Does One Size Fit All?

Cutting edge denture technique in Brantford

From the desk of Sandra Goergen CDT, German trained Master Denture Technician

The decision to purchase your first denture(s)or replace your existing dentures can seem like a daunting task. How do you decide what type of dentures you need and who will make them for you? Does one size fit all? The short answer to this last question is, absolutely not.

Dentures are a very personal health item.

They affect your appearance, self-confidence, intimacy, enjoyment of food, digestion and absorption of nutrients for overall health.

The technical differences between standard, custom or precision fabricated dentures are immense. Dentures are hand made and the skill-set of the clinician and technician can vary significantly from office to office. Precision dentures utilize the latest technology and ensure success.

Precision dentures have become my passion.

I have spent the last eighteen years of my career researching, studying, and educating other dental professionals in the importance of utilizing advancements in technology to benefit the denture wearer.

Due to time restrictions in the dental programs of most Universities and Colleges across North America, denture fabrication is not taught to the level it should be, in my opinion. The “one size fits all” approach to making dentures with the hope that the patient can adapt, does not work. There are innumerable differences in every patient’s oral situation that must be considered. The ability of the individual to adapt to wearing an artificial body part is also a consideration. Hearing aids or eyeglasses can be tried on to experience the difference in technology, quality, fit and style prior to purchasing them. Unfortunately, dentures do not allow for this opportunity.

When the question is raised whether standard or precision dentures are needed, there is no simple answer and no average patient who fits a standard approach.

I have worked as a dental technician in dental laboratories in Germany and became the lead trainer to dental professionals from around the world at the International Center for Dental Education in Liechtenstein. In sharing information and patient cases with such a varied group of oral health professionals, I have gained unique insights into customized approaches necessary to achieve successful outcomes. Now living in Canada since 2004, I have the opportunity to fuse my technical skills and experience with the vast technical and clinical knowledge of Nancy and Cliff.

Even with the most unusual circumstances and challenging cases, we have been able to effectively reach a solution due to the team approach in our clinic.

Every denture wearer should receive the best possible denture treatment as it profoundly impacts their health and well-being; however in reality this solution is not always possible due to finances. Dentures range from advertised prices of $499 to $6,000 or even higher. How does the consumer know how to comparequality, technology and skill-set? My advice when considering new dentures is to spend some time obtaining information, interviewing the clinician and asking about the reputation of the clinic.

A no-charge consultation appointment with Nancy or Cliff offers you different treatment options best suited to your specific oral situation. We collaborate with dentists, oral surgeons and other oral health professionals to ensure you receive exceptional care. Our mission is to inform and support patients who seek our advice for their best possible treatment.

Price is what you pay. Value is what you get.

Dentures. What is the first thing that comes to mind?

Advanced dental procedures

When this question was posed to a group of young people, their answers included:

Everybody needs dentures when they get old.

• Dentures click when you talk, just like my grandpa’s.

• You can’t chew bubble gum when you wear dentures.

• I hope I never need them, because my aunt takes hers out when she eats.

Dentures are often pictured sitting in a glass on a nightstand, the sideline for jokes. However, they are no laughing matter. The WorldHealth Organization considers people who are missing all natural teeth (edentulous) as people with a physical handicap. Proper chewing and the ability to eat a variety of nutritious foods are dramatically limited.

The latest federal figures indicate that one in five Canadians over the age of 60 – more than one million people – have no natural teeth*.

Even though dentures are the most common prosthesis worn worldwide, they are one of the most misunderstood and undervalued.

Dentures impact a person’s self-esteem,dignity,confidence,nutritional intake,chewing,digestion, phonetics (speech), facial muscle support (appearance) and intimacy.

The good news is that keeping most, if not all of your natural teeth, well into your senior years is possible with today’s preventative dental care. This includes a good home care routine (yes, this includes flossing), good nutritionand regular dental hygiene appointments.

However, if you find yourself requiring a denture it may be due to a variety of causes out of your control, such as genetic predisposition,socio-economics, trauma or nutrition that youreceived as a child.

