Category Archives: Dentures

Are There Soft Dentures?

I’m looking for something to help with my dentures. The way they are on the roof of my mouth hurts. Do they make a soft kind of denture?

Lisa

Dear Lisa,

An illustration of both a denture and a dental implant

There are soft liners for dentures. This is what is typically called a soft denture. However, while they are a tad more comfortable, they have limitations. They’re both more expensive and do not last as long. They are also harder to keep clean.

Unfortunately, I don’t know of a denture that is pliable, which it sounds like you’re asking for. This is because the denture needs a firm frame both to fit right and to help with chewing.

The Solution When Dentures aren’t for You.

I’m going to suggest you switch to implant supported dentures. These won’t require you to have a plate at all. Instead, the dentures are attached to the implants. It is much more secure than removable dentures. You’ll find it will also increase your quality of living, including your chewing capacity.

There’s an even more important benefit. When your teeth were removed, your body began to resorb the minerals in your jawbone to use elsewhere. It does this because it strives to be efficient and recognizes you no longer have any teeth roots there. The big problem with that is as your minerals leave, your jawbone shrinks. This is known as facial collapse. Eventually, you won’t have enough jawbone left to even support your dentures.

Having dental implants there, signals to your brain that there are still roots there. leaving your jawbone intact.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Are Dentures as Attractive as Dental Implants?

I’m 39 years old and need to get dentures. My dentist really wants me to get dental implants because they are better, but dentures are much more affordable. Can dentures be made as attractive as dental implants or do I have to get implants for a pretty smile?

misty

Dear Misty,

An illustration of both a denture and a dental implant

It is a shame you are having to lose your teeth at such as young age. Have you had a second opinion to see how many of your teeth can be saved?

While dentures can be made as beautiful and natural looking as dental implants, it is not their appearance which makes dental implants the better option. In fact, at your age, it is even more important. Let me explain.

Dental Implants Prevent Facial Collapse

When your teeth are removed, your body recognizes this. Without having teeth roots in your jawbone it feels the minerals there are of better use elsewhere. Trying to be efficient, it resorbs those minerals to use elsewhere. While useful to the parts getting the minerals, it has the unfortunate effect of shrinking your jawbone. Eventually, you won’t have enough jawbone left to even keep your dentures in. This is known as facial collapse.

With dental implants, a prosthetic root is surgically placed into your jawbone. This signals to your body that the bone is still necessary and preserves its structure.

If You Can’t Afford Dental Implants

When talking about a full set of dentures it is too expensive to do a one-to-one ratio of teeth to implants. Because of that, most patients will get implant overdentures. This uses between four and six implants and then fixes your dentures to them. This simultaneously protects your jawbone while saving you some money.

For some patients, even this is out of reach. In that case, my suggestion is to get snap-on dentures. This can use as few as two dental implants. It will keep the dentures from falling out and preserve at least some of your bone.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

What If Dentures are my Only Option?

I’m in a pickle. I’ve had four pregnancies in six years which kept me vomiting every day, multiple times a day. Then, when I was done with that, I was diagnosed with cancer. My teeth are an absolute wreck as a result. Many of them are literally crumbling. I think the only thing I can afford is dentures. I’m about to completely lose it. I keep hearing dentists say dentures are the worst thing I can do but I’m not sure I have a choice. I’ve no money left and am still paying off tens of thousands of dollars for my treatments.

Emily

Dear Emily,

An illustration of both a denture and a dental implant

You have been through a lot and I don’t want you to beat yourself up. Sometimes, our health (even the health of our teeth) are beyond our control. In your case, I’m going to make a couple of suggestions to see if we can help you get the health you need for your jaw as well as a beautiful smile.

You mentioned dentists have warned you against dentures. The reason for that is the danger of facial collapse. Your jawbone slowly shrinks. Eventually, there is not enough money to even keep your dentures in place. The upper dentures are held in by suction, so those are a bit safer. The bottom ones just sit on the ridge of your jawbone.

If at all possible, I am going to suggest you get snap-on dentures on your bottom arch. This can place as few as two dental implants into your jawbone and keep your dentures from falling out. Plus, it will preserve the bone where ever you have an implant. From there, you can save up for other implants as you are able.

Getting Beautiful Dentures

Regardless of the type of your tooth replacement option, you want to make certain, the dentist who prepares them will create a beautiful smile for you. This is one of the few upsides for your particular situation. After years of damage to your teeth, you can now have the smile of your dreams.

Not all cosmetic dentists are equal in skill. It’s not a recognized specialty by the American Dental Association, so it is up to the dentist how much time and training he or she invests in learning how to make beautiful smile makeovers. There are two sources where you can find dentists capable of giving you a gorgeous smile.

