Consequences of dental prosthetics

After installing a prosthesis (in most cases a crown), unpleasant symptoms can be detected. This is pain, discomfort, swelling, the sensation of a foreign body in the oral cavity, and even suppuration of the tooth. This is due to improper installation of the prosthesis or independent diseases of periodontal tissue. If the material is incorrectly selected, an allergic reaction may develop. Vulture, itching, redness, and swelling appear on the mucous membrane. The troubles don't end there.

It often happens that a removable denture is installed incorrectly by the dentist or by the patient himself after cleaning. This does not mean the doctor is unprofessional; it happens that after orthopedic treatment, the tooth is injured or the enamel cracks. The reason for this may be injuries, biting hard objects, bad habits - holding a needle or coffee bean in your teeth, thread (these are more likely professional bad habits). All this cannot go unnoticed and both the jaw itself and the installed prosthesis suffer. Any complication after prosthetics can be associated with external or internal irritants, but each time it is accompanied by minor or severe pain.

Why does inflammation begin under the prosthesis?

At the present stage of orthopedic treatment, all materials are so carefully selected that the risk of complications is reduced to a minimum. But everything has its exceptions.

Poor canal filling before prosthetics is a mistake not of the orthopedist, but of the therapist. Incomplete filling of the tooth canal leads to the entry of unfavorable microflora into it, which multiplies and provokes inflammation of periodontal tissue. The patient feels pain, swelling at the site of the installed prosthesis, and pulsation. In this case, it is extremely necessary to re-treat and reinstall the prosthesis.

Inflammation may occur under a fixed prosthesis or crown if an instrument is left in the canal during treatment or the canal wall is perforated. In any case, 95% of complications are associated with improper root canal treatment.

A carious cavity under the prosthesis is a complication of prosthetics and is also associated with improper preparation for prosthetics. Caries under a denture develops in two cases: incomplete removal of carious tissues and non-compliance with the rules of sealants during prosthetics. When there are holes for food debris to penetrate, it always leads to the formation of plaque and caries.

Possible consequences

Long-term use of unstable prostheses is not without negative consequences for its owner - both mild and minor, and serious, threatening health:

Physical and psychological discomfort due to the device falling out and moving when talking and chewing food.
Rubbing of gums, injury (biting) of cheeks. Despite the seeming harmlessness of minor injuries to the oral mucosa, if there are permanent injuries, the matter can end in cancer.
Slurred speech.
Changes in facial expression when proportions are disturbed.
Constant entry of food under the structure , poor chewing, leading to disruption of the digestive process and gastrointestinal diseases.
Breakage of the structure due to accidental jumping out of place.
The need to constantly monitor the position of the prosthesis and correct it, which is especially inconvenient in the presence of strangers.

What factors are taken into account when choosing abutment teeth and their number.

Come here to find out what requirements apply to denture bases.

At this address https://www.vash-dentist.ru/protezirovanie/semnyie-p/vospalenie-desnyi-pod.html we will discuss the tactics of treating gum inflammation under a denture.

How to identify complications after installation of a prosthesis?

If there are doubts about the normal state of the mucous membrane under the prosthesis, you need to pay attention to several specific manifestations.

Swelling of the gums is a sure sign of the onset of the inflammatory process. The accumulation of purulent exudate under the gum can lead to serious consequences, and in this case you need to contact a dental surgeon. Swelling or gumboil can cause not only pain, but also tooth mobility, and this will lead to the need to replace the denture.

Fistula - acute inflammation of periodontal tissues can result in gumboil. And if the acute period of the complication went unnoticed, then the appearance of a fistula cannot be missed. If the fistula closes, acute inflammation begins again.

Cyst - if adequate treatment of chronic periodontitis was not carried out before prosthetics, it will end with a cyst. The cyst contains pus and appears on an x-ray as a black spot. The symptoms of a cyst are similar to periodontitis - pain when biting, swelling in the area of the causative tooth.

Main problems

When installing inserted implants, many patients initially describe the following symptoms:

Pain when putting on and taking off the denture, chewing and swallowing;
Rubbing the upper and lower palatal arch;
Inability to chew food properly
Excessive secretion of saliva into the oral cavity;
Violation of normal pronunciation of sounds and words;
Distortion of taste sensations.

It is important to eliminate these symptoms in the first weeks after putting on the structure. Therefore, dentists recommend not removing the denture in the first 2-3 weeks after its manufacture.

What to do if there is inflammation under the prosthesis?

The first thing to do is contact your doctor or, better yet, go to a good dental clinic that will offer several treatment options.

If prosthetics involves installing a pin, treatment becomes more complicated, since removing it from the root canal is quite difficult and can result in a root fracture. After this, the tooth will have to be completely removed. The issue of repeated prosthetics is quite complicated, since a root fracture can damage the bone plate and the implant cannot be installed, just like any pin.

When the cause of a complication after installing a crown is improper treatment of the canals, again the refilling is difficult and may result in perforation.

When it is possible to unseal the canal or remove the pin, anti-inflammatory therapy is carried out. After this, the canals are re-filled and a new prosthesis is installed.

We can conclude that it is better to carry out painstaking preparation for prosthetics and take into account all possible complications before installing the prosthesis, rather than treating the resulting inflammation.

