Dentistry Procedure

Diet is More Important Than Brushing

Mouth-body connection is the best way to monitor our health — and that our diet is the cause of many problems in our mouth including rotten teeth to inflamed gums. Tooth tissue loss is a common condition and is a pathological, non-carious irreversible loss of tooth tissue, often having a multifactorial aetiology.  Dietary counselling that aims to reduce the intake of products that can exacerbate tooth wear needs to be tailored to an individual.

The diet and food combinations:  It is well known that dietary substances such as soft drinks and abrasive foods cause tooth structure loss. The curried food and alcoholic beverages citrus food are all acidic in nature and cause erosion of tooth structure.  Vegetable oils and white flour are refined carbs, so anything with white flour has a very similar metabolic effect to sugar by creating cavities.

Saliva:  Individuals with salivary gland disorders often find themselves having poor oral hygiene with multiple cavities. Saliva plays an important role in maintaining the integrity of tooth structure. The saliva creates an instant buffering effect against the acidic food challenges and could therefore reduce the foodstuffs erosive potential. Nutrient-dense foods, low in empty calories, processed sugars, acidic ingredients, and artificial sugars, help promote healthy saliva that can protect teeth throughout the day.

Brushing:  Brush twice a day for at least two minutes, morning and night.
The force applied, toothpaste concentration, brushing technique and model of brush all play an important role in tooth structure loss. We should be using a soft bristle with a flexible head toothbrush which should be regularly changed after 3 months of use.  Toothpaste containing fluoride have been shown to help reduce and prevent tooth structure loss. 
If you are having a problem with chewing food or if you have cavities then consult the best dentist in Bangalore.

Skara World Hospital is the best dental hospital in Bangalore having best orthodontists in Bangalore experienced in Fillings & Root Canal Treatment, Bridges, Crowns & Dentures, Dental Implants, Braces & Aligners, Smile Makeover, Advanced Gum Treatment, Paediatric Dentistry, Oral Medicine, Oral & Maxillofacial Surgery, Cancer Rehabilitation.

Low Level Laser Therapy: An Untapped Resource in Dentistry

Low Level Laser Therapy: An Untapped Resource in Dentistry
 
Wounds involving the oral mucosa and jaw bones are commonly encountered in oral surgical practice. Tooth extraction is the most common surgical procedure performed by dentists or oro-Maxillofacial surgeon.
One of the most important and common complications following tooth extraction is dry socket. This phenomenon occurs when a blood clot dissolves and consequently, the exposure of alveolar bone happens. Dry socket is marked by severe and progressive pain, halitosis, regional lymphadenitis, and activity reduction. It is mostly prevalent in surgical extraction of mandibular third molar. These complications reach their maximal at 12–48 h after surgery, but may completely resolve in 5–7 days .Also, due to its anatomical location in the mouth, the wound surface of the extracted socket is frequently disturbed by the mouth activities, which may lead to postoperative complaints by the patients rather than the surgery itself.
The applications of low power laser therapy in dentistry have been addressed by several studies. It is suggested that low-level laser therapy (LLLT) has several beneficial effects

•  reduction of pain and the inflammatory process 

•  accelerated wound healing 

•  anti-inflammatory

•  biostimulant effects 

Laser irradiation will significantly decrease pain, swelling, bruising and inflammation after an extraction thus requiring a decreased (or eliminated) need for post-operative analgesics when compared to conventional surgical extraction procedure. The speed of healing of the extraction site will also be increased and there will be a reduced likelihood of a dry socket (although in cases where a dry socket does occur, LLLT will dramatically decrease the pain and stimulate the covering of the exposed bone through the stimulation of fibroblasts).

