Tag Archives: Salem 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.

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 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.

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.

Can Dentures Be Attractive?

Everyone I know who have dentures have an ugly smile. I’m losing my teeth and need to replace them. I am going to save up for dental implants, but in the meantime I need dentures. I don’t want an ugly smile. Is there a way to get attractive, normal looking dentures?

Kevin

Dear Kevin,

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

Yes, you can certainly have an attractive smile with dentures. It’s not the procedure which makes the difference in appearance, but the dentist. In order to have a natural and attractive smile, you need to see a cosmetic dentist with a lot of expertise.

There are different levels of artistry in cosmetic dentists, just like there are better and worse painters and sculptors. Any art is a skill which takes both technical skill, natural talent, and lots of practice. So, how do you find such a dentist?

I suggest you look for a dentist who has reached accreditation level with the American Academy of Cosmetic Dentistry. AACD accredited dentists are in the top 1% of expert cosmetic dentists in the world.

Transitioning from Dentures to Dental Implants

I’m sure your dentist has explained the dangers of dentures to you and that’s why you’re saving up for dental implants. One thing you could do starting out is to get snap-on dentures. This can be done with as few as two dental implants and will at least get you started.

Make sure that whoever you go to for your dentures also has some expertise in dental implants as well, especially because you’re going to be transitioning. They can do your snap-on dentures or even complete removable dentures in a way that will make the process easier.

The Danger of Dentures

In case your dentist didn’t explain why implants are the better option I’m going to put it here for you and for the benefit of others. Once you remove your teeth, your body will begin reabsorbing the minerals in your jawbone to use elsewhere throughout your body. This causes your jawbone to begin shrinking. Eventually, you won’t have enough jawbone left to even retain your dentures, making it nearly impossible for you to eat. This process is known as facial collapse.

Dental implants prevent facial collapse because the root form tricks your body into thinking you still have natural teeth there and it leaves the mineral in place, saving your jaw bone structure.

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

Will I Have to Have Surgery for Dentures?

I’m trying to figure out whether or not to get dentures or dental implants. I hate the idea of surgery so was leaning toward dentures. But, wonder if they require surgery too.

Jack B.

Dear Jack,

An illustration of both a denture and a dental implant

I think when it comes to deciding between two procedures, I’d first look at the long-term effects. Once you know how they’ll affect your quality of life, then you can weigh that against placement procedures.

Dentures Versus Dental Implants

Dentures are a removable tooth replacement option. The top arch stays in by suction. The bottom arch sits on the ridge of your jawbone. They have several “downsides” but I’ll just give the biggest. Once your teeth are removed, your body will reabsorb the minerals once used by your jawbone to help you keep the roots of your teeth in place. Without those minerals, your jawbone will begin to shrink. After a while, you’ll lose so much bone that you won’t have enough to keep in your dentures. This is known as facial collapse because of the way it makes your face look shrunken and prune-like.

Dental Implants are permanent. Prosthetic root forms, either titanium or zirconia, will be surgically implanted into your jawbone. After a period of healing you’ll have dental crowns placed on top. Aside from the obvious benefits of being just like having your natural, healthy teeth back, implants preserve your jawbone. No matter how many years you have them, they’ll protect you from facial collapse.

Surgery for Dentures

While dentures don’t require the same surgery as dental implants, you are talking about a major extraction. You have to extract all your teeth. This, like dental implants, also requires a healing period of 8 weeks or so.

There are two types of dentures you can get that affect the surgery.

Immediate dentures These are placed right after the teeth are extracted, having two benefits. First, you can walk out the office with your new smile intact. Second, it helps reduce the swelling and bleeding that occurs after having a major teeth extraction. The downside is they’re usually more expensive than conventional dentures because they take more time to make. You’re also required to have more follow-up visits, which are necessary to make adjustments.

Conventional Dentures These require you wait for about eight weeks after the extraction procedure for placement. However, they do tend to fit better than immediate dentures. During the healing process, your tissue will shrink and the immediate dentures will become loose. To aid with that, a soft temporary reline material is placed on the denture for refitting. It takes about six months for your month to completely heal after the extractions and at this time a more permanent reline or new denture is needed.

As you can see, either procedure requires extensive work. So, as I mentioned earlier, ask yourself which one has the best quality of life experience after they’re placed. The answer to that is definitely dental implants.

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

What Would Getting Dentures Entail?

I’m losing my teeth and making some decisions about what to do next. What would it entail to get dentures? Do they put you out and then take out all your teeth at once? Do you get the dentures right away?

Carla

Dear Carla,

Dentures

I’m sorry you’re facing this decision. I know how heartbreaking it can be. I’ll answer your question about dentures, but before you make a decision I want to be certain you know your options other than full dentures.

Options to Full Removable Dentures

Dental Implants

illustration of a dental implantIf you’re removing all your teeth, ideally you’d get dental implants. As you can see from the illustration at the left, it implants a prosthetic root into your jawbone. This is why dental implants are so useful. They’re much more stable than other options. You can eat and brush/floss as you normally would with your normal, healthy teeth.