Infections and problems with dentures

Dentures can be an excellent solution for tooth loss. Today, dentures, also called false teeth, are nothing like what your grandmother used. They are more comfortable and look more natural than in the past. However, if you don't take proper care of your dentures, problems can arise.

Dental Daily reviews common problems associated with dentures and how they can be treated or prevented.

Common problems associated with dentures

If you wear dentures, it is important to keep your mouth clean and healthy. You should also only wear dentures that do not cause discomfort, otherwise it may cause the following problems:

Irritation of the gums and oral cavity;
Problems with eating and speaking;
Shift of dentures;
Oral infections.

Treatment of problems associated with installed dentures

If you have problems with your dentures, contact your dentist immediately. You may need to have your denture adjusted or replaced. Here are some ways to treat various denture problems:

Make sure your dentures fit you well. Over time, bones and gums can change, making wearing dentures uncomfortable. If this happens, you will need to have them repaired, altered, or replaced by a dentist. Never try to adjust dentures yourself.
Speak slowly. When the denture is first installed, it may be somewhat difficult to pronounce some words. Be patient. Practice saying difficult words out loud and slowly. If you feel your dentures move when you laugh or smile, gently bite and swallow to move them back into place.
Eat soft foods. If you have trouble eating, follow these tips: - Eat small, soft foods, such as eggs or yogurt; - Don't eat anything sticky; - Chew your food slowly; - When chewing, use both sides of your mouth at the same time. This prevents the prosthesis from sliding forward or being dislodged;
Once you get used to your dentures, eating will become much easier. After a while we will be able to eat almost everything.

Use denture adhesive. Denture adhesive will help keep dentures securely in place, but should not be used to attach old or loose dentures. When using denture adhesive, follow the instructions carefully. Try not to use more than you need.

Oral infections associated with dentures

Heiloz . Also called cheilitis, a painful infection that causes inflammation and cracks in the corners of the mouth.

This infection is caused by an overgrowth of yeast that can accumulate in moist areas of your mouth when dentures are not properly fitted.

To prevent cheilosis, visit your dentist regularly to ensure that your dentures are fitted correctly. Also try not to rub or lick the corners of your mouth.

Stomatitis. This is another type of infection that is caused by yeast overgrowth. You may not even know that you have canker sores from wearing dentures, as the symptoms are often subtle. When they do appear, you may see small red bumps on the roof of your mouth or redness throughout your mouth, especially under your upper dentures.

Cheilosis and stomatitis can be treated with medication and proper denture care.

Caring for your dentures

Making sure your dentures are fitted correctly is not enough, taking care of your dentures is also very important. Here are some tips to help your dentures last longer and look their best:

Never sleep with dentures. Your dentist may advise you to sleep with your dentures on for a while immediately after they are fitted to allow your mouth to adjust to them. This is the only case when you can sleep with dentures installed.
Handle dentures with care. Dentures are very fragile and can break easily. While holding your dentures, lean over a sink filled with water or place a towel on the edge. This way, you can protect your dentures in case you accidentally drop them. Also keep dentures out of the reach of children and pets.

Clean your dentures every day. Here are some tips for caring for them:

Soak your dentures in denture liquid at night.
Clean them thoroughly every morning before placing them in your mouth.
Use a soft-bristled brush or a denture-specific brush.
You can usually use soap and warm water, or ask your dentist to recommend a denture fluid.
Never use powder cleaners or bleach your dentures.
Brush your mouth every day. Clean and massage your gums, tongue and roof of your mouth before getting dentures. This will help maintain oral health.
Store dentures properly. If you do not wear dentures, store them in a special solution or warm water. Do not use hot water - it can cause deformation of your dentures.
Don't use toothpicks. Toothpicks can damage your dentures.

Wearing dentures is very uncomfortable at first, and it may take some time before you get used to them. But you can prevent problems with your dentures by taking proper care of them and visiting your dentist regularly every six months for checkups. If you notice changes in the installation of dentures, or other problems with the oral cavity, contact your dentist immediately.

Fitting, installation and training in use

How long does it take to install dentures? This depends on the type of orthopedic structure. On average, production takes 1-2 weeks if the clinic has its own laboratory. Third-party manufacturing will take the same amount of time, but add another 1-2 weeks for transporting the structure to the clinic for fitting. Do not skip fittings and tell the doctor about any inconveniences - this will ensure a tighter fit of the base to the prosthetic bed. Installing a finished prosthesis on a patient will take about 1 hour (this may include training on how to clean and wear it).

conclusions

Impaired fixation of removable dentures can cause great discomfort for their owner, reduce their quality of life, worsen facial aesthetics and even pose a threat to health.

If your products become unstable, do not delay visiting your doctor. The sooner you fix the problem, the less consequences it will have for your health and wallet.

The choice of the optimal fixation method is determined individually, taking into account the clinical picture, the wishes of the patient and his financial capabilities.

Unfortunately, due to the ongoing atrophy of the alveolar process and changes in its configuration, there is no method that would solve the issue of fixation once and for all. You need to be prepared for the fact that some time after the problem has been eliminated, you will have to deal with it again - adjusting the old prosthesis or making a new one.

However, ensuring high-quality fixation for a certain period of time (3-5 years) is quite possible. The only question is at what cost, including financial, this decision will cost.