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FAQ:  Immediate Dentures


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Immediate Dentures Ask The Prosthodontist Chris McFarland Question:
I got full immediate dentures 3 months ago. The technician has 52 years experience.

No matter what he does, my top teeth don't stay in place. The molds are so tight I can't get them out, need to use my fingernails.

They were relined with great precision, and they fall straight out. This has happened 9 or 10 times now. He has tried everything he knows, and is determined not to give up, but we are both at our wits end.

He is at a loss and I am going crazy with them. I really don't want to have implants. Any suggestions please? ... Visitor from New Zealand

Answer:
Nothing is more frustrating for a Prosthodontist than the denture that won't stay in. There are always a couple of things to try.

First is the length of the denture. It has to develop a seal at the junction of the hard and soft palate. If it is tight when you first put it in and drops without you bringing the teeth together, then the seal is bad.

I use a functional impression material that you wear in the denture for a period of time, even days, to develop the final seal across the palate.

If the denture drops under function it can be either the bite being off or the borders are over extended. Again, I would cut back the borders, have you wear the functional impression material, and see what happens.

Worst case is that you simply have unsufficient bone to retain the denture. This happens and for a new denture wearer, it's awful. You may need to use adhesive.

See how the dentist feels about trying the functional impression. I think that is your best bet after checking the bite.

Christopher McFarland, DMD
Atlanta Prosthodontist - Periodontist
2530 Lawrenceville Highway
Decatur - Duluth - Atlanta, GA
(770) 492-0256

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