Dentures. Fixative adhesives for dentures

Dentures are removable structures that replace missing teeth and surrounding tissues. Dentures can be complete, when all teeth are missing from the jaw, or partial, when several teeth are missing.

Immediate dentures are placed immediately after tooth extraction. They are made in advance and placed immediately after tooth extraction. They are worn for 8-12 weeks until the gum tissue heals, so the patient is not left without teeth. The disadvantage is that they require more adjustment (filing) until they fit perfectly in the mouth. The immediate denture is a temporary solution until the permanent one is made.

Timely treatment is very important in cases of loss of several or all teeth, because speech, aesthetics, and, of course, chewing function are impaired. Eating becomes a problem, which will lead to other diseases related to the gastrointestinal tract. Delaying prosthetics for edentulous areas over time causes bone loss and greatly reduces the possibility of good retention.

Partial dentures consist of artificial teeth (made of plastic) arranged on a pink plastic base that imitates the mucous membrane. Metal hooks are attached to it, which hold the denture in the mouth. The artificial teeth replace the missing teeth and prevent the healthy natural teeth in the mouth from shifting position.

Are there alternatives to prostheses?

Yes, implants. They feel like your own teeth without having to remove them from your mouth (because they are firmly cemented in place), unlike dentures, which are removable. Whether to choose implants or dentures is best discussed with your dentist.

What are the procedures in the office?

First, your dentist will assess what type of denture would be suitable in your case.

The doctor calculates how the jaw moves and how much distance there should be between the two jaws. An impression is taken. Plaster models are cast in the laboratory. The plaster models are placed in special articulators (devices that position the individual values of the two jaws). A test is performed in the office and, if necessary, adjustments are made (filing).

How will I feel with dentures?

Sometimes new dentures feel a little inaccurate, and over the course of several weeks, your muscles and tongue will “adjust” them. It is not unusual to experience irritation, soreness, or increased salivation at the beginning when you start wearing them. These problems will quickly subside.

Will I look different with dentures?

Dentures are made to resemble your natural teeth and improve your smile and appearance.

Will it be difficult to chew with my new dentures?

It takes a little time and practice to get used to it within a few weeks. You can start by eating softer foods cut into small pieces. Chew slowly, moving the bite from side to side (e.g., left to right). Be careful with hot and hard foods, bones, and chewing gum, which can dislodge the dentures. The use of toothpicks is not recommended.

Will I be able to speak with the dentures?

At first, you may have difficulty pronouncing certain words. Of course, it’s all a matter of time and practice. If your dentures “click” when you speak, contact your dentist. Dentures can sometimes slip when you smile, cough, or laugh.

Do I have to wear my dentures around the clock?

Your dentist will inform you in detail how long to wear them and when to remove them. During the first few days after insertion, you can wear them constantly, even when you sleep. Although this may cause discomfort, it is done to determine whether the dentures need additional adjustment (filing). After the adjustment, you can safely remove the dentures at night – this will allow your gums to “rest” and enable normal secretion and cleaning with your tongue and saliva. Put the dentures back in in the morning.

Should I use adhesive fixatives for dentures?

Fixing adhesives are considered suitable for use in the following circumstances:

When you suffer from dry mouth, when taking medication, or after a sudden stroke.
Fixative adhesives improve retention, stability, bite strength, and the feeling of security when speaking and eating. They are also suitable and used by people in certain professions—speakers, actors, singers, etc.—who constantly contract their facial muscles.

When should fixing adhesives NOT be used?

When dentures are uncomfortable or poorly made and you feel discomfort or develop sores.
When the doctor determines that the dentures will not be worn for much longer because the alveolar ridge (the bone on which the denture rests) has melted away. In this situation, it will most likely be necessary to adjust (file down and fit) the old denture or make a new one.
If you are allergic to any of the ingredients in the fixing adhesive.
If used for a long time without effect, consult your dentist for detailed advice!

How are fixing adhesives used?

Use a minimal amount to ensure the denture stays in place. Start with a small amount and gradually increase the amount until you feel comfortable.
Spread evenly over the entire area that will lie on the mucous membrane.
Put it in and take it out of your mouth until you feel the desired effect.
Always apply the fixing adhesive to a perfectly clean denture.
Prostheses must be tightly constructed and fit very well! This is extremely important.

Correct application of adhesive to the denture:

Types of adhesive fixatives for dentures?

Pastes – apply to dry or wet dentures. Avoid applying to the edge of the denture. For upper dentures, apply three small strips of fixing adhesive or small dots along the ridge and one in the center.
Powder adhesives. Sprinkle an even layer over the entire surface that will hold the denture. Shake off any excess and place the denture, pressing gently.

Powders are preferred over pastes because they are easier to clean from dentures and gums.

Are fixing adhesives safe?

Yes, when prostheses are comfortable and well made, their use is safe. But if they are used to fill cavities or are uncomfortable, they can inflame the soft tissues and lead to loss of the underlying bone.