking at them to make
> them stay in place. It's become a tic. This works somewhat, but by
> 3:00 p.m. my tongue, roof of mouth, upper gums are all throbbing from
> one giant hickey in my mouth. This must be harmful in long run (like
> rest of my life). It is such a relief to take them out in the evening
> & wrecks havoc on any social enjoyment.
> c. I can't bite anything with front teeth (bread crust, the skinniest
> mini-carrot, etc). If I try, teeth just bounce around. Not enough
> pressure possible to cut through anything. Is this forever?
> d. Chewing anything difficult (raw veggies, bread crust, meat, nuts,
> anything "chewy") becomes so tiring and painful, I swallow most food
> half-chewed. Even the smallest plateful takes me way longer than the
> next slowest person, at any social meal. Food and cooking were always
> one of life's greatest pleasures for me, and rewarding part of any
> social occasion. Is this now over for me? (I feel like a hiker who
> now has to use crutches.)
> e. Half my taste buds seem to have gone. I can only taste foods half
> as much as I used to.
> f. I can only chew on one side now, because lower bridge on one side
> will come in the future (Jan '06, hopefully.. new procedure, new
> insurance). Is this uneven chewing harming the way this is all
> healing?
> g. There are still holes from the extractions, so I don't want to try
> that polident gunk.
> Does it really hold teeth in, even while biting off a mini-carrot?
> How does one then get their plate off in eve at removal time?
> Is it difficult to get all the pieces out of one's mouth, and the
> denture?
> How does one apply it? (Manufacturers, ie toothpaste, indicate you
> need 6 times more of their product than you actually need.)
> Thanks very much for any advice.
> Kira

Many of the immediate dentures are not intended as temporary, merely
because of the expense. Making a second set of dentures is preferable,
because not only will the fit be superior, but the opportunity will be
there to set all the teeth as you wish (obviously with an immediate
denture you don't have the opportunity to try in a complete setup of the
denture teeth before processing.
In either case, I don't believe ignoring discomfort is the way to go.
I generally wait longer than 3 months to do a hard reline, as the gum
will often continue to change shape after that time. But if you are
going to have a new denture made, it is quick and easy to do a chairside
reline with the immediate denture--even a soft reline, since it is only
for temporary use.
After 3 months there should be no problem for your extraction sites
with using adhesive. If you're using a creme like Poly grip, I
generally recommend a thin stripe maybe 1/2-3/4" long in the front, and
one on each side on the ridge area inside the denture.

Steve

>


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From: Roy Brown on 21 Nov 2005 01:56
<!!yggdrasil8(a)earthlink.net!!> wrote
| Hello,
| I apologize if this group is for dental professionals only. Since
| previously posting, I have been receiving spam in my e-mail as though
| I were a dentist !!!!
| Anyway, questions:
| I've had upper full dentures and torus removal for past 3 months &
| need some advice. I'm getting contradictory info from the surgeon and
| the dentist.
| Good news is little pain and good healing, the teeth look good, &
| I've lost 12 pounds, but here are questions:
| 1. Surgeon calls plate temporary, while dentist said a second plate
| in a year was optional. I've seen "immediates" implying a permanent
| plate is not optional.
| 2. Is it normal for a relining of my plate to not occur for 3 months?
| It has never been done. Dentist doesn't really tell me much, and I
| had to request appointment, since teeth are a terrible fit right now.
| 3. Here are problems. I'd be thankful for comments.
| a. I leave them out at night. Dentist said important to do so for
| optimal bone preservation. But when I put them in in the a.m., they
| are really BIG. There is painful pressure on roof of mouth and where
| tops of plate hit the gum. If I try to eat, they fall off (blocking
| any food I'm attempting to put in my mouth). Very awkward, and
| chewing hurts at those points of contact.
| b. In a few hours I find myself continuously sucking at them to make
| them stay in place. It's become a tic. This works somewhat, but by
| 3:00 p.m. my tongue, roof of mouth, upper gums are all throbbing from
| one giant hickey in my mouth. This must be harmful in long run (like
| rest of my life). It is such a relief to take them out in the evening
| & wrecks havoc on any social enjoyment.
| c. I can't bite anything with front teeth (bread crust, the skinniest
| mini-carrot, etc). If I try, teeth just bounce around. Not enough
| pressure possible to cut through anything. Is this forever?
| d. Chewing anything difficult (raw veggies, bread crust, meat, nuts,
| anything "chewy") becomes so tiring and painful, I swallow most food
| half-chewed. Even the smallest plateful takes me way longer than the
| next slowest person, at any social meal. Food and cooking were always
| one of life's greatest pleasures for me, and rewarding part of any
| social occasion. Is this now over for me? (I feel like a hiker who
| now has to use crutches.)
| e. Half my taste buds seem to have gone. I can only taste foods half
| as much as I used to.
| f. I can only chew on one side now, because lower bridge on one side
| will come in the future (Jan '06, hopefully.. new procedure, new
| insurance). Is this uneven chewing harming the way this is all
| healing?
| g. There are still holes from the extractions, so I don't want to try
| that polident gunk.
| Does it really hold teeth in, even while biting off a mini-carrot?
| How does one then get their plate off in eve at removal time?
| Is it difficult to get all the pieces out of one's mouth, and the
| denture?
| How does one apply it? (Manufacturers, ie toothpaste, indicate you
| need 6 times more of their product than you actually need.)
| Thanks very much for any advice.
| Kira
|

Kira,
The group is not for professionals only, we need people like you to make it
work.

