Local Elgin, IL Denture Care - Dental Veneers Cost

Relieve Irritation With Soft Denture Liners

A soft denture liner is placed in the part of a denture base that contacts tissues. This provides comfort for those persons experiencing considerable pain while wearing a denture that has a hard plastic interface (the inside of the denture).

These individuals may have a low threshold for pain, and/or the gum tissue that overlays jawbone is usually thinner than normal and does not resist pressure well. When such tissue is compressed between hard jawbone and hard denture plastic, pain is easily elicited. Replacing one of these hard interfaces with a soft denture liner helps eliminate or reduce this painful tissue compression.

Some Characteristics of Soft Denture Liners

Denture liners are usually fabricated from special medical grade rubber or silicone-type compounds. The silicone materials are generally more compressible and, consequently, softer.

In order for these materials to function adequately, they must be reasonably thick. Therefore, the amount of plastic that needs to be removed from the inside of a denture to allow room for these liners may weaken some dentures. In those cases, it becomes necessary to incorporate a reinforcing metal framework within the body of certain dentures. There are several steps involved in installing a soft denture liner, such as impressions and various laboratory procedures.

Soft denture liners tend to continually harden, though a patient may not be aware of this happening because the process is gradual. However, they eventually will begin to have increasing problems until a new soft denture liner is placed.

Denture liners are porous in nature, which accounts for why they are soft. However, this porosity contributes to their deterioration and collection of microorganisms.

If a soft denture liner becomes contaminated with disease-causing microorganisms (a fungus for example), it may not be possible to decontaminate the denture without having to replace the denture liner.

Persons with dry mouth usually have difficulty wearing dentures due to pain and irritation caused by the hard denture surface rubbing against underlying tissues that are not lubricated with adequate saliva. While soft denture liners would appear to be ideal for such individuals, they are generally much more difficult to maintain. Because impaired saliva production allows a very significant collection of microorganisms to buildup in the mouth, this usually results in unacceptable contamination of porous soft denture liners unless meticulous oral hygiene is maintained.

While denture liners generally will last longer than a year, they should be replaced on an annual basis or sooner. The frequency of replacement depends on each situation and the patient's oral hygiene.

Advantages of Soft Denture Liners

• A gentle and kinder denture interface for those individuals with sensitive underlying tissues.
• The soft denture liner tends to compress and conform to a constantly changing jawbone surface. While this helps prevent pain from a moderately unbalanced bite resulting from jawbone shrinkage, it is not a long-term substitute for regular adjustments to balance a denture bite.

Disadvantages of Soft Denture Liners

• Soft denture liners continually deteriorate and collect microorganisms easily; therefore, they generally are replaced on an annual basis.
• Because soft denture liners help reduce pain from an uneven bite, patients may get a false sense of security, thinking their denture is adequately functioning while the bite continues to deteriorate. Routine dental check-ups are a necessity.
• Generally, soft tissue liners are more expensive than a conventional hard denture liner.

by Joseph J. Massad, D.D.S.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Learn About Conventional Over-Denture

A conventional over-denture rests over some healthy natural tooth roots. This approach was first reported in 1861. To understand this method, it is necessary to review some facts.

An Overview of Alveolar Ridge Dynamics

• Maintaining a denture on the jawbone ridge (called alveolar ridge) is essential to prevent it from becoming loose during eating, speaking, and other activities.
• Preserving the alveolar ridge facilitates denture stability.
• The body tends to conserve energy and nutrients by maintaining only structures with apparent immediate value. A typical example is the bulk reduction of a broken leg held immobile by a full-leg cast for a month or more.
• The body recognizes that the only one purpose for alveolar bone is to hold tooth roots.
• Alveolar bone no longer supporting a tooth root is removed, or literally dissolved away, by the body. This is called resorption, or simply shrinkage.
• Resorption progresses at varying rates in the same person at different times, and at different rates between different people. Resorption progresses rapidly within the first year of losing a tooth, after which time, the rate progresses at a slower pace.

From this overview, if the maximum amount of alveolar ridge is to be maintained, then preserving the maximum number of periodontally healthy tooth roots should achieve that end.

Preserving the Sensation of Having Teeth

Studies demonstrate that even though only roots are preserved, and a denture covers them, a patient still has sensory input sensations similar to that experienced with teeth, as opposed to individuals with conventional dentures and no preserved roots. Over-denture patients also appear to have a more natural perceived directional sense in their chewing activities. In other words, many patients relate that they still feel like they have teeth -- a positive comment.

Underlying Philosophy of the Conventional Over-Denture

If a patient's treatment plan to have a denture, and the roots of some remaining teeth are supported in healthy alveolar bone, then a conventional over-denture is a viable consideration.

However, only a licensed dentist can determine if a conventional over-denture is a suitable consideration for a certain person, after a comprehensive examination.

Some Characteristics of a Conventional Over-Denture

• Most of a tooth crown (that part of the tooth above the gums) is removed. This often necessitates root canal therapy if not already done.
• The remaining tooth, projecting above the gum, is rounded and usually covered with a similarly shaped artificial crown-like covering.
• Various configurations and extensions may be built onto some retained roots. In those cases, that portion of the denture overlying these configurations is modified to contain attachments that clip onto a framework or receive the individual extensions. In addition to preserving alveolar bone and sensory input, the denture is held securely in place, but may be comfortably and easily removed for cleaning.

Advantages of a Conventional Over-Denture

• Feels more like having teeth
• More retentive in many cases
• Helps reduce shrinkage of surrounding bone
• Reduces pressure to portions of the alveolar ridge
• Positive psychological advantage of still having teeth

Disadvantages of a Conventional Over-Denture

• Scrupulous oral hygiene is essential in order to prevent decay and gum disease
• The over-denture may feel bulkier than a conventional denture
• Frequent maintenance examinations are necessary
• Generally, this is a more expensive approach than a conventional denture

by Joseph J. Massad, D.D.S.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.