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Ask UsDenture is Loose and Problems with Adhesive?
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Angel, a dental patient from Georgia, asks:
My dentist extracted all 16 of my maxillary teeth last week. He placed an immediate complete denture as a transitional appliance. He wants to wait one year for the bone to heal before he places the mini dental implants. I am comfortable with all of that an understand that the mini-implants will be placed with minimal trauma to the bone.
My problem is that the upper denture is very loose and I cannot eat with it or talk unless I use an adhesive. The adhesives cause a burning sensation on the roof of my mouth and the tissue under it turns a bright red. My dentist thinks I am allergic to the adhesive. It is very painful. My dentist told me that there is nothing he can do until my bone heals. Is there anything else that I can use to keep the denture from moving around? I cannot go without a denture for a year?
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24 Responses to “ Denture is Loose and Problems with Adhesive? ”
I am not sure if your Dr. is aware of the Syncone implant from Ankylos. Please copy and paste the link below and click on the link for syncone at the bottom. The best solution for your denture problem.
tulsadental.com/catalog/implants_main.htm
Why not go with standard size implants after only six months of healing? They may cost more, but they are bigger giving you more surface area contacting the bone, and you may get by with fewer. In my opinion, the amount of bone dictates the size of the implant that should be used. I find that dentists use what is in their comfort zone and the mini’s may work just fine for you and your dentist. If you are unsure, It’s always good to get a second opinion from another quality dentist in your area. As far as the loose healing denture, try to get them relined frequently, so you don’t have to use very much adhesive, if any at all. Good Luck!
I have two lower dental implants. When my tongue touches the implants, the implants feel as if they are not straight up in my mouth. In other words, they feel slanted, with one somewhat leaning forward and the other somewhat leaning backward. To me, the dental implants feel big, heavy and bulky. The tips are sharp. Is this normal? After surgery and placement, my jaws became very stiff and that stiffness has never gone away and after surgery my lower jaw protruded outward and still does.
Dear Angel
I do not see the point in waiting so long before placing mini implants.Usually mini implants as a retentive device for the denture can be placed immediately with the extractions.Due to the fact that these implants are so narrow they can be placed in between the extraction sockets.There are implant systems designed for that purpose like the Dentatus for instance.
If the teeth were extracted only a few weeks ago, the tissues are going to swell and then shrink. I usually start placing soft liners in the dentures after two weeks to compensate. While theoretically you can place the mini implants in the bone between the teeth, they work only if the bone if strong enough to hold them and only if there is no residual infection in the area. I have been teaching others to place mini implants for 4 years. When there is enough good bone they are awesome and the cost is substantially less. When there is not good enough bone they fail and usually standard implant are required. Either way if you want to have a denture without a palate, the best choice is to place three on each side and then have a new denture made after they are integrated that has a metal substructure so that they do not break.
Dear Angel:
I agree with Dr. Mazor not to wait that long. Midi imlplant is designed for fast bone regeneration and immediate loading. I know your dentist is very carefull to put the implant in healthy bone, but he can compromise to put 2 immediate mini implant in the interseptal bone to hold the denture immediately, then after 6 month he can put the final implants whatever midi or 2 stage implants. For the soft relining can hod the denture. Product of Fugi co. having permenent soft relining that can hold the denture better. Best regards
Dr. Tarek
to solve your problem quickly your dentist can use a softliner to give you more comfort during healing. After three months he can let rebase your protheses in onde day with a new layer. maybe this has to be done twice in the first year. Then you can stuck to your first plan. To place the implants top quick after removing your teeth due to periodontic losts can give some trouble because these bacteria can infect your implants as well. The time to wait is then hard to say, but there are some test on the market to see if those bacteria are gone.
At 8 weeks you should have some idea of where the bone has initially “stabilized”. From ther, figure out where you can place the most implants to preserve bone and develop the bone. Minis are just that. I KNOW they are stable, cost less, but the do not do what normal sized implants can. They cant. Im not knocking them, its just that regular sized implants give patients more options and spread the forces in a different manner. We tend to treat patients from the bottom treatment plan up instead of the best option down. bone loss is paramount with this patient. work to preserve bone. JMHO. Bill
Poor Debora’s question has been completely ignored!
“Debora Says:
August 14th, 2007 at 9:58 pm”
I am no dentist, dear girl, but I can tell you from personal experience, I also have two lower implants (Bainsmark I think they’re called) and they are both facing different directions. My denture was made to accomodate the slant and it’s not so bad. I wish they were straight, but my bone decided how to heal with them implanted there, and so there was nothing the implant dentist could do to stop that.
