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Medical Forum / General / Dentistry / August 2005

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I'm a Little Freaked Out

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Stu - 25 Aug 2005 02:15 GMT
As I told the news group several days ago I had an immediate upper and
a lower temporary partial put in about a week ago. I have been back
several times for adjustments because of the soreness of the gums. I
finally got to the point where I thought I may be able to take a bite
of food but as soon as I did my immediate upper came loose and fell
down to my tongue. Well this freaked me out. I was really under the
impression that even with dentures I would be able to at least eat a
hot dog or sandwich normally. Anyway I stopped by the dentists' office
to seek his advice and was told that this is normal and that I would
have to get use to the fact that from now on I will have to take
"sideways" bites (BTW even "sideways" bites make the opposite side of
the denture fall down). He said that since this was an immediate
denture that this was to be expected. Am I delegated to a life of not
being able to eat anything normal again or is something else terribly
wrong? I even tried eating a potato chip and the upper fell to my
tongue.
Joel344 - 25 Aug 2005 02:32 GMT
The immediate denture will not fit so good for three to six months. A
that time the gums will have shrunk enough to reline the denture. Ther
are two reline procedures. I recommend the latter not the former:

FORMER: Dentist mixes up acrylic, pours it in the denture and seats i
into your mouth. DISADVANTAGES: Palate is thicker, rougher, and the ne
reline surface will discolor and not last.

LATTER: Dentist takes an impression and sends your denture to the la
for three or four days while you hide out. The lab cuts out the palat
and redoes (heat cures) all the acrylic making it like new.

FOR NOW ... use denture glue, adhesive, Sea-Bond, or whatever to tak
up the slack.

Joel M. Eiche

--
Joel34
letsconnect - 25 Aug 2005 02:50 GMT
I've heard that biting into foods with your front teeth can dislodge
dentures, so it might be a good idea to cut food into bite-sized pieces
and approach them sideways, so to speak :-). Chewing on both sides of
the mouth simultaneously (rather than the usual sort of circular
chewing motion) also takes some readjustment. Things should be better
with your permanent denture.
Stu - 25 Aug 2005 02:59 GMT
>I've heard that biting into foods with your front teeth can dislodge
>dentures, so it might be a good idea to cut food into bite-sized pieces
>and approach them sideways, so to speak :-). Chewing on both sides of
>the mouth simultaneously (rather than the usual sort of circular
>chewing motion) also takes some readjustment. Things should be better
>with your permanent denture.

The upper is an immediate denture. Do I have to get an upper permanent
denture? This is all so confusing. The lower is a temporary partial
that is to be replaced with a permanent in 6 months time.
Amatus Cremona - 25 Aug 2005 13:25 GMT
> The upper is an immediate denture. Do I have to get an upper permanent
> denture? This is all so confusing. The lower is a temporary partial
> that is to be replaced with a permanent in 6 months time.

Once the upper is relined, it will fit better.  You might ask for some
"in-office" relines while the tissues are remodeling.  You may need to use
some adhesive paste while you get used to it.

Small bites, preferably cut with knife and fork until you get used to
chewing with these things.  Chewing on both sides at the same times (as was
previously mentioned), and you probably will never be able to bite into
anything firm with the front teeth, unless you learn to balance the back end
of the denture with your tongue while you do it.

Signature

/

Amatus

/

>
>>I've heard that biting into foods with your front teeth can dislodge
[quoted text clipped - 7 lines]
> denture? This is all so confusing. The lower is a temporary partial
> that is to be replaced with a permanent in 6 months time.
Stu - 25 Aug 2005 23:02 GMT
>Once the upper is relined, it will fit better.  You might ask for some
>"in-office" relines while the tissues are remodeling.  You may need to use
[quoted text clipped - 5 lines]
>anything firm with the front teeth, unless you learn to balance the back end
>of the denture with your tongue while you do it.

It seems un-American to me to eat a hamburger with a knife and fork so
for the sake of my country I will practice, practice, practice!  ;-)

Thanks Amatus.
Joel344 - 25 Aug 2005 23:12 GMT
It seems un-American to me to eat a hamburger with a knife and fork so
for the sake of my country I will practice, practice, practice!  ;-)

Thanks Amatus

REPLY

This is true, it seems that using a knife or fork for any food is quit
unamerican ...... and this includes macaroni and spaghetti!

