Reva Dental Blog

Category Archives: Dentures

What are the Options to Fill Gaps in your Teeth

Sometimes it is not possible to save a tooth with treatment because of clinical or financial reasons. In these circumstances the tooth is extracted or removed and the question arises as to what to do about the missing tooth.

There are six options for replacing missing teeth.

1. Leave it alone

2. A removable partial denture and flexi partial denture

3. A conventional fixed dental bridge (fixed denture)

4. An adhesive resin retained maryland bridge

5. A dental implant

6. An orthodontic treatment combined with any of the above.

Leave it alone

It is not always necessary to replace a missing tooth. The decision to replace it is based on a number of factors, including appearance, loss of function, health of surrounding teeth and bone and opposing teeth, whether there are other missing teeth and financial considerations. You would be surprised how often the best course of action is to leave it alone.

Removable partial denture and flexi-partial denture

The least costly and most common option for replacing a missing tooth is to have a removable partial denture, usually made from a combination of a metal called chrome cobalt and acrylic. Flexi partial dentures, made from flexible nylon resin, are gaining in popularity with dentists and patients because of greater comfort and aesthetics than chrome cobalt partial dentures. Both chrome cobalt and flexi partial dentures are fairly easy for the patient, requiring very little preparation and several teeth can be replaced if required. Appearance is good but patients can take a while to adjust to having a metal or plastic object in their mouth.

Conventional fixed dental bridge

The third option for replacing a missing tooth is a conventional fixed dental bridge (sometimes referred to as a fixed denture). The procedure is more expensive and takes a number of visits to complete.  A disadvantage is that the healthy teeth on either side of the missing tooth require extensive removal of tooth tissue with a dental drill to enable a mold to be taken. The mold is taken to a dental laboratory and a dental bridge is constructed of porcelain and gold. To replace one tooth the bridge will consist of three units, two crowns to fit over the existing teeth and a third to fit into the missing space all joined together by a precious metal framework. More than one missing tooth can be replaced. The result is usually very good with the appearance and fit very life-like. You can expect a lifespan of at least five to ten years. There is a moderate risk of root treatment being required on the crowned teeth.

Adhesive resin retained maryland bridge

An adhesive resin retained dental bridge, sometimes referred to as a maryland bridge, is less expensive and less treatment invasive than a conventional fixed dental bridge. There is less removal of tooth tissue so there is less damage to surrounding teeth. It is useful when replacing a single tooth. It is more successful when placed in the upper jaw (over 80% success after 10 years) and less successful in the lower jaw because of a tendency for slight natural tooth movements. This type of bridge consists of a porcelain crown (pontic) fused to a metal framework, which is specially treated so that it can be glued with an adhesive resin to the back of the teeth on either side of the missing tooth. A de-bonding (loosening) of the bridge, if it happens, can be quickly corrected by cleaning the metal framework and reapplying an adhesive resin.

Dental implant

Another option for replacing a missing tooth which is gaining momentum with dentists and the public, is a dental implant. A dental implant is made from a precious metal, called titanium, in the shape of a root. This is screwed into the bone, where it integrates into it like a root. Implants have a number of uses. They can be used to support a crown, a bridge or a denture. They can also be used in orthodontic treatment. They are ideal for use in a situation where a tooth replacement is necessary but a bridge cannot be used. They feel very natural and surrounding teeth do not need any preparation. The disadvantages are high cost, the required surgery and the fact that many dental visits are required over a number of months.

Combined orthodontic treatment (braces)

Orthodontic treatment on its own or combined with other treatments can be used to help close the gap caused by the loss of one or several teeth.

If you have a missing tooth or teeth why not call Reva Dental on 056 776 3786 and our dentists will give you a thorough appraisal of your options including cost, longevity, appearance and all other relevant considerations. You may be eligible for a free check-up. See www.revadental.ie

Taking Care of Dentures

Dentures are used to replace missing teeth. At Reva Dental Kilkenny we offer full or partial dentures made either from acrylic with resin teeth attached or from metal (cobalt chrome). Your dentist will discuss your options and explain clearly what types of dentures are most suitable for you. Today dentures can be made to look and feel very natural and as they are custom made to fit your mouth they generally have a natural and comfortable fitting.

Advantages and disadvantages of Dentures

Dentures are a good way of replacing missing teeth without causing any damage to other teeth, through tooth preparation. They can also be a cheaper alternative to other more complex restoration treatments.

Cleaning your Dentures

It is very important to clean your denture to maintain its condition. It is also vital to continue cleaning other teeth still present to prevent plaque and tartar building up. This is to reduce the risk of periodontal disease occurring, which may result in the loss of other teeth. Plaque build up on the dentures can cause irritation to the gums, so washing the mouth out is just as important as cleaning the dentures. Always remove your dentures when cleaning, especially partial dentures. This will ensure all plaque and tartar is removed. Use a special denture cream and brush over a sink of warm water. This is less abrasive than using normal toothpaste and will prevent breakage if dropped by cushioning the fall. Do not use boiling hot water to clean dentures as they may become brittle and fade/bleach in colour.

Dentures at night

Remove your dentures at night. This will allow the gums to recover from a day’s wear by allowing saliva to bathe the gums. Leaving partial dentures in at night can cause damage to other teeth. Where clasping is used to hold the denture in place, decay can be a problem around the site of the clasps.

