Swelling Under Dentures: Should You Switch to Permanent Adhesive? - Dentistry

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Swelling observed beneath the dentures (gums)?


Hello doctors, I have five dentures (a continuous denture) installed in the lower right area.
Due to my busy schedule, I haven't been able to perform a proper bonding procedure and have been using temporary adhesive for three years.
Recently, I noticed swelling under the denture (in the gums).
Should I proceed with the permanent bonding to improve the situation?

dada, 30~39 year old female. Ask Date: 2005/08/30

Dr. Yuan Ziming reply Dentistry


If swelling is found beneath the dentures, they should be removed.
After identifying and addressing the source of the issue, the dentures can then be properly reattached.

Reply Date: 2005/08/30

More Info


Swelling under dentures can be a concerning issue, especially after wearing temporary adhesives for an extended period, as you have described. It is crucial to address this situation promptly to avoid further complications. Here’s a comprehensive overview of your situation and recommendations based on medical knowledge.


Understanding the Issue
The swelling you are experiencing under your dentures could be due to several factors, including irritation from the temporary adhesive, pressure from the dentures themselves, or even an underlying infection. Temporary adhesives are not designed for long-term use, and they may not provide the necessary support or comfort that permanent adhesives offer. Over time, the lack of proper adhesion can lead to movement of the dentures, which can irritate the gums and cause inflammation or swelling.


Importance of Switching to Permanent Adhesive
1. Improved Stability: Permanent adhesives are formulated to provide a stronger bond between the dentures and your gums. This stability can help prevent the dentures from shifting, which is crucial for comfort and function. When dentures move, they can cause friction and irritation, leading to swelling and discomfort.

2. Better Fit: Over time, the shape of your gums may change due to bone resorption or other factors. A permanent adhesive can accommodate these changes better than a temporary one, ensuring a more secure fit. This fit is essential for preventing food particles from getting trapped under the dentures, which can lead to irritation and swelling.

3. Reduced Risk of Infection: If the swelling is due to an infection, it is vital to switch to a permanent adhesive as soon as possible. Temporary adhesives can trap bacteria and food particles, exacerbating the problem. A proper fitting denture with a permanent adhesive can help minimize these risks.

4. Comfort: Permanent adhesives are designed to be more comfortable for long-term wear. They can help alleviate the discomfort associated with temporary adhesives, which may not adhere well and can cause sore spots on the gums.


Recommendations
1. Consult Your Dentist: Before making any changes, it is essential to consult with your dentist. They can assess the swelling and determine the underlying cause. If there is an infection, it may need to be treated before switching adhesives.

2. Consider Professional Fitting: If you have not had your dentures professionally fitted in a while, it may be beneficial to have them adjusted. A proper fit can significantly reduce irritation and swelling.

3. Switch to Permanent Adhesive: If your dentist agrees, transitioning to a permanent adhesive can help improve your situation. They can recommend the best product for your specific needs.

4. Maintain Oral Hygiene: Ensure you are maintaining good oral hygiene. Clean your dentures regularly and follow your dentist's recommendations for care. This practice can help prevent infections and other complications.

5. Monitor Symptoms: After switching to a permanent adhesive, monitor the swelling and any other symptoms. If the swelling persists or worsens, return to your dentist for further evaluation.


Conclusion
In summary, switching to a permanent adhesive is likely to improve your situation regarding the swelling under your dentures. However, it is essential to consult with your dentist to ensure that there are no underlying issues that need to be addressed first. Proper fitting and care of your dentures are crucial for maintaining oral health and comfort. Taking these steps can help you achieve a better quality of life with your dentures.

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