One of the mechanisms proposed to be concerning the cellular effect of laser therapy is the capability of laser photons to change cellular metabolism. LLLT is suggested to act on mitochondria by removing nitric oxide from the respiratory chain, thus increasing the levels of adenosine triphosphate (ATP) and reactive oxygen species. As a result of these high levels of ATP (the energy currency for a cell), the metabolism and function of the cell increases in wounded, ischemic, or poorly perfused tissues.
Laser energy could enhance osteoblastic proliferation, collagen synthesis by fibroblast, activation of the lymphatic system, the proliferation of epithelial cells and fibroblast, increased angiogenesis and bone formation. Laser therapy could amplify the oral wound healing process by stimulating cell regeneration after injury, attenuating pain, and modulating the immune system.
LLLT requires a paradigm shift; instead of using drugs to treat the pain after it has started, a dentist now has the opportunity to start the pain management procedure immediately in the dental office. Also, in conventional surgical extraction procedure, wound healing and pain management will take a longer duration when compared to low-level laser therapy.
In an ageing population that is becoming wary of the over-prescription of pharmaceuticals which often carry harmful side effects, laser therapy is an effective alternate or adjunctive tool to achieve improved clinical effects.
The dental department of Sakra world hospital is well equipped with recent advances in laser technology where patients can avail this benefit of low-level laser therapy after post-surgical extraction procedure.

Lasers in Incision and Its Influence on Post Operative Complications in Surgical Removal of Teeth

Surgical removal of impacted teeth is one of the most common procedures performed by oral and maxillofacial surgeons. It involves the manipulation of both hard and soft tissue that can cause several postoperative complications. Pain, swelling, trismus is the most commonest postoperative (post op) discomforts that affects post- operative quality of patient’s life following the surgical removal of mandibular third molar.

Flap design and incision is one of the factors influencing the severity of these complications. The incision of the mucosa, the reflection of a mucoperiosteal flap and the surgical time are the general factors related to post operative complications and therefore they should be reduced to improve the post operative quality of the life of the patient. 

Scalpel, electrocautery and laser system are commonly utilized as effective tool in soft tissue surgeries. The most common tool is scalpel. The main drawback of the scalpel is that they do not provide haemostasis, which is an important key factor in the highly vascularised region like oral cavity. Therefore, there arises a need for an alternative for the soft tissue surgeries.

 Laser is a monochromatic, collimated, coherent, and intense beam of light produced by stimulated emission of radiation of light source. Benefits of laser incision over scalpel are as follows:

•  Laser incision provides excellent accessibility and visibility to the surgical site at the time of surgical procedure. 

•  Time required for performing surgery-using Laser incision is less as compared to scalpel incision. 

•  The Laser incision proved to be least affecting the post-operative mouth opening, swelling.

•  Post-operative mouth opening, post-operative swelling and post- operative wound healing was affected more adversely with the use of scalpel incision while these parameters were least adversely affected with the use of laser incision.

•  Postoperative wound healing is excellent followed by incision with Laser.

•  Intra operative bleeding is highly reduced by the use of lasers.

Several trials have been used to prevent the occurrence of these complications by alteration in the surgical operative technique and reducing trauma as possible, by the administration of local or systemic corticosteroids and anti-inflammatory drugs, different types of incisions and Laser therapy.

It can be concluded that incision with lasers is more preferred when compared to scalpel incision considering its influence on post operative complications during surgical removal of teeth.

The dental department of Sakra world hospital is well equipped with recent advances in laser technology where patients can avail this benefit of laser incision during extraction procedure.

All you need to know about Invisalign Braces

What are Invisalign braces?

Everybody deserves a great smile, but a lot of us are either embarrassed or need help with the perfect smile. In recent years, a lot of people are using clear orthodontic devices called clear aligners to straighten their teeth and get that beautiful smile. Unlike braces that use brackets with metal and wires to straighten the teeth; Aligners are a series of tight-fitting custom-made mouthpieces that slip over the teeth and Invisalign is the largest producer of clear aligners

Invisalign is an orthodontic treatment that helps to straighten teeth without the use of the typical metal braces. Invisalign has quickly revolutionized the orthodontics world.

The aligners are customised and made of plastic and are formed as a removable tray to fit the mold of a patient’s mouth. Since they are made from transparent material, people do not notice them easily, this is one advantage of wearing Invisalign clear aligners. 

Types of Invisalign we offer at Sakra World  Hospital Bangalore

Invisalign come in various types:

Invisalign Full

This is the most commonly prescribed treatment - mostly preferred for complex cases and includes several aligners throughout the course. The complete treatment period normally takes around 12-18 months.

