Solutions for Loose Dentures: What to Do When They Don't Fit Right - Dentistry

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The denture has been reattached but the occlusion is not tight?


Due to the tooth extraction, the adjacent dental crown came off.
After removing the cotton and returning home, I realized that the bite is not tight and feels awkward.
This morning, I visited a nearby dental clinic to see if it could be re-cemented.
The dentist replied that it seems to be permanently bonded and cannot be re-cemented.
Could you please advise on any solutions, or am I really left with a loose bite while eating?

Ci, 20~29 year old female. Ask Date: 2021/10/27

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to first return to the original dental clinic to confirm, as previous X-rays can help determine if the dental crown is loose or if there have been any changes in occlusion.
Additionally, if it is necessary to remove the dental crown, it is advisable to wait until the extraction site has initially healed before proceeding.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/10/27

More Info


When dealing with loose dentures or ill-fitting dental crowns, it can be a frustrating experience that affects both your comfort and your ability to eat and speak properly. Here are some potential solutions and considerations to address the issues you are facing.


Understanding the Problem
Loose dentures can result from several factors, including changes in the shape of your gums and jawbone after tooth extraction, improper fitting of the dentures, or wear and tear over time. If your dental crown has come loose or does not fit correctly, it may be due to the same reasons or could indicate that the underlying tooth structure has changed.


Immediate Solutions
1. Temporary Adhesives: If your denture or crown is loose, you might consider using over-the-counter dental adhesives. These products can provide temporary relief and help keep your dentures or crowns in place until you can see a dentist. However, this is not a long-term solution and should be used with caution.

2. Consulting a Dentist: Since you mentioned that a nearby dentist indicated that your crown might be "stuck" and cannot be reattached, it is crucial to seek a second opinion. Different dentists may have varying approaches to treatment. A dentist with experience in prosthodontics (the area of dentistry that deals with crowns, bridges, and dentures) may offer more options.

3. Re-evaluation of Fit: If your dentures or crowns are not fitting correctly, a thorough re-evaluation is necessary. This may involve taking new impressions of your mouth to create a better-fitting prosthetic. If the crown is indeed irreparable, a new crown may need to be fabricated.


Long-term Solutions
1. Denture Adjustment: If your dentures are loose, they may need to be adjusted or relined. A dentist can add material to the inside of the denture to improve the fit against your gums. This is often a straightforward procedure that can significantly enhance comfort and function.

2. Implant-supported Dentures: For those who experience chronic issues with loose dentures, dental implants may be a viable long-term solution. Implants can provide a stable foundation for dentures, preventing them from shifting during eating or speaking.

3. Regular Dental Visits: Maintaining regular check-ups with your dentist is essential, especially after tooth extractions or when you receive new dentures or crowns. Regular visits allow your dentist to monitor the fit and make necessary adjustments before problems escalate.

4. Oral Hygiene: Good oral hygiene is crucial for the longevity of your dentures and crowns. Ensure you clean your dentures daily and maintain the health of your gums and any remaining teeth. This can help prevent further complications and ensure a better fit.


Conclusion
In summary, if you are experiencing issues with loose dentures or ill-fitting crowns, it is essential to seek professional dental advice. Temporary solutions like dental adhesives can provide short-term relief, but a long-term solution will likely require a visit to a qualified dentist who can assess the situation and recommend appropriate treatments. Whether it involves adjusting your current dentures, creating new crowns, or exploring options like dental implants, addressing these issues promptly can help restore your comfort and functionality. Remember, your oral health is vital, and finding the right dental care is key to achieving the best outcomes.

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