What should you know when considering dentures?

Comparing replacement options

Missing teeth may sometimes be replaced with a removable denture, a tooth-supported bridge, implant-supported treatment or another individual plan. In some situations, leaving a space may also be discussed.

The suitable options depend on the number and position of missing teeth, health of the remaining teeth and gums, available support, expectations, maintenance requirements and relevant health factors.

Types of denture

A partial denture replaces one or more teeth and may use the remaining teeth for support. A complete denture replaces all teeth in an upper or lower arch. Some dentures may be supported or retained by dental implants where clinically suitable.

An immediate denture can sometimes be prepared for placement around the time teeth are removed. Healing changes the shape of the mouth, so an immediate denture commonly needs adjustment, relining or later replacement.

Assessment and fitting

The dentist examines the mouth, remaining teeth, gums, bite and current dentures. Records may include impressions or digital scans and measurements of how the jaws relate. More than one visit is commonly needed to plan, make and fit the appliance.

The proposed design, appearance, materials, limitations, alternatives, expected stages and fees should be discussed before treatment. A denture may need adjustment after fitting as the mouth adapts.

• Bring any current or broken denture to the appointment
• Explain areas of pain, looseness or difficulty eating
• Ask how to insert, remove, clean and store the appliance
• Confirm when adjustment and review appointments are expected

Adapting to and caring for dentures

New dentures can initially affect speech, chewing and saliva, and sore areas may develop. Follow the clinician’s advice and request adjustment rather than modifying the appliance yourself.

Clean the denture and also clean the gums, tongue and any remaining teeth. Unless the dentist gives different instructions for a specific clinical reason, dentures are generally removed at night and stored safely as advised.

When a denture needs review

Arrange review if a denture becomes loose, painful, cracked or difficult to use, or if it clicks, rubs or repeatedly traps food. Changes in the gums and supporting tissues can alter fit over time.

Seek assessment for persistent ulcers, red or bleeding gums, bad breath, swelling or any new lump or patch in the mouth. Do not use household glue or attempt to reshape a denture yourself.