Lite Invisalign

This type of Invisalign is best suited for cases that are not very severe or are moderate, also this treatment is mostly combined with crowns. Unlike Invisalign Full, where there is an unlimited number of aligners, Invisalign Lite has a limited number of aligners provided.  When using this type of Invisalign, the treatment usually takes around 3-7 months.

Invisalign Express 

It is recommended for a mild correction and is a faster and cheaper option of Invisalign - provides 10 aligner trays. The treatment involves two lengths: one makes use of 5 aligners and takes around 3 months, while the other uses up to 10 aligners and a time of around 6 months.

Invisalign Teen :

The name itself makes these aligners obvious - a great option for teenagers because of the constant shifting of their teeth to help them in the teeth straightening process at a young age. During the teen period, the teeth are not fully developed, hence, making it the right time to fix any alignment issues.

This treatment includes six complimentary replacements for dental aligners. 

While these provide an overview of the type of Invisalign aligners available, the type that will best suit your need should be discussed with an orthodontist who will explain you through each option and how they can help your particular case. Since every patient is different, it is best to speak to a knowledgeable professional orthodontist in Bangalore.

How Long Does It Take For Invisalign To Work?

Invisalign treatments are based on the severity of the case and the type of Invisalign you will be using, most of the cases take around 12-14 months and some even longer. Each patient will have a different treatment period. 

Advantages Of Invisalign

The different advantages of using Invisalign are:

1. They are invisible, so it is not obvious when you smile.
2. Can be used no matter how severe the case, sometimes used in combination with dental crowns
3. Invisalign can be removed easily - hence making it easier for you to brush, floss and bite your food
4. The probability of having an injury is minimal as Invisalign does not use metal brackets and wires 
5. Requires fewer visits to the dental clinic
6. Less discomfort 
7. The effect can be seen at regular intervals. 

At Sakra World Hospital Bangalore,  we offer complete Invisalign treatment - we are among the best Invisalign treatment centers in Bangalore. Looking for an Invisalign treatment in Bangalore? Contact us and schedule an appointment, our dental professionals will examine your condition and suggest the required type of treatment.

How To Treat Bleeding Gums - Sakra Hospital

Bleeding gums are inflamed or irritated pink tissue around the mouth which bleed easily. Bleeding gums is a common problem of oral health. If your gums bleed while brushing or flossing, you might shrug it off thinking it is normal, but bleeding from the gums could at times signal an underlying problem.

Signs and symptoms of bleeding gums

1. Red coloured stain on your toothbrush after brushing.
2. Slight blood when chewing gums
3. Blood visible on teeth or lips.
4. When you spit out saliva blood traces can be seen.
5. Mouth Sores
6. Lump on gums
7. Loose teeth or teeth appear longer.
8. Receding gums
9. Excessive pain while chewing food or after eating crunchy foods.

Causes of Bleeding Gums

1. Brushing too vigorously
2. Using a toothbrush with hard bristles.
3. Dentures or retainers which are not fitted properly.
4. Bacterial infection in the tooth or gums.
5. Hereditary. 
6. Use of blood-thinning medicines 
7. Gum bleeding is also caused due to poor lifestyle such as poor eating habits. Consuming a lot of sugary foods and not maintaining proper dental hygiene as this makes way for the bacteria to grow and causes swollen gums.
8. Smoking irritates gums and leads to bleeding gums.
9. Sometimes pregnancy could also be the cause of bleeding gums

Treatment for Bleeding Gums - How to stop bleeding gums?

The main reason for bleeding gums is inadequate oral health care - Hence, oral care has to be given priority. There are ways which will help one to improve oral health care and get rid of bleeding gums.

1. Brushing regularly and Flossing Daily

Make sure you are using a soft-bristle toothbrush. Brushing twice a day for at least 2 minutes, this will help stimulate your gums, strengthen the tissues and prevent bleeding gums. Flossing helps in removing plaque and food particles stuck along the gum line which could otherwise lead to bleeding gums. Improving the method of flossing and changing the toothbrush every 2 months will contribute to keeping gums healthy. 

2. Quit smoking

In addition to heightening the risk of lung cancer, heart disease, and stroke, smoking is also linked to gum disease. Smoking is a major cause of severe gum disease and can lower your body’s immune system, making it harder for your body to fight off plaque bacteria. 