Joe

--
Joel34
Stu - 25 Aug 2005 02:53 GMT
>The immediate denture will not fit so good for three to six months. At
>that time the gums will have shrunk enough to reline the denture. There
[quoted text clipped - 12 lines]
>
>Joel M. Eichen

Thanks Joel. He did a soft reline Monday. I did get a tube of Polygrip
today but it doesn't help. They still fall down whenever I bite. My
fear is that he took too much off the front when he was adjusting. How
far should the denture material go up under the lip?
Joel344 - 25 Aug 2005 03:12 GMT
Unfortunately too much under the lip often makes the denture loo
unrealistic. I suggest denture powder instead of paste. You wet th
denture, pour powder very carefully to avoid lumping or build up, an
it holds better than the Poli-Grip. You can flip it over and shake of
the excess too.

Another good product is Sea-Bond. It looks like gauze, but its loade
with an algae type glue that bonds quite well. Its better tha
Cushion-Grip type thinggies.

Joel

Stu Wrote:

> >The immediate denture will not fit so good for three to six months
> At
[quoted text clipped - 22 lines]
> fear is that he took too much off the front when he was adjusting. How
> far should the denture material go up under the lip

--
Joel34
Joel344 - 25 Aug 2005 03:24 GMT
Please see post below about glues ....

This post:

You wrote,

The upper is an immediate denture. Do I have to get an upper permanent
denture? This is all so confusing. The lower is a temporary partial
that is to be replaced with a permanent in 6 months time.

REPLY

Depends ...... I have done dentures both ways .....

#1 ...... called the immediate a temporary denture and then made a
permanent dentiure ...... and ....

#2 ... called the immediate denture the permanent denture and then
RELINED (lab relined) it.

#2  ..... works out better. Once the new teeth go in the patient gets
so used to it that the newer denture is hard to adjust to.

In the bad old days, the plastic denture was no big deal to redo.
Today, the lab bill itself can be way high. In either case I insist on
Lucitone 199 (formerly known as Luxene) as its the most dense acrylic,
methylmethacrylate product.

Keystone Industries makes an excellent product known as Diamond-D.

Most dentists do not get into hardness studies.

Here is the Brinell Hardness information for metals .....

http://www.gordonengland.co.uk/hardness/brinell.htm

Signature

Joel344

Stu - 25 Aug 2005 03:42 GMT
>Please see post below about glues ....
>
[quoted text clipped - 31 lines]
>
>http://www.gordonengland.co.uk/hardness/brinell.htm

Is it standard procedure to insist the doctor use a certain type of
denture material? Can he mold the permanent lower partial to work with
the upper using Lucitone 199 or would I have to have both done
together. The Valplast upper I have now was $855. The lower temporary
Valplast will be $522.

How do you feel about Valplast?
Joel344 - 25 Aug 2005 11:52 GMT
Stu wrote,

Is it standard procedure to insist the doctor use a certain type of
denture material? Can he mold the permanent lower partial to work with
the upper using Lucitone 199 or would I have to have both done
together. The Valplast upper I have now was $855. The lower temporary
Valplast will be $522.

How do you feel about Valplast?

REPLY

The dentist often specifies to the lab what materials should be used
The dental prescription blanks (for dentures) are often printed an
distributed to dentists by tooth manufacturers and allow for selectio
of materials.

A lower can be one material and an upper another material.

Valplast has plusses and minuses. If you have some teeth left, as yo
recently mentioned, the Valplast is very good as it springs around th
remaining teeth and can function as a clasp. The upper? I canno
understand why the dentist would use that. Its an expensive materia
and it is not capable of direct repair or in-office additions. This i
because it is a nylon not a methylmethacrylate (acrylic).

Joe

--
Joel34
Stu - 25 Aug 2005 22:37 GMT
>Valplast has plusses and minuses. If you have some teeth left, as you
>recently mentioned, the Valplast is very good as it springs around the
[quoted text clipped - 4 lines]
>
>Joel

I think you may have answered your own question?

Thanks for explanation.
letsconnect - 25 Aug 2005 13:38 GMT
> How do you feel about Valplast?

>From what I've read, people find it very comfortable to wear, but
eating is a different matter entirely... a lot of people seem to give
up on Valplast after a while :-(
Stu - 25 Aug 2005 22:38 GMT
>>From what I've read, people find it very comfortable to wear, but
>eating is a different matter entirely... a lot of people seem to give
>up on Valplast after a while :-(

I'll keep you posted. What's your definition of "a while"? I was
hoping to get at least five years service out of these.

Thanks.
W_B - 26 Aug 2005 17:28 GMT
>>>From what I've read, people find it very comfortable to wear, but
>>eating is a different matter entirely... a lot of people seem to give
[quoted text clipped - 4 lines]
>
>Thanks.

Five years for Valplast ?

Wishful thinking.
PS My lab tech won't make them, unrepairable
and there is no true bond between the denture
teeth and the denture base.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Stu - 27 Aug 2005 01:27 GMT
>Five years for Valplast ?
>
>Wishful thinking.
>PS My lab tech won't make them, unrepairable
>and there is no true bond between the denture
>teeth and the denture base.