With today’s technologies there are advanced denture solutions availablethat dispel the negative notions of thedentures worn by our great grandparents.

To illustrate advancements in other medical areas let us recall the prosthesis worn by the fictional character Captain Ahab inMoby Dick (1851 classic), a ‘peg-leg’ carved out of whalebone that allowed him limited motion. He walked with a limp and the ‘leg’ could not bend. This technology is a far cry from that utilized for the first time in Olympic history by double amputee Oscar Pistorius, as he used the most advanced design and material technology to run into the history books during the 2012 Olympic games. What an amazing advancement in artificial limb technology!

Just as this technology has come a longway over the last few decades, so has denture and dental implant technology.

Materials, equipment and techniques have all undergone significant improvements.

Nevertheless, dentures are still a prosthetic and like any prosthetic, it will take time to adapt to change. Some people who haveartificial limbs may initially go through months of physiotherapy to become proficient withtheir prosthesis; the same time frame could beexpected for a denture wearer, however mostadapt within weeks.

At Nancy Tomkins and Associates Implant and Denture Clinic we work closely with you toensure that your dentures are fabricated usingthe most advanced chair-side and technicalprocedures. We guarantee our dentures andensure a successful outcome to enhance your life.

Call Teresa for a no change consultation

(*The Canadian Press: Nov 7, 2011)

Dental Implants Versus Dentures What is There to Compare?

Lady biting in apple with dentures

The media abounds with articles about dental implants and dentures. The internet also contributes to the volume of information accessible to consumers. However, the vast amount of material available can result in information overload and sometimes lead to confusion. Comparisons commonly made about dental implants and dentures may add to the confusion.

In fact, there is no comparison between dental implants and dentures. It is like comparing apples to oranges. With dental implants and dentures, one does not include or exclude the other. Perhaps describing what they are and their purpose in the oral cavity will help to shed some light on the subject.

Dentures
Dentures are the replacement of one, multiple or all teeth and their supporting structures i.e. the soft tissue (gums) and hard bone. This could be in one arch (jaw) or both arches (upper and lower). A tooth or teeth can be missing for a variety of reasons: decay (cavities), periodontal (gum) disease, injury (sports and other accidents), or congenitally missing (born without). There are different types of dentures fabricated from different materials: dental plastics (acrylics) and/or dental metals. Dentures are further classified into partial (some teeth missing) to complete (all teeth missing) on that arch. Dentures are designed to be removed by the wearer after each meal for cleaning. They are easily removed as they rest on soft tissue with no anchor or they clip to remaining healthy natural teeth as anchors. Dentures ‘sit’ on the soft and hard tissue of the jaw bone.

Dental Implants
Dental implants are artificial tooth roots that are placed into the jawbone usually with minor oral surgery. New cells then grow and fix (integrate) the implant into the jawbone. Dental implants serve as anchors to secure an oral prosthesis such as a crown, bridge, or denture. A natural tooth consists of the root (the part below the surface of the gums) and the crown (the part above the gums). A dental implant replaces the root but it does not include the crown. A dental implant by itself does not replace a tooth or teeth. It is an anchor to which a crown or denture can be made and attached to. A simplistic analogy for dental implants would be to think of them as a house foundation. Houses can be built on the ground when there is solid ground underneath such as bedrock. However, if the ground is soft, then a house is likely to settle and have problems if it isn’t supported by a foundation. The same is true for dentures, especially complete lower dentures. A foundation is a part of a house; it is not a house on its own. A foundation is the anchor/support for the house that is built on top of it. A dental implant is not a complete replacement for a missing tooth. It is an artificial root; it is not a tooth on its own. A dental implant serves as an anchor or foundation for the tooth or teeth that will be fabricated and attached on top of it.

Replacing Missing Teeth
Are you or someone that you know missing a tooth, several or all of the teeth? There are a number of treatment options including dental implants for different situations. Here are three common scenarios.