Denture adhesives

Even the best fitting denture may cause a problem over time. Upper dentures are usually held in place by suction within the mouth and the shape the cheeks will adapt to hold them in. In some cases a denture adhesive is a useful way of helping this. Lower dentures although comfortable when wearing can also feel slightly loose so an adhesive will help them feel more stable. A denture adhesive can also be used as a daily lining to cushion them against the gums to prevent denture sore.

Pain with dentures

When given your new dentures, you should not experience any pain, however on some occasions the denture may rub causing sore spots. It is important you visit your dentist if this is the case, as soon as possible to prevent the sore spot getting worse. Do not remove the denture, as this will enable the dentist to see exactly where the problem is and allow him to carry out any necessary adjustments.

Immediate dentures

These are made before tooth extractions and are fitted as soon as extraction has taken place. If this is the situation in your case you will be given an advice sheet on how to look after the sockets and allow them to heal. You will also be given advice on what to expect from your dentures. You may find that your denture needs adjusting after the initial healing has taken place, visit your dentist for this. It is also likely after 6 months the dentures will need replacing. This is due to the mouth changing shape, again your dentist will advise you of this.

Replacing old dentures

It is inevitable that old dentures may need replacing due to wear and a change in the shape of the mouth. It is important to visit your dentist every year if you have complete dentures for a routine screening and to check and monitor the other teeth.

Confidence in your dentures

Having new dentures can give you a new found freedom. They can give you more confidence when going out for meals or special functions. There is no need to feel afraid that your denture will drop or someone will notice them due to the technological advances occurring today. You may feel that using denture adhesives is a failure but this is not the case. A denture adhesive is just another way of holding the denture in place and if necessary should be used. It can also give that little extra support needed to make you feel comfortable when wearing your dentures. When eating for the first time with your dentures, your sense of taste can be affected, however this will return to normal after a few weeks of getting used to your dentures. With a little time, effort and perseverance your new dentures can become part of you therefore giving you more confidence in them, whatever you are doing.

Call Reva Dental on 056 776 3786 to schedule your appointment. You may be eligible for a free check-up; see www.revadental.ie

5 Things Your Smile Says About You…

Feeling happy? Go ahead and smile — but know that you may be telling others more about yourself than you think.

The meaning of a smile changes depending on the social context, studies show. Some smiles bring benefits, but others reveal hidden weakness. Humans smile more depending on who they’re talking to, and those smiles can hint at their futures.

Without further ado, here are five things your smile tells others about you.

1. Will your marriage last?

Wedded bliss may be linked to an easy grin. According to a study published in 2009 in the journal Motivation and Emotion, the way people smile in old photographs predicts their later success in marriage.

In one study, psychologists rated people’s college yearbook photos for smile intensity (muscle stretching around the mouth and eyes). They found that none of the biggest grinners divorced later in life. In comparison, 25% of the most straight-faced experienced divorce.

A second study of childhood photos of people over age 65 found a similar link. Among those with the biggest smiles in the childhood pictures, 11 percent later experienced divorce, compared with 31 percent of the least smiley.

A bigger smile may reflect a happy-go-lucky approach to life, the researchers reported. Or bigger smiles may attract a happier partner, and lead to a happier relationship.

2. How fertile are you?

A healthy smile can reflect your overall health, multiple studies show. For women, smiles can even reveal fertility.

Women with gum disease take an average of two months longer to conceive than women without, according to research published in 2009 in the US Journal of Obstetrics and Gynecology. Gum disease is linked to an increased risk of heart disease, Type 2 diabetes, respiratory disease and kidney disease. The link appears related to increased inflammation that accompanies gum disease, the researchers found.

3. How much earning power do you have?

A teenager’s grin can predict how much cash he or she will rake in as an adult. According to a study published in 2012 in the journal Proceedings of the US National Academy of Sciences, happy teens earned 10 percent more income than average at age 29, while gloomy adolescents earned 30 percent less than average at that age.

Happiness is likely linked with fewer worries and less stress, study researchers reported. Less worry means more mental space to focus on job-related tasks.

4. How powerful are you?

Smiles aren’t just about happiness. They’re also a sign of social status. A 1998 study in the journal Personality and Social Psychology Bulletin found that high-powered people, as well as people interacting with others of equal power, smiled when they felt happy.

In contrast, people with less social power than the person they were interacting with smiled regardless of their own emotions.

The findings suggest that powerful people have the privilege of smiling when they please, whereas those with less power are obligated to smile in order to ingratiate themselves.

5. How good a fighter are you?

The link between smiles and power holds in the physical realm, as well. In one study, professional mixed martial arts fighters who grinned in photographs taken the day before a match were more likely to lose than fighters who presented a tough mug for the camera.

Fighting is about dominance, and smiles may inadvertently signal that a person is less dominant, hostile or aggressive, researchers reported online Jan. 28, 2013, in the journal Emotion.

Even untrained observers caught on to the message in the smiles, the same study found. People viewed a fighter as more trustworthy and agreeable, but less aggressive and less physically dominant, if they saw him smiling versus posing with a neutral expression.

The takeaway? Smiles grease the social wheels in most situations, and happiness is usually a boon. But if you’re going head-to-head in a contest of dominance, put your game face on.

(via Huffington Post)