Denture Home care

 
 

    The resin that your complete or partial denture, and retainers is made from a biocompatible polymer that has microscopic pores that can collect oral bacteria.  Dentures become easily contaminated in your mouth on a daily basis and  continuous reintroduction of bacteria in your mouth by dentures may lead to microbial disease that can be chronic cause of systemic diseases.  The microbiology of denture plaque has received little attention in comparison with dental plaque, yet it differs in location and composition. Denture plaque and poor denture hygiene is associated with oral infection [Candida (yeast) infection], may also serve as a reservoir of potentially infectious pathogens, and may contribute to oral malodour (bad smell).  Oral bacteria have been implicated in bacterial endocarditis, aspiration pneumonia, gastrointestinal infection and chronic obstructive pulmonary disease, among others, and dentures offer a reservoir for microorganisms associated with these infections. An effective oral hygiene regimen is important to control denture plaque biofilm and contributes to the control of associated oral and systemic diseases.

It is essential to take denture cleaning seriously so that dentures can be worn for many years safely and comfortably.

i- Cleaning Procedure


1- Clean your denture/partials thoroughly twice a day with a denture brush and a non-abrasive denture cleanser. Regular toothpaste is too abrasive for denture care.  Dentures are fragile, so it is important to handle with care. 

2- Don't use alcohol, abrasive cleaners, bleaches, whiteners they may scratch the surface of the denture and harsh products like bleach which will turn the pink parts of your denture white.

3- Do not use boiling water, dishwasher or microwave to clean or soak your denture.

4- Rinse your denture after every meal .

5- Try to give the oral mucosa a break by leaving the denture out for 4-6 hours a day.  You can soak the dentures in the cleaning solutions at night. The gum tissue needs to rest and to allow normal stimulation and cleansing by the tongue and saliva.

6- There are several denture cleaning tablets and solutions are available such as Polident and Efferdent. There are also less expensive generic denture cleaning products available from stores such as Walmart, London Drugs, and Shoppers Drug Mart , which work just as well as more expensive brand names.  Read the instructions carefully before using these products.

7- If denture cleaning solutions are not available, you can use dishwasher detergent, lukewarm water, and a denture brush to clean your denture.


8- Candida a fungal infection can develops in your mouth and the spore will survive in the pores of denture.  You can use a prescription strength mouth rinse (Chlorhexidine-Peridex) to rinse and soak your denture.  Nystatin Vaginal Cream is also effective when applied on the inner side of the denture 1-2x daily, for 10 days. However, it has a very bitter taste. Nystatin is available in a prescription-strength as well.

9- Massaging your gums in the morning and evening with a thumb, finger, or soft bristled toothbrush stimulates blood flow and improves tissue health.


10- If you are suffering from dry mouth use Oral balance moisturizing gel from Biotene (www.biotene.com) can be used to keep tissues moist and can be placed on the denture/partial to increase moisture of the gum tissue


11- Avoid scratching your dentures with abrasive tooth paste and aggressive brushing; deep scratch lines can harbor plaque and bacteria which cause bad odors.

ii- Cleaning Dentures with Soft Liners

If you wear a denture that uses a soft liner you have to take additional precautions to protect the soft liners.  Soft liners are more porous than the hard-liner dentures and mostly considered a temporary procedure that may last between 4 weeks to up a year depending on the choice of the materials used.  

1-Soak your denture in a denture cleaning product, but use only cool water for mixing.  The high heat may damage the soft lining material.

2- Soak denture in the cleaning solution no longer than 30 minutes.

3- During the first several days, use cotton balls to swab the liner.  After this, you may try using a soft bristled brush.

4- Hot food and heavy chewing is not recommended for the first day.  Also since the lining is soft, small materials like seeds may become embedded in the lining.

5- Do not allow the lining to become dry. Keep your denture in water while it is out of your mouth.

iii- First Day of Denture Wear

New dentures may feel tight or cause soreness of the oral mucosa.  The sore spots must be removed as soon as they appear.  When you first notice any signs of discomfort contact us at once.  Remember to wear your denture at least three hours before your appointment so we can "see" where the "sore spots" are located in order to make necessary adjustments. Don’t Try to repair your denture yourself it can lead to more problems and costly repairs.

You need to keep your regular periodic exam in order for us to examine your gum tissues for signs of disease.  As you age, your mouth will continue to change as the bone under the denture shrinks or recedes and wears away.  Lose dentures make it hard to  eat and speak and do not support the face as well.  Remember a new denture should be relined regularly so that it can function optimally.