This page provides some useful information if you are considering dentures as a solution to replace missing or loose teeth, and some tips for people who are already denture wearers.

Although we only offer our same-day dental implant solution at Total Dentalcare (TDC) Implant Centres, we provide this information as we advise anyone considering tooth replacement to carefully research all the available treatment options. As every patient has different dental health needs and preferences, this will help you choose the right solution and dental team for you.

What are dentures/false teeth?

Dentures, or false teeth, are artificial teeth that fill the gaps left by missing teeth. Most are made from plastic (acrylic), nylon or metal and are manufactured to look like natural teeth. Complete dentures replace all your upper or lower teeth, while partial dentures only replace a single tooth or a few missing teeth.

Advances in technology mean that there are many types of dentures, so it is best to discuss which one is most suitable with your dentist.

Why might you need dentures?

Removable dentures are a familiar treatment option and may be one of the solutions you consider – or may have been suggested to you by your dentist – to help improve the problems caused by your loose or missing teeth.  These issues can include:

  • on-going oral health issues such as dental pain, tooth decay and gum disease
  • difficulty eating foods that others can easily eat – such as crunchy fruit and vegetables.  This can impact upon your ability to have a balanced diet, as well as reducing your enjoyment of food
  • being limited in your social life e.g. only being able to order soft foods or soups when you eat out, or even avoiding social situations altogether
  • low self-confidence if you don’t like the way your teeth look.

Widely available, dentures can improve your ability to eat foods that you currently avoid, and enhance your smile by replacing unsightly loose and missing teeth. For people happy with a removable solution, dentures can be the right choice.

How are they held in place?

Dentures are designed and shaped to fit over your gums and can be removed by the wearer. Full dentures (where there are no natural teeth remaining in the jaw) are normally held in place by suction to your gums. When the dentures fit well, this can be enough to keep them firmly in your mouth. Over time, all dentures will loosen and will require a new lining (reline), additional denture adhesive or a total remake.

Denture adhesive can be used to help hold the false teeth in place more securely as it can give better grip. Most readily available denture adhesives last between eight and ten hours before needing to be reapplied. Partial dentures can be clipped onto existing teeth and released using tooth-coloured or metal clasps.

Some dentures, called denture implants, can be attached to dental implants but unlike fixed bridge dental implants, such as All on 4 and Smile in a Day, which remain permanently in place, they are removable by the denture wearer and need to be maintained like any other dentures.

Getting used to wearing dentures

One of the biggest concerns people have when thinking about having dentures is how comfortable they will be.

It is likely to feel strange when your new dentures are fitted and it’ll take time for you to get used to the feeling of something new in your mouth. In addition, your gums may become sore and irritated if your dentures rub.

Dentures should not be worn overnight and are best stored in a damp container or a glass of water. You may also find that your speech is affected and that eating certain foods is difficult, so start with softer foods and gradually experiment with ones that are harder to eat. Your tongue and cheek muscles usually get used to accommodating your false teeth over time, which will help to make both speech and eating easier.

Your ability to taste may also be diminished if the denture covers your palate, and you may produce more saliva than usual. Swallowing more frequently or chewing gum may help.

For all of these issues, dental professionals usually advise being patient whilst getting used to wearing dentures as problems are likely to diminish over time. But do consult your dentist if they persist or if you have concerns over the fit of your denture. If you have painful dentures it’s an issue that needs to be addressed urgently.

Why cleaning your dentures is so important

Saliva plays a vital role in keeping your mouth healthy. It has antibacterial properties and, by washing away food particles, helps to keep your teeth clean and infection free.

When you wear dentures, saliva may not be able to reach certain parts of your mouth and gums, and food can become caught under the plate and start to decompose, which can cause bad breath.

This is why it is important to maintain a really good oral hygiene routine and to clean your dentures regularly. The NHS recommends cleaning dentures as often as you would natural teeth (see below).

You should also brush your gums, tongue and any remaining teeth twice a day with a fluoride toothpaste to keep your mouth clean and avoid infections including oral thrush and gum disease. And of course, make sure you have regular check-ups with your dentist or dental technician.

Caring for dentures

Dentures need to be taken out and thoroughly cleaned with a toothbrush twice a day to ensure that any food particles are removed. Rinsing false teeth with water after every meal can also help to keep them clean.

They should also be disinfected daily according to the instructions given by the denture-cleaning product manufacturer. This helps to protect against infection and soreness and also gives your gums a break.

Dentures should be handled with care – avoid cleaning them over a hard surface to guard against them breaking if they are dropped. Instead, fill the basin with some water which will protect your false teeth if they fall.

Your dentist can deep-clean your dentures to help remove stubborn stains which helps to keep them looking clean.

How long do dentures last?

