Dealing with Dentures: When Your New Smile Looks Overdone - Dentistry

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The dentures are fitted but have become misaligned?


Dear Dr.
Tseng: Today I went to try on a partial denture, and when the doctor showed me in the mirror, I was shocked to see how it looked like a big overbite.
The doctor said it was supposed to look like that and that I would get used to it, but I really can't accept it.
It looks very unattractive, and I don't know what to do.

Alon, 50~59 year old female. Ask Date: 2023/11/28

Dr. Zeng Guanghui reply Dentistry


Hello Mr.
Alon: If it is a porcelain crown, the thickness will be greater, and since the amount of tooth reduction is relatively small, the resulting crown will be slightly larger than the original tooth.
It is recommended to discuss the treatment plan further with your attending physician.
Dr.
Tseng Guang-Hui, Nantou Hospital Dental Department.

Reply Date: 2023/11/28

More Info


Dealing with dentures can be a challenging experience, especially when the final result does not meet your expectations. It’s not uncommon for patients to feel that their new smile looks overdone or unnatural. This can be particularly distressing if the dentures appear larger or more prominent than your natural teeth. Here’s a comprehensive approach to address your concerns and what steps you can take moving forward.


Understanding the Issue
When you receive dentures, particularly partial dentures, the goal is to restore functionality and aesthetics. However, the process can sometimes lead to results that feel exaggerated or not in harmony with your facial structure. This can be due to several factors, including:
1. Size and Shape of the Dentures: Dentists often aim to create a smile that looks full and youthful, which can sometimes result in a size that feels too large for your mouth.

2. Adjustment Period: It’s important to remember that there is an adjustment period when you first receive dentures. Your mouth and facial muscles need time to adapt to the new structure.

3. Expectations vs. Reality: Sometimes, the expectations of how dentures will look can differ from the reality, especially if there was a significant change in the dental structure.


Steps to Take
1. Communicate with Your Dentist: The first step is to have an open and honest conversation with your dentist about your concerns. Explain specifically what you find unappealing about the dentures. Is it the size, the shape, or the color? Clear communication can help your dentist understand your aesthetic goals.

2. Request Adjustments: Dentists can often make adjustments to the dentures. This might include reshaping the teeth, altering the size, or even changing the color to better match your natural teeth. Don’t hesitate to ask for modifications until you feel satisfied with the appearance.

3. Consider 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. Different dentists may have varying approaches and techniques that could yield a more satisfactory result.

4. Explore Alternative Options: If partial dentures are not providing the aesthetic results you desire, consider discussing other options such as dental implants or bridges. These alternatives can sometimes offer a more natural look and feel, although they may involve different costs and procedures.

5. Give It Time: As mentioned earlier, there is an adjustment period. Sometimes, what feels uncomfortable or unattractive initially can become more acceptable as you get used to the new dentures. However, if after a reasonable period you still feel dissatisfied, it’s important to revisit the conversation with your dentist.


Costs and Time Considerations
The costs associated with adjustments or replacements can vary widely depending on your location, the complexity of the changes, and the materials used. Generally, adjustments may be less expensive than a complete remake of the dentures. It’s advisable to discuss the financial aspects with your dentist upfront to avoid any surprises.

In terms of time, adjustments can often be made in a single visit, while a complete remake may take several weeks, including fittings and adjustments.

Conclusion
Feeling uncomfortable with your new dentures is a valid concern, and it’s important to address it promptly. Open communication with your dentist is key to finding a solution that works for you. Remember, your comfort and satisfaction are paramount, and there are various options available to help you achieve a smile that you feel confident about. Don’t hesitate to advocate for your needs and explore all available avenues to ensure that your new smile enhances your overall appearance and self-esteem.

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