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Medical Forum / General / Dentistry / January 2006

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New Dentures Questions

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gardensgrow - 06 Jan 2006 23:06 GMT
New dentures will be made starting next week.  Previous upper denture
was dramatically altered from the wax try in, so my oh so wonderful
dentist is having both upper and lower remade.  4 lower implants are
"good to go" so says my equally wonderful oral surgeon.  So, I want to
be smart and well informed.

Questions Are:

Current dentures have only 1/8 inch of molars exposed and a little more
on front teeth on the inside.  More tooth and less acrylic would feel
so much more natural to my roaming tongue.  Is it possible, reasonable
or?

What is the purpose of the clear acrylic lining on the inside of
exposed denture teeth?

This will be my third upper and second full lower.  The denturist has a
thing for a very narrow arch and angled in teeth that feels unnatural
and looks nothing like my natural teeth.  His story is the denture
teeth MUST sit over the bony ridge.  At least that is the reason he
says for modifying the upper after the wax try in.  Trouble is I have
less room inside than with first upper.  Most recent wax try didn't
fill my smile like my natural teeth but it felt so much roomier inside
(tongue very happy) I was ecstatic.  No wax try in for lower because
remaining teeth hadn't yet been extracted.  Needless to say I wasn't
ecstatic after coming out of the extraction and implant surgery
anesthetic only to find my brand new denture felt like I had an
impression tray in my mouth.

So next question is:  Does the bony ridge shrink making it necessary
to have a narrower and narrower arch necessary overtime.  If the answer
is yes, what do I do about my already unfairly girdled tongue?

Last and least question is:  A friend tells me the implants will fail
because post menopase women not only cannot grow bone but will continue
to lose bone mass no matter what.

Background Info:

Age is 61.  Still a pretty girl.  Had buck teeth as a child.  First
orthodontics at age 19 preformed by second choice Orthodontist.  Second
orthodontics at age 28 raised my bite with two sets of molar crowns.
One before overbite teeth straightend and second after to adjust
imperfections to bite.  Serious periodontal surgery preceded second
orthodontic proceedure.  Amazing to dentist at the time bone mass
increased.

On the subject of my favorite just 12 weeks ago Oral Surgeon, Jay Leno
chin swelling was gone in three days after surgery, bruising gone in a
week and I don't know what to do with the pain meds prescribed because
Advil was more than enough.

Current creative Denturist has plenty of pre-toothless photos.

These days these teeth don't hurt, don't go wonky moving around (just
like tightening those braces wires) or suddenly decide an abcess
swelling is just the thing to mark the week.  I wish I didn't miss them
but you know what I do.  Oh well on to next.

Most thanks for any and all insight.

Gardensgrow
Charlie - 08 Jan 2006 02:13 GMT
>Current dentures have only 1/8 inch of molars exposed and a little more
>on front teeth on the inside.  More tooth and less acrylic would feel
>so much more natural to my roaming tongue.  Is it possible, reasonable
>or?

Exposing more tooth may compromise how well they are retained in the base.
You need to discuss this with your denturist at the try-in.

>What is the purpose of the clear acrylic lining on the inside of
>exposed denture teeth?

Don't know what you mean by this

>This will be my third upper and second full lower.  The denturist has a
>thing for a very narrow arch and angled in teeth that feels unnatural
>and looks nothing like my natural teeth.  His story is the denture
>teeth MUST sit over the bony ridge.  At least that is the reason he
>says for modifying the upper after the wax try in.  

Your denturist is right of course, but he or she might be willing to modify
the tooth arrangement somewhat in an attempt to suit your preferences.  Of
course there may be a trade-off in terms of optimal function and speech.  The
proper positioning of teeth is one of the most crucial elements in making a
denture as good as it can be.

There should be little -to-no difference between the try-in and the finished
prosthesis.

> So next question is:  Does the bony ridge shrink making it necessary
>to have a narrower and narrower arch necessary overtime.  

No.  The ridges initally shrinkIf the answer
>is yes, what do I do about my already unfairly girdled tongue?
>
>Last and least question is:  A friend tells me the implants will fail
>because post menopase women not only cannot grow bone but will continue
>to lose bone mass no matter what.

Your friend does not know what they are talking about.  Postmenopausal women
are at significantly greater risk for extreme mandibular atrpohy BUT this can
be largely obviated by supplements, good nutrition & good habits (like not
smoking).   Systemic disase has been shown to accelerate the bone loss.
Implant placement will slow it.

Good luck,

Charlie
Charlie - 08 Jan 2006 02:30 GMT
>> So next question is:  Does the bony ridge shrink making it necessary
>>to have a narrower and narrower arch necessary overtime.  

Oops messed up this part.

I meant to say: On the average the shrinkage levels off after 1.5 years and
progresses slowly thereafter, much less so in the upper arch.  The anterior
portions of the residual arches shrink initially towards the rear but then
mostly only in height.  Anterior teeth are generally set to the front of the
ridge.  In the posterior aspect there is minimal shrinkage from the cheek
side and then grdual vertiacl flattening.   People who wear no dentures have
significantly less shrinkage than those who do.
Charlie - 08 Jan 2006 02:31 GMT
Whew, I gotta get one of my kids to edit my posts.  "Gradual vertical
flattening".
 
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