1. Single Tooth Missing
A simple solution to replace a missing tooth is an acrylic partial denture that is removable by the patient. A fixed bridge is another solution. The teeth adjacent to the missing tooth are prepared to hold the bridge permanently in place. A fixed bridge cannot be removed by the patient. And then there is the implant alternative. A dental implant (artificial root) is placed in the jaw where the tooth is missing. A period of time is allowed for healing and integration of the implant. Afterwards, a single crown the shape, size and colour of the missing tooth is fabricated and fixed to the dental implant. The crown cannot be removed by the patient.

2. Multiple Teeth Missing
Removable partial dentures, an acrylic partial or cast metal partial with wire clasps to retain the denture, are options to replace multiple missing teeth on an arch. Depending on the number of missing teeth and their location, dental implants can be used in different ways to assist tooth replacement. One approach involves the placement of multiple implants and a fixed restoration that is not removable by the patient. Partials on implants that can be removed by the patient are another alternative. These dentures are fabricated to fit over and attach onto dental implants. One or two implants can hold a partial prosthesis securely in place, the denture can be made without clasps.

3. All Teeth Missing
When all the natural teeth are missing a number of options are available.
A conventional acrylic complete denture can be fabricated. The denture sits directly on the gum tissue. However, holding complete dentures in place (retention) can be very challenging for some patients, especially complete lower denture wearers who have lost a lot of bone. Denture adhesive is a common but unfavourable solution. There are different approaches to replacing all the teeth that utilize dental implants. The minimum placement of 2 implants on the lower arch can help to retain a lower denture. The placement of multiple implants (minimum of 3 to 4) allows a more secure and stable approach to retain and support the denture. It is also possible to replace all of the missing teeth with a prosthesis that is fixed onto dental implants and is not removable by the patient. There are pro and cons to all the alternatives for each individual. It is important to seek different opinions in order to decide which option is best for you. With advancements in materials, design and techniques, dental implants have come a long way since their introduction in the late sixties. Dental implants allow the closest possible replacement for natural teeth and the best way to restore your natural smile. Ask your Dental Professional about how dental implants might be the right solution for you.

Call Teresa for a no charge consultation.

Did You Know?

Our Barrier Free Facility

Did you know that May 28 – June 3, 2017 is National AccessAbility Week? It is a week for Canadians to promote inclusion and accessibility in our communities and workplaces, to celebrate our progress and to be inspired to further break down accessibility barriers. I challenge Brantford to lead the nation in this wonderful initiative.

We need to change the way we think, talk and act about barriers to participation and accessibility and we need to do it right from the start, not as an afterthought.An inclusive Brantford is one where all citizens can participate and have anequal opportunity to succeed in their workplaces and community.

National AccessAbility Week aims to bring this perspective to the forefront for Canadians, and highlight some of the important initiatives the government and its partners are undertaking to bring about this change.

I am very proud to say that last week NancyTomkins and Associates Implant & Denture Clinic was a recipient of Brantford’s 2017 Accessibility Award presented at City Hall. I would also like to congratulate the other recipients of this award at this event; Action Medical Home Health, Grand River Council of Aging Age for their Friendly Neighborhood ChampionsProject,The Brantford Flying Club, FreshCo (50 Market Street),M & M Food Market (North End Brantford), Raymond Knight– Founder, Pathways: Adult Recreation Therapy Centre, Dr. Raza Khan, Physician & Medical Clinic, The Children’s Safety Village, President Dr. Leo Vos.

Eight years ago I moved my clinic three blocks west on Charing Cross Street to provide barrier free services. Although Ontario legislation does not require businesses to be barrier free until 2025 I found this timeline unacceptable and decided to act.I purchased the professional building from the CAA in July 2008.After nine months of extensive renovations,our automatic doors opened to our barrier free clinic.

Whether you arrive by way of your own vehicle, Brantford Lift or taxi you can drive right in front of the entrance.There areno ramps or stairs.The automatic door permits the outside door and the foyer door to open on a relay system.You aregreeted with a warm welcoming smile from Office Manager, Teresa. Her reception desk is designed to accommodatewheelchairs, scooters or walkers. A comfortable ergonomic area is available to fill out dental/medical forms, makeappointments,payments or share stories and laughs with her.