Until the specialist passes you back to your dentist, what they say should carry
more weight. I'll answer your questions in order:

1. Temporary, immediate and permanent are relative terms. Nothing is permanent
in dentistry. How long you keep your 1st denture depends on how it was made and
what it will take to keep it functioning.
2. There is no normal time because people heal at different rates. It is usual
to reline when the fit gets bad. BUT not all relines are the same. It is typical
for temporary relines AKA tissue conditioners to be provided as part of the
treatment during the 1st 3 months following the insertion of an immediate
denture. Your dentist might be thinking the surgeon is doing this or waiting for
the surgeon to say it is OK to proceed.
3a. Sounds like you need a reline
3b. Sounds like you need a reline
3c. With dentures it is better to bite with your eye teeth. When the dentures
fit better you will bite better.
3d. When the dentures fit better you will chew better. There are some good
cookbooks that are written specifically for denture wearers or people with jaw
troubles. They are not big books, but will give you a good idea of what you need
to do. Your enjoyment of food should not be over. Think of a hiker that has lost
both legs, they are not going to be able to do what they once did right away.
They will be able to hike on less challenging courses though, some master things
a bit better. You've lost your teeth, expect a compromise, but it does not mean
you have to stop eating, or be confined to a soft diet for ever.
3e. Some of your taste buds are covered. Some of your other senses about food
are also altered (temperature and texture). Expect differences
3f. Possible for harm. Things will improve with the new bridge and being able to
chew on both sides at the same time.
3g. Polident is for cleaning, poligrip is for holding. I agree with Steve,
except for the amount. Less is best, if you need to use that much then you need
a reline or have saliva problems. If you are filling in the gaps, you might find
Seabond a better choice. Here is a link to a good article on Denture Adhesives:
http://www.dentalcare.com/soap/dcn/massad.pdf
Ignore the part of using toothpaste to freshen the denture, you will only polish
is smooth making it looser. If you want "fresh" dentures, put a splash of
mouthwash into your water bath at night.

Hope this helps.
--
Roy
rem NADA to reply


From: Kira Dirlik on 22 Nov 2005 13:29
On Mon, 21 Nov 2005 01:56:27 -0500, "Roy Brown"
<roybrown(a)sympatico.caNADA> wrote:



>3g. Polident is for cleaning, poligrip is for holding. I agree with Steve,
>except for the amount. Less is best, if you need to use that much then you need
>a reline or have saliva problems. If you are filling in the gaps, you might find
>Seabond a better choice. Here is a link to a good article on Denture Adhesives:
>http://www.dentalcare.com/soap/dcn/massad.pdf
>Ignore the part of using toothpaste to freshen the denture, you will only polish
>is smooth making it looser. If you want "fresh" dentures, put a splash of
>mouthwash into your water bath at night.

Thanks for the info. I had the denture relined yesterday and it
fits SO much better. However, parts of it are rough and irritating to
the back of my tongue, roof of my mouth, and to my cheek and gum at
the very end of one side. When I take it out, it looks and feels
smooth (to the eye and fingers), but not to that extra sensitivity
inside the mouth. Is there any way to smooth that out some more
(without going all the way back to the dentist? He and I are both
into the business of the holidays right now.) Very fine sandpaper?
Thanks for the website. But with the way they fit right now, I
don't seem to need the adhesive. I'll just experiment with brands and
amounts when they lose their fit again.
Kira

From: Roy Brown on 22 Nov 2005 18:59
The very fine sandpaper might do it. We use pumice to polish it smooth. You can
buy some as "Snap" the hand and face cleaner. Or use tooth paste as a rubbing
compound since many forms have pumice in them.

--
Roy
rem NADA to reply



"Kira Dirlik" <!!yggdrasil8(a)earthlink.net!!> wrote in message
news:43836185.3094781(a)news.east.earthlink.net...
| On Mon, 21 Nov 2005 01:56:27 -0500, "Roy Brown"
| <roybrown(a)sympatico.caNADA> wrote:
|
|
|
| >3g. Polident is for cleaning, poligrip is for holding. I agree with Steve,
| >except for the amount. Less is best, if you need to use that much then you
need
| >a reline or have saliva problems. If you are filling in the gaps, you might
find
| >Seabond a better choice. Here is a link to a good article on Denture
Adhesives:
| >http://www.dentalcare.com/soap/dcn/massad.pdf
| >Ignore the part of using toothpaste to freshen the denture, you will only
polish
| >is smooth making it looser. If you want "fresh" dentures, put a splash of
| >mouthwash into your water bath at night.
|
| Thanks for the info. I had the denture relined yesterday and it
| fits SO much better. However, parts of it are rough and irritating to
| the back of my tongue, roof of my mouth, and to my cheek and gum at
| the very end of one side. When I take it out, it looks and feels
| smooth (to the eye and fingers), but not to that extra sensitivity
| inside the mouth. Is there any way to smooth that out some more
| (without going all the way back to the dentist? He and I are both
| into the business of the holidays right now.) Very fine sandpaper?
| Thanks for the website. But with the way they fit right now, I
| don't seem to need the adhesive. I'll just experiment with brands and
| amounts when they lose their fit again.
| Kira
|


 | 
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