Effective Solutions for Common Lower Denture Challenges
This article discusses common lower denture issues, including sore spots, over-extension, vertical dimension problems, and stability concerns. It offers practical solutions such as denture adjustment, relining, and proper fitting techniques. Understanding these challenges helps wearers maintain comfort and functionality, ensuring they get the most benefit from their dentures. Regular dental checkups and timely adjustments are essential for long-term success.
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Effective Strategies to Address Common Issues with Lower Dentures
Lower dentures are removable prosthetic devices used to restore missing teeth, improving function and aesthetics. Unlike fixed implants, most dentures are designed to be removable, although some cases involve fixed denture transplants. However, wearers may encounter specific problems over time. Below are typical issues related to lower dentures and the recommended solutions to resolve them effectively:
Problems with Maxillary Dentures
When sore spots develop on lower dentures, they should be marked using a Thompson stick, and PIP paste can be applied for assessment. Difficulty swallowing, gagging, or speech problems often indicate over-extension into the soft palate. These areas need to be marked, and the denture should be adjusted accordingly, often using the Valsalva maneuver. After refitting, the process is repeated for optimal comfort. If the denture becomes loose during speaking or yawning, applying PIP paste helps secure it for normal function.
Vertical Dimension and Occlusion Issues
Excessive vertical dimension (VDO) manifests as too many visible teeth, potentially causing jaw joint pain (TMJ syndrome), muscle discomfort, and excessive salivation. Correcting this involves remaking the denture with a centric relation (CR) bite to prevent such problems. Conversely, insufficient VDO results in fewer visible teeth, leading to instability and difficulty swallowing, which also requires denture adjustments or rebasing.
Challenges with Mandibular Dentures
Common issues include lack of proper contact with the upper teeth, affecting chewing effectiveness. Often, lower dentures may cause various other problems over time. Users should be aware of these potential concerns and consult dental professionals for timely solutions.