3. Visit the Dentist Regularly

Regular cleaning at a dental clinic is very essential. The cleaning involves the removal of tartar and other plaques. Professional cleaning by a dentist at least twice a year prevents gum disease. 

4. Maintaining a Balanced Lifestyle

Eating a proper and balanced diet is very important - avoid eating between meals. Eat food rich in vitamin C and K like oranges, carrots, spinach, etc. Reducing anxiety and stress can also help in preventing bleeding gums. How? There is a link between periodontal disease and emotional stress. Emotional stress has a negative impact on the immune system. This may result in weakening of the body’s defences to the point where it can’t fight gum infection.

5. Use of medications

Use antibiotics pills or antiseptic mouthwash to maintain your oral hygiene. In case the gums have become little inflamed but are not bleeding antibacterial mouthwash, toothpaste or oral gel can help you fight the onset of the infection and prevent bleeding gums.

6. Rinse your mouth with saltwater

Regularly rinsing the mouth with a mixture of warm salt water reduces bacteria and stops gum bleeding. If bleeding is from an injury or trauma, rinsing with a saltwater mixture also keeps your mouth clean and removes bacteria that could cause wound infection.
 

How to care for your baby's gums and emerging teeth

There’s nothing more heartwarming than a baby’s toothless grin. Except maybe the smile of a baby with healthy teeth and gums. After all, just because we call them ‘baby teeth’ doesn’t mean they don’t require dental care.

All babies are actually born with a complete set of these baby or ‘milk’ teeth. These early teeth are present within the gums and start to appear when the baby is about 6 to 10 months old, sometimes earlier and sometimes later. Hence it is very important to take good care of your baby’s gums.

How to keep your baby’s gums healthy?

Gums or gum pads are generally one of the most commonly neglected areas in terms of hygiene in babies, owing to assumptions of  ‘no teeth so no need to clean’.  On the contrary, it’s very important to keep them clean and healthy. Wiping them with a piece of gauze or muslin cloth dipped in plain water will help in wiping away any milk or food debris stuck on to the gums. Clean gum pads and good oral hygiene right from the beginning will ensure a positive environment for the erupting teeth in a later stage. 

What should you know about your baby’s first tooth?

Your baby’s first tooth can erupt anytime as early as 6-7 months or as late as 12-13 months. There is no ‘exact’ age that can be decided for the eruption of the first tooth and it will vary from one child to other.

Most often it will be the lower front teeth that will first appear in the mouth. During this period of eruption, there is a chance your child may show signs of irritation, frequent desire to bite things, putting hard objects into the mouth, redness of the gums, thumb-sucking, gum rubbing, rashes, etc. There can be loss of appetite, crying, increased salivation, drooling, irritability, wakefulness. This is normal and is referred to as teething. Give your child something cold to bite on, like a cold carrot or teething rings that are commercially available, but make sure that these toys are cleaned and sterilized before and after every use.

It is very important to keep the mouth clean at all times at this stage to prevent germs from staying in the mouth or travelling to the stomach. As soon as the first tooth erupts, you can start the brushing process. Parents should brush their child’s teeth twice a day with a soft, age-appropriate toothbrush and gentle toothpaste designed for infants and toddlers.

It would be ideal to visit a paediatric dentist at this age, as they will be able to guide you through the correct way of keeping your child’s mouth healthy. Remember that it is always better to initiate preventive procedures early on, rather than going through reparative procedures later due to neglect at this stage.

Another important thing to be aware of is that sometimes your child may be born with a tooth in the mouth or a tooth may appear within the first 2-3 months. In such a scenario, contact a pediatric dentist as soon as possible and they will guide you through the caretaking process.

7 signs that your child has a dental infection

The occurrence of cavities in children is considered a disease called EARLY CHILDHOOD CARIES. Signs and symptoms include:

1. The appearance of a dark colour on the tooth (brown or black).
2. Sensitivity/pain on chewing food or eating sweet foods.
3. Severe toothache, toothache at night.
4. Swollen gums, small pus-filled swelling near the tooth on the gums.
5. Not allowing you to brush his/her teeth due to sensitivity, weakening or chipping of teeth.
6. Inability to eat, refraining from eating hard food items
7. In severe cases, fever with swelling that restricts normal functions of the mouth.

