Partial dentures are removable appliances that replace missing teeth. Getting partial dentures to fit comfortably can be challenging initially. There are several things you can do to help improve the fit of your partial dentures over time.
How To Make Partial Dentures Fit Better? is a common question for those adjusting to their new partial dentures. The appliances can feel bulky and awkward at first. You may worry whether they will ever feel normal in your mouth. Take heart, with a little time and effort, you can get your partial dentures fitting better.
Partial dentures replace some but not all of the teeth, attaching to the surrounding teeth and gums for support. Achieving an optimal fit for partial dentures involves patience, practice, and minor adjustments over several weeks. As your mouth adjusts, your partial dentures will begin to feel more secure and comfortable. With the right guidance, you can successfully make your partial dentures fit better.
Why Do Partial Dentures Become Loose Over Time?
Partial dentures can become loose over time as the jawbone loses density and shrinks without the stimulation from natural tooth roots. This causes the dentures to lose their tight fit and become loose. As gums change shape, dentures may also no longer correctly fit the gum tissue.
How Does Bone Loss Affect Partial Dentures Fitting?
Bone loss in the jaw is a major reason partial dentures become loose and ill-fitting over time. As bone density decreases, the dentures have less solid structure to grip onto. This makes them loose even if they originally were well-fitted. The looseness makes chewing less effective and allows the dentures to rub, causing gum irritation.
What Causes Gums to Recede Under Partial Dentures?
Improperly fitted dentures
Ill-fitting partial dentures that rock or have poor retention can traumatize the gums, leading to inflammation and recession over time.
Pressure on gums
The plastic base of partial dentures rests on the gums, placing constant pressure that can gradually cause gum recession.
Trauma from denture clasps
Metal clasps that secure partial dentures can rub and irritate the gums, resulting in inflammation and gradual gum recession.
Poor oral hygiene
Food and plaque accumulation under partial dentures increases gum inflammation and infection risk, contributing to recession.
Bone loss over time
Gradual bone loss in the jaw from aging or gum disease reduces support for gums under partial dentures, causing recession.
Regular dental visits for adjustment and replacement of ill-fitting partial dentures when needed can help prevent gum recession. Maintaining excellent oral hygiene is also key.
Can Partial Dentures Be Refitted for a Better Fit?
To make false teeth look real and enhance their performance, the dentures can be refitted through processes such as relining or reshaping. These adjustments contribute to achieving a better seal and grip, ultimately improving the overall fit of the dentures.
Should Ill-Fitting Partial Dentures Be Replaced?
Ill-fitting partial dentures that cannot be successfully refitted should be replaced. If refitting and adjustments do not provide a good fit and comfort, the shape of the dentures likely no longer matches the mouth. Getting new dentures made to match the current oral anatomy is needed for proper fit and function.
How To Improve Retention of Loose Partial Dentures
If a partial denture becomes loose, there are several options to help improve its retention. Using denture adhesives is one simple solution that can help stabilize a loose partial denture. Adhesives work by creating a tighter seal and improving suction. They are available in paste, powder, or cushion form.
It’s important to follow directions closely when applying adhesive. Excess adhesive that gets onto teeth or gums can be difficult to remove and may cause irritation. Getting the partial denture adjusted by a dentist is another fix for a loose fitting. The dentist can identify problem areas causing the looseness and make small adjustments to the clasps or rests on the partial to improve its fit and retention. This is a quick office procedure.
Can Adhesives Help Stabilize Loose Partial Dentures?
Denture adhesives can temporarily help stabilize loose partial dentures. Adhesives help fill in gaps between the denture and gum tissue, improving suction and grip. This prevents slipping and creates a tighter, more comfortable fit.
When selecting an adhesive, creams or cushion strips tend to provide better grip and stability vs powders. It’s important to routinely clean partial dentures and mouth after use to prevent irritation or infection from adhesive residue buildup.
While useful for temporary added stability, adhesives should not be relied on long-term to compensate for an ill-fitting partial. Persistent looseness indicates the partial likely needs adjustment or relining for optimal fit and function.
What Adjustments Fix a Partial Denture Rocking or Clicking?
| Issue | Adjustment |
| Rocking | Add soft reline material to stabilize and improve fit |
| Clicking | Carefully grind areas causing the click |
| Looseness | Tighten or replace broken clasps |
| Poor fit | Selectively grind to relieve pressure areas |
| Gum irritation | Smooth rough acrylic edges |
| Misaligned bite | Grind biting surface so denture contacts evenly |
The table summarizes common issues like rocking, clicking, looseness, poor fit, gum irritation, and bite misalignment. The corresponding adjustments made by a dentist include adding reline material, carefully grinding specific areas, tightening or replacing broken clasps, smoothing rough edges, and realigning the bite. These adjustments help stabilize a partial denture and improve the comfort and fit.
