Many people who have bad teeth think that the best alternative is to get the teeth extracted and go for the complete denture. But afterwards majority of them regret. It is not easy to adjust the complete dentures that too without the implants. Here we are talking about the complete upper and lower dentures which take support from the bone. The chewing efficiency of the dentures as compared to the natural teeth is just 10 %. Along with that there are other problems which one has to face. Some problems are self limiting that is with time either the patient gets used to them or the dentures adjust. The main problems associated with complete dentures as discussed along with remedial measures to mitigate the effects of the problems are enlisted as under.
Increased Salivation- after the insertion of dentures there is increased salivation as the denture acts as the foreign body but this problem is there for 12 to 24 hours after that mouth becomes used to the denture and slowly this problem is not there.
Sore Spots - it is another common problem as the denture compresses the soft tissue of the mouth and some times sore spots develop. It needs some adjustments. The dentist does the adjustments where the sore spots are there and this problem is taken care of
Gagging- it is another common problem. Some times the gagging is due to the thick dentures or the over extended dentures. In such cases the problem of gagging is solved by either reducing the thickness of the denture or by reducing the over extended part of the denture. But some times the gagging is because of psychological reasons like the patient cannot wear the denture. It is difficult to overcome that. In such cases palateless dentures with implants are recommended.
Difficulty in Keeping Dentures in Place- it is another common problem faced by denture wearers especially with the lower dentures. The dentures are kept in place by stability, support and the retention. Stability prevents the movement of the denture in the horizontal direction. Support prevents the movement of the denture towards the arch in vertical direction and retention prevents the movement of the denture in vertical direction but away from the arch on which the denture is put. The lower denture is kept in place mainly by the support and the stability which is provided by thickness of the ridge and the technique. If the lower ridge is resorbed and cannot provide sufficient support or stability then it is difficult to keep the lower denture in mouth. In such cases implants are put to provide the stability and support. Normally in case of upper denture there is no problem in retaining the dentures as enough support, stability and retention is there.
There can be hordes of complications if the denture is not made properly as many steps are involved in it. Some times the impression is not proper or the jaw relations are not recorded properly. If the impressions are not proper then the denture can be too loose or it can impinge even after the adjustments. If the jaw relations are not recorded properly then some times the upper and lower teeth do not meet. In such cases the denture is very uncomfortable. It impinges the tissue and the patient can not chew any thing. If such is the case then the denture should be remade.
As the denture making and its adjustment is a complicated thing, it is recommended that the denture should be made from the specialist. The specialists who make the dentures are called prosthodontist.