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The Realities of Living with Dentures

A guide to managing life after tooth loss and getting used to dentures.

David Nono, Godfrey Bagenda, Isaac Okullo, Charles Mugisha Rwenyonyi

― 6 min read


Facing Life with Dentures Facing Life with Dentures with practical advice. Overcoming challenges after tooth loss
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Tooth loss, also known as edentulism, is a significant health issue around the world, especially for older folks. While fewer people are losing all their teeth these days, it’s still a tough situation to deal with. Many people think of it as a big sign that there are serious problems with their oral health.

In some places, like Uganda, about 1.8% of adults have lost their teeth entirely. Losing all your teeth can make life quite difficult. It can hinder how we eat, talk, and even smile. To help those who have lost their teeth, removable complete dentures (RCDs) are often the go-to solution. These are the fake teeth that sit in your mouth, allowing you to chew food and speak more easily.

What Are Removable Complete Dentures?

Removable complete dentures are prosthetics that replace all the natural teeth in a person's mouth. They are designed to be taken out for cleaning and sleeping. Even though technology has improved a lot in recent years, getting used to these dentures can be tricky for both patients and dentists.

When someone first gets dentures, the experience can be challenging. Many people think that once they have their dentures, everything will be back to normal. Unfortunately, that’s not always the case. The time right after getting RCDs, when the dentures are first put in, is super important for making sure the person is happy with them in the long run.

Challenges Faced by Denture Wearers

Many people who get dentures often face a range of challenges after they are fitted. Here are some of the common issues:

1. Speaking and Eating Difficulties

One major complaint from denture wearers is that they have a hard time speaking and eating. Some folks struggle with their words and may even drool a bit due to the dentures. This is particularly true for new users. The first few days can feel like a comedy show gone wrong. People might feel like their mouths are all mixed up and they can't get their tongues to cooperate. They might even say they can’t taste their food anymore!

Imagine going to take a big bite of your favorite meal and realizing you can hardly chew without feeling like your mouth is playing tricks on you. It’s not just about the food, though. It can also be embarrassing to talk when the dentures are still figuring out how to say "hello."

2. Pain and Discomfort

Some denture users experience pain and discomfort due to sharp edges on the dentures or poor fitting. If the dentures aren’t polished well, they can cause sores or ulcers in the mouth. It’s like having a new roommate who’s a little too rough around the edges. And when you try to eat? Ouch!

New denture wearers often find it hard to adapt. They may complain of gum irritation and the confusion of having something foreign in their mouths. Many come back to their dentist saying, “These just aren’t working for me!”

3. Poor Hygiene

An important part of wearing dentures is keeping them clean. However, some people struggle to maintain good oral hygiene. If the dentures aren't cleaned properly, they can lead to infections or other problems. Picture forgetting to wash your hands after gardening – now take that idea and apply it to wearing dentures. Yikes!

Many patients might face issues like bad breath because they aren’t cleaning their dentures well. Some even end up dealing with infections. It's crucial for denture wearers to get guidance on cleaning routines to keep their mouths healthy.

4. Unrealistic Expectations

When people get dentures, they sometimes expect them to act just like their natural teeth. Unfortunately, that’s like expecting a sports car to act like a bicycle. They just can’t do the same things!

Patients often feel disappointed when their new dentures don’t look or feel like their old teeth. This can make some people shy away from wearing their dentures altogether, fearing others will notice they’re not the same as they used to be. It's important for dental professionals to help set realistic expectations about what dentures can and can't do.

5. Stability Issues

Stability can be a big concern with dentures. Some patients find that their dentures shift around or even fall out at inopportune moments. It's like trying to dance with shoes two sizes too big—awkward and uncomfortable!

Over time, most people learn to control their mouths and keep the dentures stable. But the adjustment period can be frustrating. Dentists often have to remind patients that practice makes perfect.

