Discomfort After Getting Fixed Dentures: Common Issues and Solutions

Q: Discomfort After Getting Fixed Dentures: Common Issues and Solutions

Hello： If the issue is related to the material of the dentures, it usually presents as localized symptoms such as redness, swelling, allergic reactions, or gum recession. <br>However, the conditions you described seem to be more general, resembling issues related to occlusal adju

After the placement of fixed dentures?

There are a total of 12 fixed dentures installed on both the upper and lower sides.
After the dentures were placed, I felt that my teeth were tight, making it very uncomfortable to eat, and I also had difficulty swallowing saliva.
Every time I go for adjustments, I feel strange sensations in my teeth again after two days.
I have gone back and forth for repairs many times, but the problem remains the same.
Each denture costs 4,000 NT dollars and is said to be a porcelain crown, but I am concerned about whether the material is of poor quality.

Dong Yaozhi, 40~49 year old female. Ask Date: 2021/09/21

Dr. Lin Jiayong reply Dentistry

Hello: If the issue is related to the material of the dentures, it usually presents as localized symptoms such as redness, swelling, allergic reactions, or gum recession.
However, the conditions you described seem to be more general, resembling issues related to occlusal adjustments or masticatory muscle coordination.
It is advisable to consult your original dentist for further adjustments.
If there is no improvement, you should seek further evaluation at a dental prosthetics department in a medical center.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/09/21

More Info

Discomfort after getting fixed dentures, such as crowns or bridges, is a common issue that many patients experience. The situation you described, where you feel tightness and discomfort while eating or even swallowing, can be attributed to several factors. Here’s a comprehensive overview of potential causes, solutions, and considerations regarding your fixed dentures.

Common Issues with Fixed Dentures
1. Improper Fit: One of the most common reasons for discomfort is that the dentures do not fit properly. This can happen if the impressions taken for the dentures were not accurate, or if there have been changes in the shape of your gums or jawbone since the impressions were made.

2. Occlusal Issues: If the bite (occlusion) is not properly aligned, it can lead to discomfort when chewing or even at rest. This misalignment can cause pressure on certain teeth, leading to pain or discomfort.

3. Material Sensitivity: Some patients may have sensitivities or allergies to the materials used in the dentures, such as certain metals or porcelain. This can lead to discomfort or an unusual feeling in the mouth.

4. Gum Irritation: The presence of fixed dentures can sometimes irritate the gums, especially if they are not polished properly or if there are rough edges. This irritation can lead to inflammation and discomfort.

5. Adjustment Period: After getting fixed dentures, there is often an adjustment period where your mouth needs to get used to the new appliances. However, if discomfort persists beyond a few days, it may indicate a problem that needs addressing.

Solutions to Consider
1. Re-evaluation by the Dentist: If you are experiencing ongoing discomfort, it is crucial to return to your dentist for a thorough evaluation. They may need to take new impressions or adjust the current dentures to ensure a better fit.

2. Occlusal Adjustments: Your dentist can perform occlusal adjustments to ensure that your bite is aligned correctly. This may involve grinding down certain areas of the dentures to relieve pressure points.

3. Material Review: Discuss with your dentist the materials used in your fixed dentures. If you suspect that you might be sensitive to certain materials, ask about alternatives that may be more suitable for you.

4. Gum Care: Maintaining good oral hygiene is essential, especially with fixed dentures. Ensure that you are cleaning around the crowns and bridges properly to avoid gum irritation. Your dentist may recommend specific cleaning aids or techniques.

5. Temporary Solutions: If the discomfort is severe, your dentist may suggest temporary solutions, such as using dental wax to cushion areas that are causing pain until a more permanent solution can be found.

6. Seek a Second Opinion: If you feel that your concerns are not being adequately addressed, it may be beneficial to seek a second opinion from another dental professional. They may provide insights or solutions that your current dentist has not considered.

Conclusion
In summary, discomfort after getting fixed dentures can stem from various issues, including improper fit, occlusal misalignment, material sensitivities, and gum irritation. It is essential to communicate openly with your dentist about your discomfort and seek adjustments or alternative solutions as needed. Remember that while some discomfort can be normal during the adjustment period, persistent issues should be thoroughly investigated to ensure your dental health and comfort. If you continue to experience problems, do not hesitate to seek a second opinion to explore all available options for relief.

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