Remember that a child will not be able to express discomfort like an adult; therefore it is the responsibility of the parent to carefully note for any of the above changes at an early stage and bring it to the dentist’s notice.

Decay in children is not only because of sweets or chocolate. Consistent oral hygiene measures can avoid all kinds of dental infection.

Few things you may not know about paediatric dentistry

Paediatric dentistry is a branch of dentistry which is dedicated to providing care for children from infancy to adolescence. We also cater to children with any special healthcare needs.

Paediatric dentistry aims at providing preventive oral health care, to prevent cavities from occurring in the delicate milk teeth so that your children can grow into adults with a strong permanent set of teeth.

A lot of dental problems such as malalignment of teeth can be identified at an earlier age by the paediatric dentist and can be corrected early and the future need for braces or severity of orthodontic treatment may be reduced.

Since paediatric dentists are specially trained in handling children, the type of treatment and management of the patient in the clinic is very different from adults. We understand that kids are not merely ‘small adults’ and need a special kind of care. We also understand your concern as a parent and do our best to reassure and guide parents on good oral hygiene for their child.

Prevent gum disease for a perfect smile

Gingivitis is a condition in which there is inflammation of the gums or gingiva. It is caused by a layer of plaque or bacteria accumulating on the teeth. Gingivitis is a common type of periodontal disease. It can progress to a gum infection called periodontitis which is serious and can eventually lead to loss of teeth.

Signs of GINGIVITIS include red, swollen gums that bleed easily when the person brushes their teeth. Gingivitis treatment can be initiated by improving oral hygiene, such as brushing and flossing regularly. Gingivitis symptoms are mild in the beginning but the condition should be taken seriously and addressed immediately.

There are two main types of Gingival diseases:

1. Dental plaque-induced gum disease caused by plaque accumulation, medications or malnutrition.

2. Non-plaque induced gum disease which can - develop due to a number of different causes such as a bacterial, viral, or fungal infection; genetic factors, systemic conditions, wounds, or reactions to foreign bodies. 

Causes of Gingivitis

1. Gingivitis is a condition in which there is a build-up of bacterial plaque over the teeth. The plaque sets off an immune response which causes the destruction of gum tissue. As it progresses,  it can lead to further complications, including tooth decay and loss of teeth.

2. Dental plaque is a thin layer of biofilm that accumulates naturally on the teeth. This plaque is generated by bacteria that attempt to adhere to the tooth surface.

These biofilm bacteria might help to protect the mouth from the colonization of harmful microorganisms, but dental plaque can also cause tooth decay, and periodontal problems such as gingivitis and chronic periodontitis, a gum infection.

When plaque is not removed adequately, it turns into calculus, or tartar, which collects at the base of the teeth, near the gums. Tartar has a yellow colour and it can only be removed professionally by a periodontist.
Plaque and tartar irritate the gums, causing gum infection and inflammation around the base of the teeth which causes bleeding gums.

Other causes and risk factors

1. Hormonal changes: This may occur during puberty, menopause, the menstrual cycle, and pregnancy. The gingiva might become more sensitive, raising the risk of inflammation.

2. Diseases: certain cancers, diabetes, heart disease, and autoimmune conditions.

3. Drugs: Oral health may be affected by some medications, especially if saliva flow is reduced. Dilantin, an anticonvulsant, and some antianginal medications can cause abnormal growth of gum tissue.

4. Smoking: Regular smokers more commonly develop gingivitis.

5. Age: The risk of gingivitis increases with age.

6. Poor diet: A vitamin-C deficiency is linked to gum disease.

7. Family history: Those with a family history of gingivitis have a higher risk of developing it. This is thought to be due to the type of bacteria we acquire during our early life.

Signs You Need to See a Periodontist

Do you think you might have the gum disease?  Take the Gum Disease Test!

How does gum disease arise?

When bacteria start to form along the gum line and between the teeth where it cannot be clearly seen is how gum disease is formed. As these bacteria start to multiply, they release toxins that can cause the gums to move away from teeth, exposing more of the teeth to plaque and tartar. This is one of the early stages of gum disease.
If not treated at an early stage and the bacteria spread to below the gum line and to the tooth area,  then it cannot be avoided with just brushing and flossing, as this is an advanced stage of gum disease where you can even lose a tooth.