The first is the American Academy of Cosmetic Dentistry website. They have a link where you can find a cosmetic dentist. When you list your area, make sure you check that you’re looking for an accredited dentist. These are the ones with expertise and artistry. The second source is mynewsmile.com. They also have a “Find a Cosmetic Dentist” link. Not all of them are accredited. However, each one of them has been screened for their technical and artistic skill.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Dentures or a Snap-On Smile?

If you’re missing all of your teeth, how can you get affordable dentures? And is a Snap-On Smile an option?  Consider the facts.

Budget Dentures

Dentures vary in cost and quality. Budget dentures are the least expensive option, but they are also the least natural-looking and the least durable option. Yet they enable you to smile, speak, and eat more easily than you could with no dentures at all.

Cosmetic Dentures

Cosmetic dentures are comfortable and made of high-quality materials. They have several advantages.

  • Appearance – High-quality teeth are used for a natural look. Your input will be included to produce denture teeth in the shape, size, and color that fit your preferences, personality, and facial features.
  • Fit – Multiple measurements are taken to ensure your denture base is secure without irritating your gums.
  • Feel – Cosmetic dentures feel more like your natural teeth.

Implant-supported dentures

Dentures can be stabilized with as few two dental implants. Snap-on dentures—not a Snap-On Smiles—only require two implants. Implants are placed in your jawbone, and after a healing period, your dentures will be attached to them. Implant-supported dentures have several advantages:

  • Prevent lifting and slippage
  • Improve speech and chewing function
  • Prevent jawbone shrinkage, which occurs when all of your teeth are missing

What about a Snap-On Smile?

A Snap-On Smile is not a suitable alternative to dentures for several reasons.

  • It fits over your natural teeth and is designed to hide imperfection, including misalignment or a few missing teeth. But it is not a solution when all of your teeth are missing.
  • It is a temporary cosmetic solution. If you wear it daily it will wear out quickly.
  • Since it’s meant to snap over your teeth, when all your teeth are missing, the Snap-On Smile won’t have any support. It will easily dislodge.
  • The appliance is acrylic, so without natural teeth beneath it, you will have difficulty chewing.

What’s Next?

Your ability to smile, speak, and eat with ease affects your quality of life and your health. If you insist on cheap dentures, keep in mind that you will likely be disappointed with the way they function. And they can wear out quickly and need to be replaced..

The photos below show the difference natural-looking dentures can make with your smile and oral health.

If you are on a budget and need dentures, speak with a qualified dentist about how quality dentures can be made affordable for you. Payment plans or financing can help you receive a healthy solution that looks natural. This post is sponsored by Salem, MA dentist Dr. Randall Burba of Burba Dental

dentures won’t stay in

I ended up having dentures at a very young age. I’m 60 now and have had them for over 30 years. Lately, even with adhesive, it’s becoming impossible to keep them in. Can a dentist fix this?

Miranda

An illustration of both a denture and a dental implant

This is tough. When your teeth were removed, your body began a resorption process of using the minerals normally needed by your jawbone elsewhere.

It does this because it interprets your missing teeth as you no longer needing these. This process is known in dental circles as facial collapse.

As this happens, your dentures begin to slip. Then, they get to where they start falling out. Eventually, you won’t be able to keep them in at all.

Two Solutions When Dentures Fail

The first thing you’ll need to do is get bone grafting done. This is an outpatient procedure that builds up bone in your jawbone again. Once that is done, you have two main routes to choose from.

  • Have new dentures made. You have a ridge again and will be able to retain dentures again if that is what you like. One thing to consider is you would be facing the same issue again as the cycle of facial collapse starts all over.
  • Get dental implants. This is actually the ideal solution. You can place four to six dental implants into your new jawbone. This signals to your brain you need those minerals and the bone remains intact preventing facial collapse. Then, when the implants are fully integrated, a denture is secured to the implants. This is known as implant overdentures. You’ll never have to worry about them slipping again.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Dentist Holding Teeth Hostage

I’m in a pickle. I’m losing my teeth. I know it’s my fault, but that doesn’t actually change my predicament. I need to replace them and asked for dentures because of cost. My dentist said he only placed dental implants and won’t give me dentures because of my age. I feel like my teeth are being held hostage by my dentist. Please tell me I’ll have alternatives.

Clarke R.

Dear Clarke,

An illustration of both a denture and a dental implant

While every dentist has the right to their practices treatment philosophy, I think this is unfair. Not everyone can afford the ideal. Instead, give patients their options. Tell them the pros and cons of their decision. Then, let them decide.

I will say one thing to your dentist’s credit, if you’re middle-aged or younger, he’s trying to save you from a devastating fate later. Once your teeth are removed, you body will begin reabsorbing the minerals in your jawbone to use elsewhere throughout your body. It does this because there are no longer any teeth roots and it perceives that as you not needing as much jawbone anymore.