If they’re well looked after, dentures can last for five to ten years before they need to be relined with acrylic resin to help them fit better, or replaced.

However, the most important thing is how well they fit. Your gums naturally recede as you age and, while dentures are moulded to fit your gums exactly, when you wear dentures your jaw bone will gradually shrink and deteriorate (a natural process known as resorption), which can easily be made worse by wearing dentures, especially dentures that do not fit well or grind against remaining teeth.

This means your dentures may no longer fit properly and may start to become progressively looser, leading to slipping, discomfort or lisping when speaking.

The dentures may then need to be replaced to address these problems. Speak to your dentist for advice.

Dentures:
Advantages

  • Dentures can replace missing teeth – whether single teeth, multiple teeth or a full set of upper and lower teeth
  • Modern-day false teeth options are more varied, and new materials can make them more comfortable than traditional dentures
  • False teeth can help to improve the appearance of your smile
  • You’ll be able to eat certain foods more easily than if you have loose and missing teeth
  • Removable teeth cost less than fixed solutions
  • They’re available on the NHS
  • Wearing false teeth can help to enhance your facial features which may have sagged due to tooth loss
  • Dentures can improve your speech by preventing the slurring that can occur as a result of missing teeth
  • Well-fitting dentures can be held in place with suction alone, but you can get added grip from denture fixative if required or preferred
  • Partial dentures can be securely held in place with metal clasps

Dentures:
Disadvantages

  • Dentures are removable, so they’re less convenient than fixed solutions such as fixed bridge dental implants that stay in place like natural teeth
  • False teeth can feel unnatural and uncomfortable in your mouth, in some cases leading to a gag reflex
  • They require a time-consuming daily cleaning routine so that you can clean your dentures properly; that necessitates frequent denture removal
  • When they are removed, denture wearers are left with missing teeth and gaps
  • If they don’t fit properly, dentures can slip, causing irritation, mouth sores and social embarrassment
  • Ill-fitting dentures can impair your speech, causing you to slur or lisp
  • Wearing dentures results in accelerated bone loss in your jaw, which can alter the shape of your face and lead to sagging and wrinkles
  • Food particles can become trapped underneath your dentures and start to decay, leading to bad breath
  • Dentures are less durable than natural teeth and permanent solutions such as fixed bridge dental implants
  • Because your gum and jaw bone change shape with age, your dentures will loosen, meaning they will need to be replaced every five to ten years

Over time, dentures can become stained by drinking tea, coffee and  red wine, and from smoking, something that is made worse by abrasions in the acrylic caused by cleaning with abrasive toothpaste. Your dentist can remove these stains, which is a short, simple process.

If your removable dentures move in your mouth, your dentist can use acrylic resin to help improve the fit. This can be done in the dentist surgery (a soft reline) or the dentures can be sent to a lab (a hard reline). While relining can help short-term, your dentures may eventually need to be replaced.

The NHS advises that if dentures are removed, they should be placed in water, a suitable overnight denture cleaning solution, or a polythene bag with some dampened cotton wool in it to stop the denture material from drying out and changing shape, which can lead to poor fit and discomfort.

It’s a good idea to rinse your dentures with water after each meal whenever possible as this will to help remove any food particles that may otherwise get trapped. This rinsing will help to keep your mouth clean and feeling fresh, and help avoid your having to worry about bad breath.

Some people find it hard to get used to the feeling of having dentures in their mouth, especially when they are new. If wearing your false teeth makes you gag, you can try applying toothpaste to the surface of the denture that will be in contact with your gums. This can help prevent this gagging problem.

If you’re experiencing persistent discomfort or irritation, you should see your dentist
so they can assess if it is your removable denture causing the problem. Your dentures may need adjustment or there may be tooth roots in your gums pushing against the dentures.

Choosing the right tooth replacement treatment is a very personal decision, and you now have more options than ever before. For people who don’t want  false teeth and prefer a permanent fixed teeth solution, fixed bridge dental implants such as All on 4 or Smile in a Day offer a proven and safe alternative – even for patients who’ve been told that their gum disease or bone loss is too severe for implants.

The main difference between dentures and dental implants is that implants are fixed permanently in place as they are titanium screws that are inserted into your jawbone to replace your natural tooth roots and artificial teeth are secured on top. These can be single teeth or multiple teeth, or full bridges of artificial teeth but, unlike dentures, they all remain in place night and day.

As there is no movement, fixed bridge dental implants eliminate concerns about slipping teeth or a denture rubbing against your gums, and allow you to eat all types of food with confidence.

Dental implant cost is usually higher than the cost of removable dentures. However, they are the closest thing to natural teeth in terms of bite function and the appearance of your smile, and can last a lifetime if well cared for.