Each and Every Day…the way we protect you

Clean denture tools

In these ‘fearful’ times of the Coronavirus (COVID-19) pandemic I believe it is important to remind you of the preventive measures that we routinely take each and every day in my denture clinic. Whether a pandemic or not, strict sterilization and disinfectant procedures are adhered to for your safe delivery of denture related care.

I am proud of the standard of sterilization, disinfection and cleanliness that me and my fabulous team have kept during the last 33 years.

A patient asked me a question which I am rarely asked. After her appointment was over, she inquired what the “blue tape’’ on my examination light and faucet handles were for. She also asked if the pen I used was disinfected between patients. “I am glad you asked,” was my reply. I welcomed her questions as it gave me an opportunity to honour her inquiries. She has a right to know!

Her questions led to an interesting conversation about ‘germs’, she complemented me on a spotless clinic both inside and out. We discovered that we are both self-diagnosed ‘germaphobes.’ We were able to laugh at ourselves and our diligence to cleanliness. She
expressed that she was glad that I was a bit eccentric about germs, as it reassured her that she was in the right place.

My clinic is not only an Infection Prevention and Control Canada (IPAC) certified clinic by DOCS, I have also presented several lectures to my peers on this imperative health safety topic.

The following are some of the sterilization/clinical disinfectant procedures carefully and systematically followed in my clinic to protect both patients and my team:

  • Proper handwashing procedures are followed prior to new disposable non-latex (nitrile) gloves being worn. They are put on in front of the patient before each procedure to demonstrate that they are new. Hands are washed after gloves are removed also.
  • Nitrile gloves are used exclusively in this clinic to accommodate patients with latex allergies/sensitivities.
  • Disposable face masks worn are removed and discarded after each patient.
  • Barrier tape (blue or clear in colour) is placed on critical, high traffic touch areas. This barrier tape is discarded after each use.
  • No personal items are touched when gloves are worn, e.g. spectacles, clothes.
  • All counters, sinks, faucets, door handles, pens, light switches, and patients’ protective glasses (worn during certain appointments) are wiped with a dental surface disinfectant approved by Health Canada. The dental chair is also wiped with disinfectant and manufacturer’s instructions for use are strictly adhered to.

The following IPAC guidelines are completed after each single use:

  • All instruments and dental burs are sterilized in an autoclave at a specific high temperature /pressure and for a specific length of time.
  • All instruments and impression trays are bagged in sterilization pouches and digitally scanned.
  • The autoclave undergoes a spore test daily and the test results are digitally recorded.

My clinic was the first denture clinic in Canada to implement this high efficiency digital scanner. The second dental professional in Canada to recognize its efficiency and accountability to the sterilization process. Cool fact – this amazing digital scanning technology is designed and manufactured in Brantford!

The ‘hub’ of this denture and implant clinic is my on-site, state of the art dental laboratory. This private facility fabricates, repairs and relines dentures for this clinic’s patients only. The following are some the procedures we follow in the dental laboratory:

  • All denture items are sprayed with a disinfectant approved by Health Canada before it enters or leaves the laboratory.
  • This disinfectant effectively kills Hepatitis, AIDS, TB, Coronavirus and other pathogens and is hospital grade.
  • Single-use disposable gloves are used to handle dentures in the laboratory.
  • All surfaces and instruments are sterilized/ disinfected as per manufacturer’s instructions for use.
  • My team has completed the necessary Infection Control course on instrument sterilization/reprocessing provided by IPAC.
  • There are three designated sterilization officers within this clinic to ensure safe, predictable procedures are always adhered to.

These are only a few of the imperative procedures we do to ensure your safety.

We are all committed to ensuring your smile is natural looking and fabricated in a safe and healthy manner!

Call Teresa for an appointment today

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 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 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 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 consultation.

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 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 consultation for just $66.- 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 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.

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 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 consultation

So you Need New Dentures… Now What?

Immidiate dentures

The first thing to do is to ask family members or friends who have dentures for a denturist referral. People who are willing to share their personal experience regarding their denture treatment are the best source for a referral. It may be difficult to know what clinic to choose and who to trust with this very important service that will dramatically impact your overall health. It is important to have a relationship with your dental/healthcare provider and feel comfortable enough to discuss your situation and issues.

Nancy Tomkins, denturist and owner of the Nancy Tomkins & Associates Implant and Denture Clinic believes that word of mouth is the best way for individuals to confidently choose a denture clinic.

Nancy and associate Cliff Muzylowsky encourage questions and suggest you prepare a list of several questions that you may have about your specific situation.This is an opportunity to allay fears that you may have. These may be a few of the questions you are pondering.


No. Dentures are similar to any other item we purchase. There are inexpensive, low quality and expensive high quality dentures, and you really do get what you pay for. It is not only the dental materials used in fabricating the denture that determines the cost and quality. It is the procedures and techniques used to take critical measurements of the mouth, jaw movements and muscles of mastication and facial expression. However, the other half of the equation is often not even discussed with patients – that is the skill set of the laboratory team.


According to Nancy, that’s where you need to rely on the expert advice from your denturist. The focus of a denturist is fitting and fabricating dentures for better oral and overall health,and they will guide you to the best solution. “That is what we do,” says Nancy. “That is all we do. Our education is solely dedicated to fabricating dentures. Understanding the complexities of the mouth and jaw movements is a small part of what we need to know. We are committed to the advancement of dentures and the overall satisfaction of denture wearers.” Denturism has been a licensed profession in Ontario for over 40 years,and is recognized and regulated by the Ministry of Health.


Depending on your specific needs, costs may vary.

The question of cost can be addressed at your consultation to give you a better idea of what to expect. It is possible that your dental insurance may cover some of the costs. Each treatment option will have varying costs associated with it, it is best to obtain a written estimate prior to commencement of treatment.


It may, but only if you want it to change. You have complete control to choose the colour, shape and size of your new dentures. We will advise you and guide you, but ultimately the choice should be yours.

We welcome family members to have input and also, encourage you to bring in pictures from yesteryear to provide guidance for your new smile. Dentures don’t have to look so obvious,we specialize in natural appearing dentures.

If you are like many other denture wearers you have had a dramatic change to your facial appearance surrounding the lips, creating wrinkles and thinning out of the lips.These lines and thinning of the lips may often be dramatically improved when the dentures are fabricated by special measurements and custom fittings. These advanced techniques are part of the precision technology that our clinic has embraced since 1988 from studying in Europe.

This technology ensures proper chewing and mincing of the food, as chewing is the first step in food digestion. Correctly fitted dentures can also impact your health and weight-loss strategies. Properly fitted dentures allow you to eat foods that are more nutritious for you, rather than the overly processed soft foods that many denture wearers are forced to eat because it is easier to chew.

We are in the business to create a better smile for every patient. Your dazzling smile won’t just come from the way it looks, but the way you feel. Call Teresa for a 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.