Will Relining Partial Dentures Improve Their Fit?
Yes, having partial dentures relined can greatly improve their fit if they have become loose over time. This commonly occurs because the shape of gums and bone change after tooth extraction.
As the underlying gum “shrinks”, gaps form between it and the denture surface, causing loosening/slippage. Relining involves placing a soft reline material inside the partial to create an exact impression of the gum surface.
This fills in gaps so the partial makes tight, consistent contact again. The reline material also helps cushion and protect irritated gums. Relining restores retention and stability so the partial functions like new again. It’s a cost-effective way to extend the life of a partial before needing to be fully replaced.
When Should You Get New Partial Dentures Made?
New partial dentures may be necessary if relining and other adjustments no longer improve the fit and function. Over 5-10 years, multiple relines and structure changes in the mouth diminish a partial’s durability and performance.
Signs it’s time for replacement include cracked/missing teeth, frequent breakage of clasps/parts, and severe misfit causing chewing difficulty. Ill-fitting “flopping” dentures also accelerate gum/bone loss.
Replacing them helps halt this process. Advances in materials and precision fabrication also mean new partials offer better durability and easier care than older ones. Getting new partials ensures optimal function and prevention of oral health problems.
Cleaning Partial Dentures Properly For Good Fit
To ensure a good fit, partial dentures must be properly cleaned daily. Food and plaque should be removed using an antimicrobial denture cleaner, avoiding abrasives. After soaking, brush all surfaces gently with a soft brush.
This prevents buildup which compromises fit. Warm water can help loosen adhesives—swish repeatedly. Finish by rinsing thoroughly with water and inspecting for residue. Proper daily cleaning maintains surface integrity for retention.
How To Clean Partial Dentures Without Warping Them?
To prevent warping, avoid excess heat when cleaning. Use lukewarm or cool water, no hotter than body temperature. Do not submerge partial dentures in boiling water. Clean over a filled sink or towel instead of directly over a counter.
Avoid placing in direct sunlight or bleach; these can degrade materials. Use mild, non-abrasive cleaners without strong chemicals. Handle gently when brushing and drying to prevent bending or cracks. Store properly when not worn to maintain shape. With care, partials should retain fit and function.
Why Is Plaque Removal Vital For Well-Fitting Partial Dentures?
Plaque accumulation compromises retention and stability. Bacteria and deposits change the surface properties of the denture acrylic. This creates space between the partial denture and gums, allowing slipping.
Plaque also causes gum irritation and inflammation when dentures don’t fit correctly. Tartar buildup on natural teeth alters their shape, preventing proper contact with clasps or other retainers. Thorough daily plaque removal is essential for healthy gums and well-fitting partial dentures.
How Often Should You Soak And Brush Partial Dentures?
Partial dentures should be soaked and brushed at least once daily to remove food debris and plaque. However, if worn full-time they may need cleaning more than once a day for freshness and to prevent irritation.
The general recommendation is to brush partial dentures after each meal and soak for 10-20 minutes twice per day. For some, additional daytime cleaning may be needed too. The key is not to allow plaque to accumulate as this leads to odor and potential health issues.
Can Ultrasonic Cleaners Sanitize Partial Dentures Thoroughly?
Yes, ultrasonic cleaners can thoroughly sanitize partial dentures. The high frequency sound waves penetrate plaque and debris in hard to reach areas. This helps remove bacteria and odors. Ultrasonic cleaners use cleaning solutions designed specifically for dentures. Soaking daily provides maximum sanitization.
Hand brushing is still needed to remove stubborn deposits. The combination of ultrasonic cleaning and manual brushing keeps partials fresh and hygienic. Just ensure not to overuse ultrasonic cleaners as this may damage the acrylic over time.
Steps To Insert Partials Correctly For Ideal Fit
To insert partial dentures correctly, first ensure your hands and the dentures are clean. Then apply a small amount of denture adhesive to the inner surface of the dental arch before gently placing it in your mouth over your gums and tongue. You should feel suction as the denture fits into place.
Use your fingers and thumbs to evenly position the partial, ensuring the false teeth sit above the gaps they are meant to fill. Bite down gently to secure the fit. Avoid forcing the partial into place as this could damage the denture or your natural teeth. Be patient as inserting and removing partials takes practice.
What Is The Right Way To Put In Partial Dentures?
The right way to insert partial dentures is to first clean your hands and the denture, apply adhesive, then use gentle motions to fit the partial in place over your gums and tongue. Position it evenly with your fingers, allowing the suction seal to hold it in place rather than forcing it. The false teeth should hover over the gaps they will fill.