The edges will feel sharp to your tongue and you will have to get used to keeping your tongue away from them (you can get cut!) and keep your denture in place as much as you can. Keep the implants clean and keep the denture attachment clean to avoid infection or contamination.
Remember - this is the best they can come up with to date for us when we loose our natural teeth.
and it’s much better than anything else available to us.
I hope this helps.
All the best to you!
To debora; There are certain physical anotomical considerations of placement that sometimes cannot be compensated for, but to say that you canot have them ’straight” or parallel is not correct. You can. The FINAL dennture should have indicated where the implants were to BE placed, not placed first. Some small angulation differences are OK but great differences are not, in my opinion. And they should not be sharp. Maybe you are feeling a thread, but if your denture is seated, it seems most likely that you could not feel it when it is. As far as the jaw,I cannot fathom how they cause your jaw to stiffen and protrude. I could possible explain the protrusion alone if the denture was relines to the implants anterior to where you were accostomed to wearing it, but that is only speculation. Go see your dentist and work out your concerns. Bill
Here are the questions you should be asking as an informed patient:
1) Did the extractions aslo include discussion about grafting the sockets at the time to extraction. If not, you lost a gob of bone likely for no real good reason. Statistically at least, you would have more bone for a denture and or implants if you were grafted at the time of the extractions.
2) BTW, if they are charging you more than $200 per socket graft, they are steep.
Get your surgery done in the future by a periodontist or an Oral Surgeon…many general dentists nowadays are trying to do more and more surgery. Great, but Oral Surgeons spend 4 years AFTER dental school doing Oral Surgery. It’s kind of like a snotty snub..”I don’t have to go to Oral Surgery Residency just to do Oral Surgery”. When we have a complication, we treat it based on severeal years of residency experience. The general dentists go to continuing education and play themselves off as “surgeons”. Get real. In medicine, dermatologists in some cases are doing the same thing..they don’t go to a plastic surgery residency but want to do facial plastics. You get what you pay for. There are some very good general dentists who do good basic surgery. That’s fine. But many are playing themselves off as surgeons which they are not. Whatever. It comes back to bite you when you have a really bad problem. Patients will be more informed as time goes on. Think what you will, but that’s the facts.
Dee:
There is no such thing as an implant dentist..as a matter of fact, it is illegal and unethical to advertise asan implant dentist per the American Dental Association since there is no specialty of Implant Dentistry. Facts, no spin here.
To doc from East Coast:
I think oral surgeons don’t spend four years te be trained in implant dentistry. This is alveolar bone therapy. I think oral surgeons shouldn’t be busy with simple things only the complex implant dentistry and I think the four years of training is more to learn oral surgeons to deal with tumorreconstructions, Yaw surgery, etc etc The real stuff
I have a upper and lower denture and the problem I am having is with the lower dentures. I fixodent and I always have to put extra in my bottom plate before I eat because my plate never stayes intack. Is there something else I can do to be a ble to enjoy eating again?
please i just need a little help
i only had 8 bottom teeth and needed to have then extracted–they are from center out 4 each way
this was 5 weeks ago
the right side feels great–no soreness at all the left last two removal sites are still very tender
there is no infection nor bone fragments there-the teeth took quite abit of manipulation and rocking back and forth to remove but came out intact
how long will this tenderness last
I had immediate denture already soft relined to help buffer the site till healing occured, but it seems that now teeth are too high is that becauase of reline material–prob so
i have always has problems with anesthesia on that side of mouth and discomfort but never this long
any ideas please
what are the costs for mini denure implants??
3 to 5 thousand
I was told by two different dentists that mini-implants cost about $500.00 each. Where does the 3 to 5 THOUSAND come from?
Then go to them. My fee is for the total service, regardless of the # of mini implants!
$ 200 for a socket graft is mighty low. You should be at least a grand. It’s an excellent service. It’s worth the ounce of prevention vs. the pound of cure.
I cannot believe some of these articles I am reading. What ever happen to someone becoming a dentist to help people not to get rich. Le’ts be nice when talking to each other.
THERE IS A COST TO DOING BUSINESS AND OBTAINING AN EDUCATION AND TRAINING. I AM BEING NICE. IT’S MY KNOWLEDGE, MY TALENT.
I believe R. Hughes must have been quoting the costs for normal implants not mini-implants. Mini’s are much cheaper and are normally implanted at a cost between $500 - $1000 each. My research finds averages around $700-$800. Of course there are dentists who are overly greedy and will rip off patients that are not informed. Get more than one quote.
My quote was for the entire service regardless of the # of implants and this is what I have heard around the campfire. Various mini’s have different cost, some are better than others.
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