The height of a temporary denture refers to its vertical dimension or how tall the denture is when placed in the mouth. This measurement is crucial for
Hello Dr.
Lin, I am having a temporary crown placed on my upper left molar.
During the procedure, the dentist asked me if it felt too high.
Could you please clarify what is meant by "too high"? Does it refer to the temporary crown on the upper left being too close to the opposing lower tooth, or does it mean that the temporary crown is too far away from the opposing lower tooth? I'm a bit confused, as this is my first time getting a crown on my upper left tooth, and I'm not quite sure about the concept of height.
Thank you very much for your help!
pinggu, 30~39 year old female. Ask Date: 2021/09/05
Dr. Lin Jiayong reply Dentistry
Hello: Ideally, there should be occlusal contacts on both sides of the teeth, with three occlusal contacts on each tooth.
However, adjustments may be necessary based on the patient's individual dental alignment, presence of missing teeth, occlusal habits, and other factors.
If the patient is unable to confirm this at the moment, it is recommended to try eating and biting at home, and also to observe if there are any signs of bruxism or teeth grinding during the night or when feeling tense.
Upon returning for a follow-up appointment in a week, please inform the dentist of any discomfort, and further consideration can be given to whether adjustments or a remake of the temporary dentures is needed.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/09/05
More Info
When it comes to temporary dentures, particularly in the context of your upper left molar, the term "too high" can refer to a few different aspects of the denture's fit and alignment. In dental terminology, the height of a denture is crucial for proper occlusion, which is the way your upper and lower teeth come together when you bite down.
1. Occlusal Height: When your dentist asks if the temporary denture feels "too high," they are primarily concerned with how the denture interacts with the opposing teeth (in your case, the lower teeth). If the upper denture is too high, it means that when you close your mouth, the upper denture is positioned too close to the lower teeth, potentially causing discomfort or an improper bite. This can lead to issues such as jaw pain, difficulty chewing, or even damage to the opposing teeth.
2. Vertical Dimension: The height of the denture also relates to the vertical dimension of occlusion (VDO). This is the space between the upper and lower jaws when the teeth are in contact. If the temporary denture is too high, it can increase the VDO, which may feel unnatural and can lead to muscle strain in the jaw. Conversely, if the denture is too low, it can decrease the VDO, leading to a collapsed bite and potential issues with facial aesthetics.
3. Comfort and Functionality: A properly fitted temporary denture should feel comfortable and allow for normal function, including speaking and chewing. If the denture is too high, it may interfere with these activities, causing you to adjust your bite unconsciously, which can lead to further discomfort or complications.
4. Adjustment Period: It’s also important to note that there is often an adjustment period when you first receive a temporary denture. Your mouth may need time to adapt to the new height and shape. However, if you consistently feel that the denture is too high or uncomfortable, it’s essential to communicate this with your dentist. They can make necessary adjustments to ensure a proper fit.
5. Communication with Your Dentist: Since this is your first experience with a temporary denture, it’s crucial to maintain open communication with your dentist. If you have any discomfort or uncertainty about the fit, don’t hesitate to express your concerns. Your dentist can provide guidance and make adjustments to enhance your comfort and the functionality of the denture.
In summary, when your dentist refers to the denture being "too high," they are primarily concerned about the occlusal relationship between your upper and lower teeth. It's essential for the temporary denture to be at the correct height to ensure comfort, proper function, and a natural bite. If you have any doubts or discomfort, discussing these with your dentist will help ensure that your temporary denture is adjusted to meet your needs effectively.
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