However, their biggest benefit is the prevention of facial collapse. When your teeth are removed, your body immediately begins to reabsorb the minerals in your jawbone to distribute elsewhere throughout your body where they’re more needed. It’s efficient, but the result will be you won’t have enough jawbone left to retain a denture. Dental implants prevent that.

Implant Retained Dentures

dental implants anchoring denturesVery few people can afford to get an implant placed on every tooth. However, implant supported dentures are another option which is more do-able financially. With these, your dentist will place an implant in even distribution throughout your bite. When that’s completed, he can anchor your dentures to them. You get the benefit of preserving a good deal of bone along with having your dentures secure in your mouth.

Obviously, the more implants you can afford to place the better, but this can be done with as few as two implants, which are called snap-on dentures.

How Are Removable Dentures Placed?

First, the teeth are extracted. Some people prefer to have dental sedation for this part of the procedure. This way they can sleep through the procedure if they’d like. Others prefer just to use a local anesthetic. It’s completely up to the patient. Once that is completed, the next step depends on the type of dentures you decide on.

Immediate Dentures

These can be placed as soon as your teeth are removed. The benefit is you can walk out with a full set of “teeth”. They tend to end up being a bit more expensive because they require more follow-up visits and adjustments.

Conventional Dentures

These are placed about eight weeks after extraction. The benefit is they tend to fit better, requiring less adjustment. The obvious drawback is the wait to have a smile.

Discuss these options with your dentist. I’m sure the two of you can come up with what works best for your lifestyle and budget.

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

What Are Implant Dentures?

I wanted to get dental implants but couldn’t afford it. My sister told me there’s something called implant dentures that don’t cost as much. Is that true?

Luke M.

Dear Luke,

dental implants anchoring dentures

What your sister is referring to is using dental implants to anchor your dentures. It’s very useful in allowing you to build up to the number of implants you’d like but can’t afford in the beginning. You can get this with as few as two implants, using snap-on dentures.

There are important benefits to this above just using straight dentures. When your teeth are removed your body begins to reabsorb the minerals to use elsewhere where they’re more needed. While very efficient, it does mean you’ll be losing most of your jawbone. Not only does this make you look years older, but eventually you won’t even have enough jawbone left to retain your denture. This process is known as facial collapse.

Advantages of Implant Supported Dentures

  • Prevents facial collapse
  • Keeps your dentures from slipping
  • Gives you time to save up for more implants

I’m concerned you’re having to get alternative treatment advice from your sister. A good dentist doesn’t just tell you the ideal treatment. He also tells you about all the alternative treatments along with their pros and cons. For instance, below I’ve pasted a screenshot of Dr. Burba’s submenu for dental implants. You’ll notice he would go through quite a few options with patients and not just expect them to go for the high-end treatment.

list of tooth replacement options

If you need to replace teeth, which is a huge and advanced undertaking, I’d like you to get a second opinion with someone who will tell you what your options are.

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

Dentist Humiliated Me about the Condition of My Teeth?

I’m beyond humiliated. I haven’t been to the dentist in years because of finances. Though, I do try hard to take care of my teeth. I brush twice a day and floss every night. Yet, when I went to the dentist there was a LOT wrong with my teeth. That was bad enough, but when I asked him how I could spread out the treatment because I couldn’t afford everything he suggested he started yelling at me and telling me how irresponsible I’ve been about my teeth. He said if I care that little about them why don’t I just have them all extracted and get dentures. Then I’d not have to do anything for them. Then he stormed out. The office has an open floor plan so everyone in the entire clinic heard him. I was absolutely horrified and left in tears, without even paying because I was too embarrassed to stop. What do I do? Are dentures my only option if I can’t afford to get the work done? I’m only 37. It sounds horrifying to wear dentures at my age.

MaryAnne E.

Dear MaryAnne,

You certainly don’t deserve to be treated the way that dentist treated you, even if you hadn’t been taking care of your teeth, which you’ve obviously tried to do. When you haven’t been to the dentist in a while, it’s normal for you to need a lot of work done. Your dentist should have been happy to list it out for you in staged treatment lists.

Result of dentures

Whatever you do, don’t remove all of your teeth and replace them with dentures, especially at your age. When all your teeth are removed, your body begins reabsorbing the minerals in your jawbone to use elsewhere throughout your body. It’s remarkably efficient the way our body works. The problem comes in about ten or twenty years. You’ll only be in your 40s and you’ll no longer have enough jawbone left to even support dentures. Not to mention your face will take on a squashed appearance making you look two decades older than you are, as you can see from the illustration above.

My suggestion would be to get a second opinion from another dentist; preferably one who’s known for their kind manner to their patients. You can often find that kindness from dentists who work with fearful patients. Many patients with dental anxiety avoid the dentist for years. When they finally come back they don’t want to be judged or lectured. Neither do you.

When you go, have the dentist list out everything that needs to be done in order of importance. It’s important you save as many teeth as possible. Those which can’t be saved, it would be better to replace them with dental implants instead of dentures. These help to retain your jawbone.

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