The treatment rooms are designed spaciously enough to accommodate large scooters, wheelchairs and baby buggies.

These rooms are also large enough to treat those who are unable to move from their wheelchairs/scooters into a dentalchair for treatment.For those able to move into a dental chair the clinic is equipped with special knee-break dental chairs,which permit the patient to sit the same easy way they would in any armchair.Once seated this specially designed chairautomatically lifts the legs gently into a comfortable position to support the legs,back and neck while dental proceduresare performed.

Often buildings have barrier-free entrances but not barrier-free public washrooms. This is critical and is one room in this clinic that was specifically designed by a consultant who also uses a wheelchair. This is an essential service that provides dignity to the patients.

It is not just about wheelchairs, scooters,walkers and baby buggies it is also about those people who have other mobilityconcerns such as knee or hip replacements and who find it difficult to raise their legs on steps.People that have diseasesthat play havoc on muscle control such as Parkinson’s, Multiple Sclerosis and those who have suffered from Strokes canalso benefit from barrier free access.

Having doors wide enough to assist those needing an arm from a family member or my staff to steady them or for thosewhose eyesight is impaired and need help getting in, is also important.

It is amazing how quickly eight years has past. It has been a positive, rewarding move to welcome familiar and new smilesof all ages to our barrier free clinic.

Replacement Dentures – The Consultation Appointment

There are many questions to ask during the consultation appointment regarding your different treatment options.

A thorough examination and consultation are required prior to having an accurate estimate presented. Every denture clinic will attest to receiving telephone calls asking for an estimate for dentures over the telephone. Some give quotes, others do not. We feel giving estimates over the phone is similar to asking an auto mechanic how much it will cost to fix your car while you are stranded at the side of the highway.

Most Denturist’s offer no charge consultations. When calling to book an appointment, ask if there is a charge for the consultation and will a written estimate be provided before treatment is commenced. A written estimate will ensure you and your Denturist have a treatment plan and associated costs have been discussed.

“During my consultation, what questions should I ask?”

Being permitted to ask a lot of questions allows you to feel that your concerns and expectations are being heard.

I suggest you write the questions on a piece of paper and bring them with you to your appointment. Questions should be encouraged, as this is the perfect opportunity for you to be part of your treatment process. Here are a few key questions you may choose to ask your Denturist.

“What techniques do you use that will ensure the comfort and function of my denture(s)?”

There have been both clinical and technical advancements in denture fabrication over the last 15 years. The precision denture techniques now available are essential in determining the many oral ‘records’ that are necessary in fabricating high functioning, well-fitting and longer lasting dentures.

Denture techniques and materials did not make a significant improvement for well over 60 years, prior to the introduction of Esthetica™ dentures. The success of these highly advanced techniques, procedures and knowledge associated with these types of dentures have been well documented in Switzerland, Germany and through parts of Europe since 1975.

“How long should dentures last?”

Many dental professionals would answer this question differently. Some would say five years, others longer. Many variables are taken into consideration when we answer this frequently asked question. We consider the material used in the chewing surface of the denture teeth. Many denture teeth used in denture fabrication wear quickly, often leaving the denture wearer feeling as if the teeth are dull when chewing. Digestive problems, heartburn and jaw joint problems often follow.

Jaw bone structure often is another key reason why dentures do not last a lifetime. The special relationship between healthy natural tooth root and jaw bone are gone when the teeth are extracted. The jaw bone begins to atrophy (shrink) and as years pass the dentures have less jaw bone and gums to be secured to (rest against). This creates ill-fitting or loose dentures. Relining (refitting) of dentures is often required every 2 to 3 years. However, each person is different, some experience rapid bone loss while other experience very little. It is similar to eye sight changing and new eye glasses being required. Having an annual examination to assess the fit and biting position (occlusion) of your dentures will help in adding years to their effectiveness.

“Are all dentures created equally?”

No, there are a wide variety of denture materials, techniques and procedures available today. All of which can affect the quality, price and fit of your denture. Technique and materials are not the only consideration when choosing who will make your denture. Other things to consider are the price, after denture service care and guarantee, if one is offered.