Advice for Denture Wearers

After getting dentures, it’s essential for patients to receive proper advice on how to manage their new dental companions. Here’s a list of common tips that dental professionals might give:

1. Cleaning and Hygiene

Denture wearers should clean their dentures regularly to keep bacteria and food particles at bay. Dentists often recommend brushing dentures every morning and evening, just like you would with natural teeth. Some practitioners suggest using a soft cloth with soap and water instead of a toothbrush.

By keeping their dentures clean, patients are less likely to experience infections and other health issues. The last thing anyone wants is a mouth full of trouble!

2. Taking Care at Night

Another critical piece of advice is to remove the dentures at night. Leaving them in can lead to pressure on the gums and painful sores. Many practitioners remind patients, “Your dentures need a nap too!” Storing the dentures in a container with clean water overnight can help keep them in shape.

3. Patience with Speech and Eating

Dentists often emphasize that there might be initial issues with speech and eating. Patients need to be patient with themselves and give it some time. Eventually, they’ll adapt and feel more comfortable.

Hearing, “Don’t worry, you’ll soon be chatting away like you used to!” can be reassuring during this adjustment period.

4. Persistent Wear

Patients are encouraged to keep wearing their dentures despite discomfort in the early days. The mantra “Put it on, don’t take it off!” is common. It’s all about getting used to the new routine and learning to feel confident again.

Conclusion

Tooth loss is a significant concern, especially for the elderly, and getting used to removable complete dentures can be quite the adventure. With common challenges like difficulties in speech, discomfort, and hygiene issues, it is essential for patients to receive the right advice and support.

Dental practitioners play a critical role in helping these individuals through their experiences. They provide necessary information and set realistic expectations. With proper care and guidance, patients can adapt to their new dentures and improve their quality of life.

So, if you or someone you know is about to embark on the journey with dentures, remember: patience, practice, and a good sense of humor can go a long way! After all, even the toughest adjustments can lead to brighter smiles.

Original Source

Title: Exploration of post-insertion challenges edentulous patients present to dental practitioners during removable complete denture rehabilitation in Makerere University Dental Hospital in Uganda

Abstract: BackgroundEdentulism in a major global burden that contributes to disability and impairment. Globally, edentulous patients frequently receive removable complete dentures (RCDs) and though crucial, effective adaptation is still difficult. RCD remains a preferred treatment modality for edentulous patients worldwide. The frequency of full edentulism varies both within and between countries. In Uganda, 1.8% of people aged 20 years and above are edentulous. Despite advances in dental technology and material science, the successful adaptation of RCDs remains a challenge for both patients and dental professionals. Our present study aimed to explore the post-insertion challenges patients presented to dental practitioners during their rehabilitation with removable complete dentures in Makerere University Dental Hospital. MethodsThis was a qualitative study using a phenomenological technique and purposive sampling to select 25 participants. After obtaining institutional review board approval and written informed consent, semi-structured in-depth and key informant interviews of dental practitioners were conducted and the data were analyzed thematically. ResultsIt was revealed that patients with RCDs commonly reported substantial post-insertion challenges like pain and discomfort, drooling, difficulty speaking, eating, oral hygiene and salivating. Patients confidence and self-esteem were severely influenced by their displeasure with the way their dentures looked. Furthermore, patients frequently had denture instability. In addition, patients received helpful post-insertion advice that emphasized the significance of oral health education and support from dental practitioners. This advice included instructions on denture cleaning, maintenance and adaption. ConclusionThe present study identified several post-insertion challenges faced by patients after receiving RCDs. It is important to provide integrated support for patients and practitioners to enhance effective RCD therapy.

Authors: David Nono, Godfrey Bagenda, Isaac Okullo, Charles Mugisha Rwenyonyi

Last Update: 2024-12-24 00:00:00

Language: English

Source URL: https://www.medrxiv.org/content/10.1101/2024.12.21.24319253

Source PDF: https://www.medrxiv.org/content/10.1101/2024.12.21.24319253.full.pdf

Licence: https://creativecommons.org/licenses/by/4.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to medrxiv for use of its open access interoperability.

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