The problem with this is your jaw begins to shrink. Your dentures just rest on the ridge of your jawbone, so after ten years or so there is no longer enough jawbone left to keep your dentures in. This is known as facial collapse and can derail your health. Without an ability to retain your dentures, you’ll be on a liquid diet.

Options to Complete Removable Dentures

Ideally, you’d get what’s known as implant overdentures. This allows you to anchor your dentures with about 4-6 dental implants per arch. There are quite a few benefits to this. No matter how well-fitted your dentures are, you lose about
50% of your chewing capacity. Having securely anchored dentures, gives you a normal chewing capacity again.

In addition to that, you no longer have to worry about them slipping or sliding. However, the biggest benefit is the prevention of the facial collapse I mentioned above. The implants serve as prosthetic tooth roots. This signals to your body that those minerals are still necessary.

However, I do realize not everyone can afford this option. In that case, my suggestion would be to get snap-on dentures. This allows you to get as few as two implants, which is much more affordable. It will keep your dentures from falling out and will preserve the bone near those two implants. As you can afford it, it will be incredibly beneficial for you to add implants.

This blog is brought to you by Salem Dentist Dr. Randall Burba.

Is it Too Late to Get a Pretty Smile?

I’ve had dentures for years. They have always looked fake but I knew they would be because they were dentures. Last week a friend of mine I hadn’t seen in a few years came to town and we had lunch together. Her smile was gorgeous. I couldn’t believe it. She said she got dental implants. I didn’t even know those existed. Is it too late for me to get them?

Mandy

Dear Mandy,

Mature couple smiling
You can have a gorgeous smile that feels good no matter what your age!

It’s never too late for a pretty smile. You should know that, with a great cosmetic dentist, you could have had a beautiful smile with dentures as well. It’s not the procedure in this case. It’s the dentist. However, you can’t change the past.

Dentures or Dental Implants

Truthfully, dental implants are by far the best choice when it comes to replacing their teeth. First, they’re permanently implanted so they’re completely secure. It’s like having healthy, natural teeth back in your mouth. You can eat whatever you want and brush and floss like you do with natural teeth.

They have a more important function, though. You’ve probably noticed your dentures don’t fit the same way they used to when you first received them. That’s because your jaw is shrinking. When your teeth were removed, your body recognized that and started resorbing the minerals in your jawbone to use elsewhere.

It won’t be long before you won’t be able to keep your dentures in place. This is known as facial collapse. Dental implants prevent that. The prosthetic roots placed into your jawbone tricks your body into thinking your natural teeth are still there and, as a result, leaves your jawbone intact.

If you decide to get dental implants, you’ll likely find you no longer have enough jawbone left to support them. However, that doesn’t mean you can’t get them. It means you’ll have to have an additional procedure first, called bone grafting.

Bone grafting is a simple, outpatient procedure. This will build up the bone structure so that your jawbone will be able to retain the implants.

Getting Beautiful Results No Matter What Procedure You Choose

As I mentioned above, the most important decision is to find a highly skilled and artistic cosmetic dentist. They can create something stunning that you’ll be proud to share with the world. You’ll never feel like you have an ugly smile again.

The easiest way to find one of those is to go to the website of the American Academy of Cosmetic Dentistry (aacd.com). They have a “find a cosmetic dentist” link. However, to get one with the expertise you need, you need to check that you want an accredited dentist, not just a member.

After you find a great cosmetic dentist, see which of them have experience with dental implants. You’ll want one with post-doctoral training in restorative dentistry.

Best of luck to you. This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Do Dentures Really Make Your Face Shrink?

My mother is losing her teeth. I’ve tried for years to get her to brush but she doesn’t like “how it feels”. Now she needs dentures. Of course, she doesn’t have dental insurance or money so I’m having to pay for her new teeth. I can barely afford these dentures and now the dentist tells me if I get them her face will shrink and instead I should get dental implants. They’re massively more expensive. However, I don’t want to damage my mother’s face. Is he right about the shrinking thing?

Annabelle C.

Dear Annabelle,

An illustration of both a denture and a dental implant

It is truly fantastic how you are looking out for your mother’s best interest, especially given she doesn’t seem to care about taking care of herself. What your dentist referred to with the dentures is known as facial collapse.

How it works is once your mother’s teeth are removed, her body will begin to resorb the minerals in her jawbone to use elsewhere. This is because her brain senses she no longer has teeth and assumes she doesn’t need the jawbone. It’s remarkably efficient. If only our government knew how to distribute resources where they’re actually needed.

The problem is after ten to twenty years, there’s very little jawbone left, which gives her face a squashed, older appearance. Additionally, it makes it impossible for her to keep her dentures in. He’s suggesting dental implants because the implants serve as teeth roots, which lets your brain know that jawbone is still a necessity. This prevents facial collapse.

Should Your Mother Get Dentures?