Let your dental prosthetist show you the ideal method for your specific partial design. With practice inserting and removing the partials, you will become adept at the right techniques for your situation. Go slowly and be patient with yourself as you get accustomed to your new partial.
How To Position Partials To Avoid Discomfort And Gagging?
To avoid discomfort and gagging when wearing partial dentures, ensure you position them correctly. Place adhesive on the inner surface before gently fitting the partial over your gums with the false teeth hovering above the gaps.
Use only a small amount of adhesive to prevent irritation. Allow suction to hold the partial in place rather than forcing it. If the partial extends far back towards your throat, focus on keeping the back portion elevated off your tongue and soft tissue.
Practice inserting, wearing, and removing the partials; with time you will adapt to the feel. Ask your dental prosthetist to adjust areas causing irritation. Remind yourself to consciously avoid biting the partials as you get used to having them in your mouth.
Why Must Partial Dentures Be Removed At Night?
Partial dentures should be removed at night to give your gums and supporting tissues a chance to rest3. Keeping partials in 24/7 does not allow proper oxygen circulation to your tissue and could cause bone loss over time.
Nighttime removal prevents unwanted bacteria growth on the dentures which could irritate your gums or be swallowed. It also gives your oral musculature and temporomandibular joint a break from the pressure of biting on the partials all day.
Your dental prosthetist will provide you with proper at-home partial care instructions, including correct removal and brushing techniques before bed, allowing your mouth to recover overnight.
Are There Any Alternatives To Conventional Partial Dentures?
Some alternatives to conventional acrylic partial dentures include partial dental implants or metal frame removable partial dentures. Dental implants fuse to the jawbone like natural tooth roots, providing a sturdy base to attach a dental crown or bridge.
Implants help prevent bone loss and don’t rely on suction or adhesive to stay in place. Metal partials also use clasps to securely grip existing teeth. Newer thermoplastic nylon partials offer a lightweight yet strong material. Discuss options with your dental prosthetist to determine what type of partial denture or bridge might be best for your situation.
When To Consult A Dentist About Poorly Fitting Partials
You should consult your dentist if your partial dentures are causing persistent discomfort, pain, or sore spots. Ill-fitting partials can damage your gums and bone over time. Getting an adjustment early can prevent further issues. Even if there’s no pain, loose partials that slip or don’t function properly need evaluation to restore a proper fit.
What Are Signs That Your Partials Need Adjustment?
Signs your partials need adjustment include persistent sore spots or rubbing, looseness requiring excessive denture adhesive, clicking sounds when eating or talking, inability to chew properly, speech difficulties, mouth sores, pain along the gumline, bad breath, and generalized discomfort wearing your partials.
Can An Oral Exam Pinpoint Causes Of A Bad Partial Dentures Fit?
Yes, a thorough oral exam by your dentist can identify causes of a bad partial fit like gum recession, realignment of remaining teeth, bone loss, oral thrush, and improper occlusion. Your dentist will check for pressure points along the gumline, assess the stability and retention of your partial, and examine its integration with surrounding teeth.
Will X-Rays And Impressions Help Diagnose Poor Partial Dentures Fit?
New x-rays and impressions or scans allow your dentist to evaluate bone loss and compare changes in your oral anatomy. This helps determine whether rebase, reline, adjustment, or remake is needed for proper realignment and function. Impressions also aid in fabricating a new partial if replacement is necessary.
Should Ill-Fitting Partials Be Rebased, Relined or Replaced?
It depends on the cause and extent of the fit issues. Minor realignment may only require adjustment. Relining adds new material to improve the fit. Rebasing replaces the entire plastic base. However, if oral anatomy changes or damage is too severe, your dentist may recommend replacement partials for proper fit and function.
Frequently Asked Question
How can I get my partial dentures adjusted?
Visit your dentist to have them professionally adjusted and realigned which will improve the fit.
What if my partial dentures are loose?
Use denture adhesive like powder or paste to help stabilize loose partial dentures and improve retention.
Can relining partial dentures help them fit better?
Yes, having them relined adds new material to the base improving fit and comfort.
Will getting my partial dentures rebased make them fit better?
Rebasing replaces the whole base material creating a complete custom fit to your current mouth and gum contours.
When should I consider getting new partial dentures?
If multiple adjustments and relining fails to make ill-fitting partials comfortable, replacing them with an entirely new custom set may be needed.
Conclusion
Partial dentures need to fit well. This lets you eat and talk normally. There are things you can do to improve the fit.
First, keep them very clean. Food and plaque make them not fit right. Brush and soak them every day. See your dentist often for adjustments. This helps them keep fitting well.
Getting used to partial dentures takes time. Be patient with yourself. If they still don’t fit right after trying everything, talk to your dentist. Other options like dental implants may work better for you. Don’t give up. With the right approach, you can make your partial dentures fit comfortably.