“Do I need a referral to see a Denturist?”

A significant number of people are missing all of their natural teeth. The dental term is edentulous, the absence of all natural teeth. If you are one of the estimated 5 million Canadians who seek denture treatment because you are edentulous you should know that you may consult a Denturist directly and without a referral from your dentist or medical doctor.

Complete denture treatment can go a long way in restoring a natural look, as well as your ability to chew nutritious foods efficiently. Well-made and accurately fitted dentures boost the wearer’s self-confidence, overall health, digestion, speech and appearance. Esthetica’s™ advanced techniques can produce truly natural looking dentures that last for years.

Much of the success in denture wearing depends on the instrumentation, materials and advanced techniques used in the fabrication of dentures. Consumers will often know more about the car or computer they are purchasing than they will about their dentures. Considering you will be directly affected every waking moment of the day by your dentures, it is a good idea to get as much information as you can.

Ask questions such as; what experience do you have making dentures? How long have you been making dentures? Do you offer Esthetica™ dentures or standard dentures. What assurances or guarantees are offered for the durability or longevity of the dentures? Do you offer written estimates?

“What materials are used in the fabrication of the dentures?”

“Do you make your dentures on site in your own laboratory or is it sent to another city/country to be fabricated in a commercial laboratory?”

Get your questions prepared and call Teresa to book your no charge consultation.

The Informed Consumer [Buyer Beware]

Denture myths

The public is inundated with many different forms and methods of advertising, some of which can be misleading or cause confusion instead of assisting us as consumers to make informed purchasing decisions.

Have you ever looked at an advertisement and thought that the price, product or service seemed too good to be true? How do you know if there is a “catch”? There may be some clues in the advertisement with phrases such as: limited time offer, terms or conditions may apply, or advertising a low price.

In advertising there is a strategy called, “bait-and-switch”. According to Wikipedia: “first, customers are “baited” by merchants’ advertising products or services at a low price, but when customers visit the store, they discover that the advertised goods are not available, or the customers are pressured by sales people to consider similar, but higher priced items (“switching”).”

In November 2014, the consumer television program, Marketplace, aired an undercover investigation of low price advertising by a vision correction company for laser eye surgery.

Marketplace wanted to know how many people actually got the low advertised price.

A medical doctor with studies in public health and ethics characterized the investigative findings as “bait and switch strategy . . . meant to mislead”. A low price is advertised to bring people in with a particular price that is not realistic for them.

It is uncommon for dental/health care professionals to advertise fees because health care services vary and must be customized to meet each individual’s needs and circumstances. This is particularly true when it comes to personalized denture services.

However, to the contrary,you may have seen or received advertisements promoting complete or partial dentures for a particular low fee. Is this too good to be true?

Most dental professionals (denturists, dentists, and independent dental hygienists), insurance companies, and third party payers use the fee guides of the respective professions as a guide to establish and pay fair, reasonable fees for dental services. As professionals seldom advertise fees, it is difficult for the public to know if an advertised fee is reasonable, how it stacks up relative to the Provincial Associations fee guide. The best defence for the “bait-and switch” strategy is awareness and to have consultations with more than one professional.

If an advertised fee is considerably lower than the norm for the profession then one needs to question why, to understand exactly what they are getting and to determine if the product and service will fulfill their needs.

For instance, there are different types of dentures with different indications for their use. Examples would be acrylic versus metal framework partial dentures, complete lower dentures with hard acrylic base versus a soft liner. There are many factors to consider. Consequently, our clinic never advertises fees, and we do not quote fees over the phone. We do not know what a person expects and truly requires until after we have examined them. Our office offers a no charge consultation so we can meet to understand each individual’s circumstances and needs in order to determine treatment options and to provide a written estimate.

We offer smile solutions with comprehensive warranties.

Call Teresa for a no charge consultation.

Make Informed Decisions About Your Dentures

Lower suction dentures

When it comes to purchasing dentures, we advise taking an approach similar to buying any other major purchase. Just like you would research brands, technology and warranties before purchasing a furnace, new car or even a hearing aid, you should research and obtain as much information as you can before making your decision.