While dental implants are the better treatment, it doesn’t necessarily mean it’s the right treatment for your mother. I’m not just talking about the expense. My guess is your mother lost her teeth because of gum disease. If that’s the case, she’s not yet a candidate for implants. Gum disease causes tooth loss. It will also do the same to her dental implants.

Right now, dentures are the best thing for her. If you can convince her to take care of her oral health and get her gum disease thoroughly healed, then you can re-evaluate. However, there’s no point it getting an expensive procedure that will be guaranteed to fail.

This blog is brought to you by Salem, MA Cosmetic Dentist Dr. Randall Burba.

Is There a Dentures Support Group?

Please help me. I feel so foolish. It’s bad enough losing your teeth. But, being poor and losing your teeth is the absolute worst. I couldn’t afford to get dental implants, and yes, I know they’re better. I’m just stuck with dentures. I absolutely hate them. I don’t know if there’s a group or something which talks about how they deal with dentures, but I really need one.

Carolyn

Dear Carolyn,

An image of a snap-on denture
Snap-on Dentures will keep them secure

I’m not aware of a denture support group, but it sounds like a good idea. You might even be able to start one at your local dentist’s practice. I say that with confidence because you’re not alone in your feelings. Many people struggle with dentures.

Common Struggles with Dentures

One of the biggest complaints is it’s much more difficult to eat food. Many times that can be improved with a better fit of your dentures. However, there are limitations. Even the best fitting dentures still reduce your chewing capacity by 50%. Cutting your chewing capacity in half is a huge drop in quality of life.

Another problem is they slip and slide. Removable dentures are, by their very title, removable. Because there’s nothing anchoring them there, they will move. This will happen more and more as your jawbone shrinks, which is a devastating side effect of dentures known as facial collapse. Eventually, you won’t be able to keep them in at all.

I realize I’m not telling you anything you didn’t already know and you want solutions, so let’s move on.

A Snap-on Dentures Solution

Without having the money for dental implants, most patients feel hopeless, like they’re trapped. However, there is a sort of “part way” procedure that will help a little.

Generally, when you’re talking about implant supported dentures, you’ll need about six for each arch. However, with snap-on dentures, you can get as few as two. This can make a world of difference.

Benefits of Snap-on Dentures

The most obvious benefit is they cannot fall out. The implants anchor the dentures to your mouth securing them so you’ll never have to worry about embarrassing public slips.

They’ll help you retain your jawbone where the implants were placed.

They give you a stop gap while you work toward more implants. Obviously, the more implants you have the better, but starting with two gives you hope, a bit of relief, and a place to start.

Our life circumstances change all the time, and there may come a time you can afford to get more implants. This also allows you to save up a bit at a time and you can add two implants in stages as you’re able, until you have the security and chewing capacity you want.

This blog is brought to you by Salem Dentist Dr. Randall Burba.

My Husband’s Dentures Hurt

I don’t know what to do for my poor husband. He had to get dentures because he lost his teeth, but he absolutely cannot wear them. They hurt. The dentist keeps telling us he’ll adjust to them but he hasn’t. Now it’s getting impossible for him. Is there any way to help him?

Lena

Dear Lena,

Mature couple smiling
You can have a gorgeous smile that feels good no matter what your age!

It’s a shame your dentist hasn’t been more helpful to you. It doesn’t sound like he’s even tried to make any adjustments on your husband’s dentures. That’s the first thing I’d do. However, from what you’ve said, it sounds like you’ll need to see a different dentist to do it. One who is compassionate about his patients. Sometimes, all it takes is some small adjustments and all that pain goes away.

You should be aware, while many patients do fine with dentures. Others spend a lifetime hating them. I don’t know where your husband will fall in that spectrum. Do you know if your dentist told him about options before giving him dentures? Technically, he’s obligated to present all options, but I’m not feeling complete confidence in the thoroughness of your dentist at the moment.

A Helpful Option to Dentures

If adjustments don’t help him, you may have him look into switching to implant overdentures. These anchor his dentures to a series of dental implants, usually four or six. Aside from him never having to deal with the friction of dentures. They’re perfectly secure.

They have a more important function as well. With each passing year, your husband’s jawbone is shrinking. The reason for that is the loss of his teeth roots. When his extractions took place his body recognizes he no longer needs the bone support for his teeth, so it resorbs the minerals from the jawbone to use elsewhere in his body. This leads to a condition known as facial collapse. Eventually, he’ll have so little bone left he won’t have a way to keep his dentures in.

Having implants placed will help his body to understand that bone is still necessary. That will completely save him from losing his jaw bone and giving him a lifetime of healthy tooth replacements. They’ll look and function just like his natural teeth did when they were healthy.

There are other options as well. The key for you guys is finding a dentist which you believe in and can trust. Then ask him to give you all your options.

This blog is brought to you by Salem Cosmetic Dentist Dr. Randall Burba.