For future reference what would you suggest I look for in a denture
that combines aesthetics, durability and repairability? I live in a
small town so imagine my options are somewhat limited.

Can you also give an estimated average as to how long this upper
Valplast will last?

I appreciate the time you all have given me in this "problem" I am
having.
Joel344 - 28 Aug 2005 01:16 GMT
Each circumstance calls for a unique approach. A full upper denture ca
be a very excellent replacement for natural teeth with Lucitone 19
acrylic and decent acrylic teeth. Valplast has flexible qualities an
as such can slip around a few remaining teeth and the entensions ca
serve as clasps. Many Valplast dentures have been constructed and the
claim they are "virtually" indestructible. What usually happens is tha
a tooth or two is lost, and it is very very difficult to rework th
Valplast to be serviceable. Valplast is also a fairly expensiv
appliance.

Joe

--
Joel34
letsconnect - 25 Aug 2005 13:38 GMT
> How do you feel about Valplast?

>From what I've read, people find it very comfortable to wear, but
eating is a different matter entirely... quite a few people seem to
give up on Valplast after a while :-(
Stu - 25 Aug 2005 03:33 GMT
>Unfortunately too much under the lip often makes the denture look
>unrealistic. I suggest denture powder instead of paste. You wet the
>denture, pour powder very carefully to avoid lumping or build up, and
>it holds better than the Poli-Grip. You can flip it over and shake off
>the excess too.

Do you have a brand name for this one?

>Another good product is Sea-Bond. It looks like gauze, but its loaded
>with an algae type glue that bonds quite well. Its better than
>Cushion-Grip type thinggies.
>
>Joel
Thanks Joel.
Sdores - 25 Aug 2005 13:24 GMT
Try the seabond, it works well, you cut them to fit your dentures and most
important not messy to clean up.  It took me awhile for the gums to heal and
to get my final fitting.  Just try to be patient and you will see you will
get better at them esp. when fitted properly.  UM MOM Susan, not a dentist.

>>The immediate denture will not fit so good for three to six months. At
>>that time the gums will have shrunk enough to reline the denture. There
[quoted text clipped - 17 lines]
> fear is that he took too much off the front when he was adjusting. How
> far should the denture material go up under the lip?
Stu - 25 Aug 2005 22:41 GMT
>Try the seabond, it works well, you cut them to fit your dentures and most
>important not messy to clean up.  It took me awhile for the gums to heal and
>to get my final fitting.  Just try to be patient and you will see you will
>get better at them esp. when fitted properly.  UM MOM Susan, not a dentist.

Thank you for the encouragement Susan. The Polygrip is a little
frightening to remove. I will try the Seabond. Anything has to be
better than this gummy goo.
Jacob - 25 Aug 2005 12:31 GMT
You have to learn to crawl before you can walk, and you have to learn to
walk before you can run.  Getting used to ANY denture or partial denture
takes time and practice; there is no substitute for that that I'm aware of.
Your dentist should have discussed this with you in depth/detail so that you
would not be disappointed and/or upset.  That being said, however, the best
thing to do is start with soft foods and small bites.  Biting into anything
will be something you need to learn -- it will be very different from
natural teeth.  Also, speaking will present problems, although you didn't
mention that, so maybe you've adapted faster than most people do!  A
dentist/physician should spend the time necessary to explain potential and
anticipated problems to patients before they happen.  That's education.
Explanations after the fact are sometimes considered excuses by patients,
but in reality, they are usually not.  This is a learning process for you
and will take months not days to become completely comfortable.  With
practice, I am confident that you will get used to them.  Once all healing
has taken place and you get better fitting dentures, things will be a bit
easier, but you STILL will need practice to adapt.  Good luck!

> As I told the news group several days ago I had an immediate upper and
> a lower temporary partial put in about a week ago. I have been back
[quoted text clipped - 12 lines]
> wrong? I even tried eating a potato chip and the upper fell to my
> tongue.
Stu - 25 Aug 2005 22:43 GMT
>You have to learn to crawl before you can walk, and you have to learn to
>walk before you can run.  Getting used to ANY denture or partial denture
[quoted text clipped - 13 lines]
>has taken place and you get better fitting dentures, things will be a bit
>easier, but you STILL will need practice to adapt.  Good luck!

Thanks Jacob. If my dentist would have taken just the time it took me
to read your post to explain to me what you just did, he would have
saved me many hours of worry, frustration and anxiety.

Speaking of speaking I was a little prepared on that one. I have been
getting up an hour or so early every morning and reading the newspaper
out loud. I have progressed to where I don't feel as self-conscious as
I used to. I have a ways to go but I'll get there.
 
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