Essentially, there are three phases to making a significant purchase: 1) prepurchase research, 2) the purchase process itself, and 3) after purchase followup costs including warranties.

Phase One starts with finding the right Denturist for you. Ask friends and colleagues for referrals, and based on those names provided, obtain two or three professional opinions. Many clinics offer a complimentary consultation which is an excellent opportunity to obtain information critical to the decision making process. Key questions to ask include what type of products are used, how and where is the final denture fabricated, information about technological advancements, and what type of after care service is provided and associated costs.

The question of material quality and origin is pertinent because not all denture materials are created equal. At our office, we exclusively use European materials and technologies from dental industry leaders in Germany, Liechtenstein and Switzerland*. Using these state of the art materials and utilizing leading edge technology the dentures are fabricated in our clinic’s on-site laboratory at the hands of master technician, Sandra Goergen, and certified technician Marie Jenkinson.

A written quote, including after care services, is an imperative component of this phase of the denture purchase and should be obtained prior to proceeding.

Phase Two involves the appointments required for designing, measuring, fitting and the insertion of the dentures. Dentures require a number of appointments over a period of several weeks to obtain optimal results.

Phase Three of your denture purchase should focus on after care services. A significant amount of after purchase costs can be incurred as a result of these costs not being disclosed to you prior to purchase. Often, patients can be misled by promises of a ‘cheaper’ denture, only to find that follow up appointments to ensure comfort and fit amount toa surprising, even prohibitive sum.

*Canada does not have denture teeth manufacturers and therefore we buy from Europe.

We’ve enjoyed writing these articles over the last 11 years. We have received amazing feedback.

Call Teresa with your article ideas.

Are You Tired Of Eating Only The Foods You Can, Not The Foods You Want?

You can eat anything with dentures

Too often this question is answered with a resounding “Yes”, both by denture wearers and those with missing natural teeth. In addition, there is frequently a lack of confidence and a great deal of embarrassment due to missing natural
teeth, broken and ill-fitting dentures and the inability to eat certain foods.
The limited food choices available for those unable to chew properly includes overly processed foods with inadequate nutritional value and very few manageable options for fruits, vegetables and proteins like meat or nuts.
A restrictive diet results in poor nutrition which can lead to a multitude of health issues – including heartburn, acid reflux, obesity, cardiovascular disease, gastrointestinal issues and more – which can significantly affect the quality of your life. The solution to your chewing dilemma is easier to solve than you might think. Our clinic specializes in the design, fabrication, fitting and adjustment of complete and removable partial dentures, as well as overdentures on implants. Referrals are not required, and most of our fees are covered by dental plans.
Because most laboratory work is performed on the premises, the quality of care is customized and personal.
We can improve your oral health, which impacts your overall health, as well as your smile, by providing denture solutions.
Take this self-assessment quiz to determine if visiting a denturist is right for you.
Do you have missing natural teeth?
❏ Yes ❏ No
Do you cover your smile with your hand or
are embarrassed by your smile?
❏ Yes ❏ No
Do you have missing back teeth (molars) and
think that just because no one can see that
they are missing that it is not important to
your health?
❏ Yes ❏ No
Do you avoid restaurants or social events
because you cannot eat the majority of food
on the menu?
❏ Yes ❏ No
Do your denture teeth feel dull and are you
unable to efficiently eat apple skins, meat or
salad?
❏ Yes ❏ No
Do you have difficulty efficiently chewing
your food well enough to swallow safely?
❏ Yes ❏ No
Do you get heartburn or an upset stomach
after eating?
❏ Yes ❏ No
Are your dentures loose? Do they slip or
drop when you eat or laugh?
❏ Yes ❏ No
Do they cause discomfort and stop you from
enjoying your favourite foods?
❏ Yes ❏ No
Are your dentures cracked, missing teeth or
stained?
❏ Yes ❏ No
Do you have to wear denture adhesive
(Poligrip®) to hold your dentures in place?
❏ Yes ❏ No
Are your dentures over 7 years old?
❏ Yes ❏ No
Do the corners of your mouth appear red
and cracked?
❏ Yes ❏ No
Is your speech impaired with dentures?
❏ Yes ❏ No
Does your family tell you that you don’t
show enough front teeth?
❏ Yes ❏ No
If you answered “yes” to even one of these questions, make an appointment to discover how you can restore your smile, your confidence and get back to a healthy and nutritious diet.
Call Teresa for a no charge consultation

Denture Myths

Denture myths

When it comes to myths, dentures have a colourful collection.

