Thursday, April 22, 2010

Talk to Your Dentist about Denture Adhesives and Denture Care

Summarized from:
Denture Adhesives: A Guide for Patients
Randy F. Huffines, D.D.S. Ó 2008


What are denture adhesives?
They are powders, creams, and liquids that can stick to both dentures and gums and increase denture retention.

If my new denture has been made correctly, why might I need an adhesive?
It can improve retention and chewing. It also helps with conditions such as dry mouth. If you have had a stroke or have suffered bone loss beneath the gums, a denture adhesive will certainly help.

Which denture adhesive should I use?
Avoid pads and cushions because they can alter denture bite. Powders do not last as long as creams, but they are easier to clean off your gums and dentures. Follow your dentists advice on which is best for you.

How should the denture adhesive be applied?
Powders: The mouth and denture should both be cleansed and kept wet. Tap a thin layer of powder over the entire tissue side of the denture. Gently shake off the excess. Insert the denture and press in place for 5 seconds. Close your teeth together, swallow, and clench your teeth together tightly for 10 seconds. If you have a dry mouth, it may help to first coat your mouth with saliva substitute or water before placing the denture on your gums.

Creams: Clean your mouth and denture well. Dry the denture. For the upper denture apply 5 pea-sized dabs of adhesive equally spaced to the side of the denture that contacts your gums. For the lower denture apply 3 pea-sized dabs. If you have a dry mouth, immerse the denture in cool water for 30 seconds to let the adhesive soak up moisture. Insert the dentures and press in place for 5 seconds with your fingers. Close your teeth together, swallow, and clench your teeth together tightly for 10 seconds. If you have used the right amount, only a little should ooze out from under the denture borders. Over time you will find out just how much cream you need.

How should I clean out the adhesive?
You can brush out powder denture adhesives from your dentures with warm water. You can also brush powders away from the gums. Creams are harder to remove. You have to scrub under the denture with very warm water like a denture brush. If it is hard to remove the adhesive, soak it overnight and then brush it. You can also scrub the denture with an electric toothbrush while the denture is immersed in a sink of warm water. Remove the cream from your gums by holding hot water in your mouth to soften the adhesive and scrub with a moistened washcloth that is wrapped around a finger.

Why are regular checkups still important?
If you no longer have natural teeth, you may assume that you do not need to see your dentist. This is a dangerous misconception. Dentists work on more than teeth. The supporting tissues beneath your dentures, for one, will continue to change throughout your life. As your gums shrink, your dentures and gums will become mismatched. Many people do not notice this is happening until the mismatch becomes so severe that it requires surgery to rectify. The dentist can find these problems early on and deal with them. Your dentist can also check for oral cancer, which threatens 50 percent of people with dentures.

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Immediate Denture Care: First 24 Hours

Summarized From:
Patient Instructions For Immediate dentures
Randy F. Huffines, D.D.S.  2008


The first 24 hours

1. Do not remove your immediate denture during the first 24 hours. If you do, your gums may swell and you will have a hard time refitting your denture.
2. Take your pain medication as directed.
3. Do not take other medications or herbal supplements unless directed by your dentist or physician.
4. It helps to apply an ice pack over the area during the first few hours: on for 20 minutes, off for 20 minutes.
5. If you follow these directions, usually after the first 36 hours all you will need is mild pain medication.
6. Some bleeding during the first 2-3 days is normal.
7. When you notice bleeding, close your teeth together tightly for 10 minutes and the pressure from the immediate denture will slow down the bleeding.
8. Do not rapidly clench and release your teeth. This only agitates the site and can increase the bleeding.
9. Contact your dentist immediately if you bleed too much.
10. Do not spit forcefully during this time, or the immediate denture could become dislodged.
11. If you must remove liquid from your mouth, let it drool out gently over a sink.
12. Avoid using any kind of mouthwash for the first 24 hours unless so directed by your dentist.


At the end of 24 hours remove the denture

1. Mix ½ teaspoon of salt with a cup of warm water and place some in your mouth.
2. With your lips tightly closed, force the water under the denture to loosen it.
3. The lower denture is easier to remove, and lifts straight up.
4. The upper may be harder to remove, especially the first time. It comes out bets in a downward and forward direction.
5. If it is stubborn, take your index finger and place it between your denture and cheek moving up and back until you feel the back upper corner of the denture.
6. Move your finger onto the top of the denture border in this area and pull down gently, increasing the force until the denture is dislodged.
7. The way our denture comes out most easily depends our mouth’s unique shape.
8. After a couple of times, you will know just what to do. There may be very dark blood inside your immediate denture. This is normal.
9. You may also develop ecchymosis, or dark spots, either in your mouth or on your face over the area of the surgery. It goes away in a couple of days. Brush your denture inside and out with dishwashing liquid and rinse well with warm water.
10. Do not spit; let the salt-water drool out of your mouth into the sink.
11. Put your immediate denture back in place and press it on to your gums for 10 seconds.
12. Close together, swallow, and hold together an additional 10 seconds to correctly seat the denture.

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