How can I tell if I need to see a Periodontist?

Some of these symptoms or signs that you can look out for are:-

1. One of the first and most common signs of gum disease is when you brush and floss your gums become red and swollen or even start to bleed.

2. After you have brushed your teeth if you still have a bad breath or an unpleasant taste in your mouth it is a sign of the beginning of gum disease because the toxins released are which cause the bad breath or an unpleasant taste in your mouth.

3. Your gums start to pull away and form deep pockets between your teeth and gums.

4. Your teeth begin to shift out of their normal alignment or they feel loose.

5. You can notice changes in your bite pattern, as in your teeth become loose so they can cause differences in the way your mouth “feels” while biting or chewing food.

6. You can feel a lot of pain while eating. This is because the bacterial infection around your teeth has increased and when you bite down it puts pressure on the teeth which have the infection causing the pain.

7. When your gums start to pull away and your root area is exposed the teeth become very sensitive especially to extreme temperature and changes.

8. If you have a family history of gum disease, studies have shown some factors that contribute to gum disease may run in the family. If your parents, grandparents or a sibling have with gum disease, you should consult a periodontist

9. Dentists also say that smoking can also cause gum disease as it decreases the oxygen and nutrients needed for the gums to stay healthy. If they are not in optimal health, the gums cannot stop the infection or bacterial invasion making them more to the disease.

10. Diabetic patients tend to have high levels of sugar in their saliva and the bacteria that cause the gum disease thrive on sugar. Diabetes also decreases circulation to the gums to keep them healthy.

The Center for Disease Control and Prevention says 50% of the adults above the age of 30 years have some form of gum disease.

Even if you are younger than 30 years or above 30 years of age, if you haven’t yet consulted a periodontist you should get your gums checked for the disease, and get the right gum disease treatment before the disease worsens.

Everything you should know about Dentures

A denture is a removable replacement for missing teeth and surrounding tissues. Two types of dentures are available -- complete and partial dentures. Complete dentures are used when all the teeth are missing, while partial dentures are used when some natural teeth remain.

Types of Dentures

1. Complete Dentures: can be either "conventional" or "immediate." Made after the teeth have been removed and the gum tissue has begun to heal, a conventional denture is ready for placement in the mouth about eight to 12 weeks after the teeth have been removed.

Unlike conventional dentures, immediate dentures are made in advance and can be positioned as soon as the teeth are removed. As a result, the wearer does not have to be without teeth during the healing period. However, bones and gums shrink over time, especially during the healing period following tooth removal. Therefore a disadvantage of immediate dentures compared with conventional dentures is that they require more adjustments to fit properly during the healing process and generally should only be considered a temporary solution until conventional dentures can be made.

2. Partial Dentures: A removable partial denture or bridge usually consists of replacement teeth attached to a pink or gum-coloured plastic base, which is sometimes connected by metal framework that holds the denture in place in the mouth. Partial dentures are used when one or more natural teeth remain in the upper or lower jaw. A fixed bridge replaces one or more teeth by placing crowns on the teeth on either side of the space and attaching artificial teeth to them. This "bridge" is then cemented into place. Not only does a partial denture fill in the spaces created by missing teeth, but it also prevents other teeth from changing position. A precision partial denture is removable and has internal attachments rather than clasps that attach to the adjacent crowns. This is a more natural-looking appliance.

Are There Alternatives to Dentures?

Yes, dental implants can be used to support cemented bridges, eliminating the need for a denture. The cost is usually greater, but the implants and bridges more closely resemble the feel of real teeth. Dental implants are becoming the alternative to dentures but not everyone is a candidate for implants. Consult your dentist for advice.

How Are Dentures Made?

The denture development process takes a few weeks and several appointments. Once your dentist or prosthodontist (a dentist who specializes in the restoration and replacement of teeth) determines what type of appliance is best for you, the general steps are to:

1. Make a series of impressions of your jaw and take measurements of how your jaws relate to one another and how much space is between them.

2. Create models, wax forms, and/or plastic patterns in the exact shape and position of the denture to be made. You will "try-in" this model several times and the denture will be assessed for colour, shape, and fit before the final denture is cast.