Unfortunately, many common misconceptions about dentures have prevented denture wearers from achieving their optimum oral and general health, appearance and self-confidence.
Some denture myths are; dentures last forever and all dentures are fabricated using the same techniques and skill. We invite you to read on as we debunk some of these denture myths.
There are approximately 40 million North Americans who wear complete or partial dentures. These are dentures that replace one or all natural teeth, this does not take into consideration those individuals with missing teeth, who have chosen not to wear denture(s) due to economics or other factors.

Dentures last forever. True or False? False.
While it’s true that dentures are durable, they will not last forever as your mouth changes over time and the fit and bite are affected. Take for example eyeglasses, (spectacles) everyone knows that your eyesight changes over time, requiring new prescription lenses. The oral tissues and jaw bones may change significantly requiring relines (refitting) of your denture(s) or new dentures.

Once I have my denture[s] made, I don’t need to see my denturist unless I have a sore spot. True or False?
False. If you want to maintain a healthy mouth and an accurate fit of your denture(s) you should see your denturist at least once a year. The oral tissues and jaw bone may change so dramatically in a person’s lifetime that an annual check-up may detect a problem before it begins. Another important reason for annual checkups is to detect oral cancer or any other tissue abnormality. Oral cancer is on a dramatic rise and if detected in the early stages, may drastically increase your chance of survival. Oral cancer is not detected just in those who smoke; everyone should have a checkup by their dental professional. Special cancer screening devices, such as Velscope® will screen for cancer and other abnormalities before it is visible to the naked eye.
During your annual checkup appointment, the following should also be checked and questions are asked to gauge the following:
– Optimum, comfortable fit of dentures. Loose dentures cause chronic gum irritation and/or rapid bone shrinkage
– Sore spots – open lesions caused by ill-fitting dentures
– Determine how effectively you are eating – are the teeth dull? Are you able to chew food as you once did when your dentures were new? Are the teeth flat and smooth, is mincing of food impossible, causing stomach and digestion problems?
– Are you choosing softer, overcooked foods with little nutritional value because you are unable to chew effectively and comfortably?
– Increased swallowing problems that may lead to choking
– Are your facial muscles and lips being supported by the dentures and are you content with the appearance of the dentures and facial structures (lips, chin and wrinkles around the mouth)

Denture wearers can’t eat normally. True or False?
This myth is both true and false. While many denture wearers cannot eat everything they would like, some do have few restrictions in their diets because they have either precision dentures, good supportive bone structure or have had dental implants placed to secure their denture[s].
Although being able to chew all foods is wonderful, the key is really about nutrition and the food value to assist your body function, immune system and in staying energetic. Chewing is simply the ability to break down a food bolus (a piece of food in your mouth) small enough to swallow safely. Food is safe to swallow when it has been minced to the consistency of apple sauce.
What happens to that food after it is swallowed is the critical piece of eating food. No restriction to food intake means that a variety of foods, food textures and nutritional values are consumed for good general health. Your mother likely told you to chew your food 40 times before swallowing- she was right! The stomach requires small pieces to be able to process the food and prepare it for the small intestine to absorb and use to fuel and keep your body healthy. Good nutrition is a key component of a healthy lifestyle for people of all ages. However, for the elderly, nutrition is especially important for staying fit and fighting off disease. One of the most important reasons for good nutrition is resistance to disease, says Caroline Fee, a member of the core faculty at the Stanford Geriatric Resource Center and lecturer in the department of nutrition and food services at San Jose State University.
Dental problems can also get in the way of good nutrition. Poorly fitting dentures, dull chewing surfaces of dentures, tooth decay, missing ‘back’ teeth and other problems can interfere with the ability to chew and swallow, making eating less enjoyable or even painful. Good nutrition is just as important for senior adults as it is for younger adults. Optimally fitting dentures may actually encourage you to eat a varied and well-balanced diet that maximizes your oral and general health, you will then be able to enjoy the social benefits that make dining with friends/family such a pleasant experience!

