Issues with Your New Dentures: What to Do Next - Dentistry

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The dentures are ready... but..?


Hello, Doctor.
I had a prosthetic front tooth placed by my dentist, and after it was installed, I noticed that the inner side has a protrusion that feels different from the left and right teeth.
Let me describe the situation: 1.
Normally, when my tongue touches my teeth, it feels like my gums are pressing outward and downward against the teeth.
However, with my prosthetic tooth, it feels like it is pressing downward and inward against the protrusion of the prosthetic.
2.
When I smile, my natural teeth touch the inside of the prosthetic front tooth.
Is this normal? Could this cause wear on the lower teeth? I would like to ask the doctor how to address these two issues.
The dentist mentioned that they could grind it down, but that would affect the structure.
So what should I do? Isn't it the responsibility of the dentist and the technician to create a proper prosthetic? Why do I have to deal with this issue as a layperson? I'm feeling quite helpless...
Please respond, I would greatly appreciate it.
:)

Fei De Kai Te, 20~29 year old female. Ask Date: 2005/02/14

Dr. Zeng Guanghui reply Dentistry


The function of dentures is to restore normal occlusal function in areas where teeth are missing.
The fabrication of dentures involves a complex process that includes tooth preparation, impression taking, casting, and try-in.
During these processes, some discrepancies may inevitably occur.
Therefore, after the dentures are completed, a series of adjustments are necessary, including occlusal adjustments and try-ins.
It is recommended that if any issues arise after the dentures are placed, patients should consult their dentist for adjustments to restore the intended function of the dentures.

Reply Date: 2005/02/14

More Info


When dealing with issues related to new dentures, especially when they don't fit properly, it's essential to approach the situation methodically. Your concerns about the fit and feel of your new dentures are valid, and it's important to address them to ensure both comfort and functionality.

1. Understanding the Fit: The sensation of your tongue touching the denture in an unusual way, as you described, indicates that the denture may not be properly contoured to your mouth. Ideally, dentures should mimic the natural contours of your gums and teeth, allowing for a comfortable fit. If you feel a protrusion or an unusual bump, it could be a sign that the denture needs adjustment. The fact that your natural teeth are hitting the denture when you smile is also a concern, as this can lead to wear on both the denture and your natural teeth over time.

2. Consulting Your Dentist: It's crucial to communicate your discomfort clearly with your dentist. While they may have suggested that adjustments could affect the structure of the denture, it's important to weigh that against the discomfort and potential damage to your natural teeth. Dentists and dental technicians are trained to create and adjust dentures, and they should be willing to work with you to find a solution that minimizes discomfort while maintaining the integrity of the denture.

3. Adjustment Options: If your dentist suggests that grinding down the denture could compromise its structure, ask for clarification on what that means. Sometimes, minor adjustments can be made without significantly affecting the denture's strength or fit. If the protrusions are causing pain or discomfort, they should be addressed. You might also consider seeking a second opinion from another dentist who specializes in prosthodontics, as they may have different techniques or solutions for your situation.

4. Long-term Considerations: It's important to remember that the process of getting used to dentures can take time. However, if you consistently experience discomfort or if the fit seems off, it’s not something you should have to endure. Dentures should enhance your quality of life, not detract from it. If adjustments do not resolve the issues, you may need to discuss the possibility of remaking the dentures to better suit your mouth.

5. Preventing Future Issues: Once you have a satisfactory fit, maintaining good oral hygiene is crucial. Regular check-ups with your dentist will help ensure that your dentures remain in good condition and that your gums stay healthy. Additionally, if you notice any changes in how your dentures fit over time, don't hesitate to reach out to your dentist.

In summary, your discomfort with your new dentures is a legitimate concern that should be addressed promptly. Open communication with your dentist about your issues, seeking adjustments, and possibly getting a second opinion are all steps you can take to ensure that your dentures are comfortable and functional. Remember, the goal of dental prosthetics is to restore your ability to eat, speak, and smile confidently, and you deserve a solution that meets those needs.

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