3. Cast a final denture

4. Adjustments will be made as necessary

What Do New Dentures Feel Like?

New dentures may feel a little odd or loose for a few weeks until the muscles of the cheeks and tongue learn to keep them in place and you get comfortable inserting and removing them. Also, it is not unusual for minor irritation or soreness to occur and for saliva flow to increase when you first start wearing dentures, but these problems will diminish as the mouth adjusts.

Will Dentures Make Me Look Different?

Dentures are made to closely resemble your natural teeth so there should be only a small noticeable change in appearance. In fact, dentures may even improve your smile and fill out your facial appearance.

Will Eating With New Dentures Be Difficult?

Eating with new dentures will take a little practice and may be uncomfortable for some wearers for a few weeks. To get used to the new denture, start with soft foods cut into small pieces. Chew slowly using both sides of your mouth. As you get used to new dentures, add other foods until you return to a normal diet. Be cautious with hot or hard foods and sharp-edged bones or shells. And, avoid foods that are extremely sticky or hard. You should also avoid chewing gum while you wear the denture. Also, don't use toothpicks while wearing dentures.

Will Dentures Change How I Speak?

After getting dentures, you may have difficulty pronouncing certain words. If so, practise by saying the difficult words out loud. With practice and with the time you will become accustomed to speaking properly with dentures.

If dentures "click" while you're talking, contact your dentist. Dentures may occasionally slip when you laugh, cough, or smile. Reposition the dentures by gently biting down and swallowing. If any speaking problem persists, consult your dentist or prosthodontist.

Are Dentures Worn 24 Hours a Day?

Your dentist or prosthodontist will instruct you as to how long to wear dentures and when to remove them. During the first several days after receiving your denture, you may be asked to wear it all the time, including while you sleep. Although this may be temporarily uncomfortable, it is the quickest way to identify the areas on the denture that may need adjustment. Once adjustments are made, you should remove dentures before going to bed. This allows gum tissues to rest and allows normal stimulation and cleansing by the tongue and saliva. The denture can be put back in the mouth in the morning.

Should I Use a Denture Adhesive?

A denture adhesive may be considered under the following circumstances:

1. To enhance satisfaction with a properly constructed denture. Adhesives enhance retention, stability, bite force, and an individual's sense of security.

2. To assist individuals with dry mouth conditions that lessen denture adherence, such as individuals taking cold medications, those with neurologic disabilities including strokes, and the elderly.

3. To provide added stability and security for those who place unusual demands on facial muscles, such as public speakers or musicians.

How Are Denture Adhesives Applied?

1. Here are some tips to consider when applying denture adhesives:

2. Use the minimum amount necessary to provide the maximum benefit. Apply less than you think you need, and then gradually increase the amount until you feel comfortable.

3. Distribute the adhesive evenly on the tissue bearing surface of the denture.

4. Apply or reapply when necessary to provide the desired effect.

5. Always apply the adhesive to a thoroughly clean denture.

6. Remember adhesives work best with a well-fitting denture.

What Are the Types of Denture Adhesives?

1. Paste application. Apply this denture adhesive to a dry or preferably wet denture. Avoid placing adhesive close to the denture borders. If the adhesive oozes, use less of the product. For dentures on the upper jaw, apply three short strips of adhesive -- or a series of small dots -- along the ridge area and one down the centre. For dentures on the lower jaw, apply three short strips of adhesive -- or a series of small dots -- in the centre of the ridge area.

2. Powder application. Sprinkle a thin, uniform layer throughout the tissue-bearing surface of the denture. Shake off excess powder and press the denture into place. Powders may be preferred over pastes because they are easier to clean off the denture and tissue. In addition, they don't have the same tendency as pastes do to "shim" (keep the denture away from the tissue).

Are Denture Adhesives Safe?

Dental adhesives are safe as long as they are used as directed. If the denture is well-fitting and the adhesive is only used to give added stability, there should be no ill effects. If adhesives are used excessively to fill voids for an ill-fitting denture, they can be harmful to the underlying soft and hard tissues. Occasionally, in these cases, inflammation of the soft tissues can result. In addition, because of its movement on the soft tissue and underlying bone, an ill-fitting denture can cause bone loss.