All dentures are fabricated the same. True or False?
False. Is there a difference between automotive manufacturers? Absolutely. As with any technology and craftsmanship, there is a varying qualitative difference in denture fabrication. There is advanced technology and there is dated technology. Advanced technology is the sophistication of the instruments used, and the knowledge and skill set used in the fabrication of the denture. Don’t buy just on price, but rather based on the service and care given after the dentures are inserted. Ask a lot of questions, including if there is a guarantee and discuss other treatment options with your denturist.
Call Teresa for a no charge consultation

Relines and refitting your dentures

Lower Suction Dentures

Part Two of Immediate Dentures

After your teeth have been extracted the tissues in your mouth begin to drastically change. Your dentures will become very loose soon after insertion.

It is imperative you have follow up appointments with your Denturist to monitor the fit and comfort of your denture(s).

How often are relines necessary?

Over time, oral tissues will undergo significant changes. Some denture wearers experience very little change while others experience more drastic changes. Refitting, otherwise known as relining is completed once the denture has been worn approximately 6-10 months* and most healing is complete.

Why do changes occur in the mouth?

There is a special relationship between the healthy tooth root and the jaw bone. The tooth root encourages the bone to stay strong providing support. Once the teeth have been extracted the bone has no “stimulation” to encourage it to remain, therefore it shrinks (atrophies / resorbs).

As a denture wearer, part of the regular maintenance for your dentures is the occasional procedure of relining or refitting.

What is a reline?

A reline/refit restores proper fit by filling in areas under the denture where supporting gums and bone have shrunk (atrophied). The reline material bonds to the fitted side of the denture and shapes itself to reflect the changes in your mouth. Soon after extractions is when the greatest amount of change occurs. Often so drastic within weeks of extractions, that the dentures are extremely loose. At this time a temporary soft liner is placed to help keep the denture snug while the mouth continues to reshape itself after extractions.

Relining/refitting is an economical way to maintain the proper function and fit of your denture and help keep the supporting tissues from experiencing the stress that a loose or ill-fitting denture can cause.

Are there different reline techniques available?

There are several reline procedures available.

Some require lab procedures, while others may be completed directly in the Denturist’s chair. There are special relines made from soft materials for those with very sensitive or reduced gums.

The most advanced reline material and technique is called Ivocap Injection System. This is a proven advanced technique used in this clinic sine 1988.

Ivocap is known for its superior fit, function and quality.

Relining can extend the life of your denture by keeping the fitted side well adapted to the supporting tissue as it changes over time. Stabilizing a loose denture improves speech, effective chewing and jaw comfort. Never underestimate the intangible benefits of these positive changes: a sense of well being and greater self-confidence.

Recap on reline information-

  • Part of the regular maintenance of your dentures.
  • A reline restores proper fit by filling in areas under the denture where supporting gums have receded.
  • Is an economical way to maintain the proper function and fit of your denture and can extend the life of your denture.
  • Relines are often done following the removal of natural teeth. Otherwise, the recommended minimum time to reline a denture is every 2-3 years*.

Did you know?

You do not need a referral from your Dentist or Medical Doctor to visit a Denturist. Denturists must be licensed with the College of Denturists of Ontario. The College of Denturists is a part of the Regulatory Health Professions Act of Ontario.

*Results may vary

Call Teresa for a no charge consultation

A Warm and Welcoming Environment

Nancy Tomkins Denture Clinic in Brantford is conveniently located at the corner of Charing Cross Street and St.Paul Avenue in a bright, fully wheelchair accessible clinic with ample free parking.

Fully certified and equipped with state-of-the-art technologies, we pride ourselves in offering our patients the absolute best in precision denture solutions in a warm and friendly environment.

No dentist referral necessary.