Preservation
and restoration of the jawbone begins at the time of extraction
of teeth. Bone and soft tissue grafting techniques performed
in conjunction with extractions may decrease or prevent
bone loss under dentures. Oral and maxillofacial surgeons
have developed many procedures for treating the patient
without teeth who suffers with the social and physical problems
caused by ill-fitting dentures. Your oral and maxillofacial
surgeon will explore these options with you before deciding
on a treatment plan.
If
shrinkage of the jawbone has taken place and some ridge
height and width remains, the oral and maxillofacial surgeon
may use bone or bone substitute to build up the jawbone.
Depending on the degree of shrinkage, this treatment sometimes
can be completed in the office.
Another
treatment option, which your oral and maxillofacial surgeon
may consider, is called a vestibuloplasty. If enough jawbone
remains below the muscle attachments of the lip, cheeks
and tongue, firm tissue can be grafted over the bone to
provide a larger ridge. This usually requires taking tissue
from the roof of the mouth or thigh.
After
careful evaluation of your problem, the oral and maxillofacial
surgeon may decide that implants are necessary to support
a denture and restore proper function.
Conventional
dentures are held in place by suction, mechanical retention
or adhesives
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However,
dentures supported with the aid of implants provide increased
stability and function
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Many
people stop going to their dentist after dentures are fitted.
Regular checkups are till the best insurance that your mouth
is healthy. Changes in the gums and jawbone can occur under
a denture, especially as a result of chronic irritation.
Overgrowth
of tissues in some areas, or sores on the gum, is also common.
In addition, your dentist or oral and maxillofacial surgeon
will sometimes see early warning signs of generalized disease.
It is also important to be aware of changes in oral tissue
due to cigarette smoking or alcohol consumption so that
alterations in these habits can prevent future problems.
Exploring
your options with your dentist and oral and maxillofacial
surgeon will allow you to function without worrying about
your dentures and will preserve the health of your mouth.