can dentures be fitted to receding gums

Gum recession is a common dental issue that affects many people, leading to increased sensitivity, aesthetic concerns, and potential oral health problems. One frequently asked question is, “Can dentures be fitted to receding gums?” This guide explores the relationship between gum recession and dentures, the fitting process, types of dentures available, and best practices for ensuring comfort and function.

Understanding Gum Recession

What is Gum Recession?

Gum recession occurs when the gum tissue surrounding the teeth wears away or pulls back, exposing more of the tooth or the tooth’s root. This condition can lead to several issues, including:

• Increased Sensitivity: Exposed roots can cause heightened sensitivity to hot, cold, and sweet stimuli.
• Aesthetic Concerns: Receding gums can make teeth appear longer and lead to an unattractive smile.
• Risk of Decay and Disease: Exposed roots are more vulnerable to decay and periodontal disease.

Causes of Gum Recession

Several factors can contribute to gum recession, including:

• Periodontal Disease: This is the primary cause of gum recession. Bacterial infections destroy gum tissue and the supporting bone structure.
• Poor Oral Hygiene: Inadequate brushing and flossing can lead to plaque buildup, which can cause gum disease and recession.
• Aggressive Brushing: Brushing too hard or using a hard-bristled toothbrush can wear away the gum tissue.
• Genetics: Some individuals are more prone to gum disease and recession due to genetic factors.
• Hormonal Changes: Hormonal fluctuations, particularly in women, can make gums more sensitive and vulnerable to recession.
• Tobacco Use: Smoking or using other tobacco products can contribute to gum disease and recession.
• Misaligned Teeth or Bite: Misaligned teeth or an improper bite can put extra pressure on the gums, leading to recession.
• Bruxism: Clenching or grinding teeth can cause gum recession.

Symptoms of Gum Recession

Recognizing the symptoms of gum recession early can help in seeking timely treatment. Common symptoms include:

• Visible Lengthening of Teeth: Teeth may appear longer than normal.
• Exposed Roots: Visible roots of the teeth are a clear sign of gum recession.
• Sensitivity: Increased sensitivity to hot, cold, or sweet foods and drinks.
• Gum Inflammation: Swollen, red, or bleeding gums.
• Loose Teeth: In advanced cases, teeth may become loose due to loss of supporting structures.

Dentures and Receding Gums

Can Dentures Be Fitted to Receding Gums?

The short answer is yes, dentures can be fitted to receding gums. However, there are several considerations and potential challenges to address to ensure a comfortable and functional fit.

Considerations for Fitting Dentures

• Extent of Gum Recession: The degree of gum recession will influence the type and fit of the dentures.
• Underlying Health Issues: Any underlying periodontal disease must be treated before fitting dentures to ensure the health of the remaining gum tissue and bone.
• Bone Structure: Sufficient bone structure is necessary to support dentures. Severe gum recession often leads to bone loss, which can complicate the fitting process.

Types of Dentures

Several types of dentures are available, each with its own advantages and considerations for those with receding gums:

Full Dentures

Full dentures replace all of the teeth in either the upper or lower jaw. They rest on the gums and are supported by the underlying bone structure.

• Advantages: Suitable for patients with significant tooth loss or complete edentulism.
• Considerations: May require denture adhesives for stability, especially if there is extensive bone loss.

Partial Dentures

Partial dentures are used when some natural teeth remain. They are designed to fill the gaps left by missing teeth and are anchored to the remaining natural teeth.

• Advantages: Help preserve the alignment of remaining teeth and distribute chewing forces evenly.
• Considerations: Proper fit is crucial to avoid putting excess pressure on receding gums and remaining teeth.

Implant-Supported Dentures

Implant-supported dentures are anchored to dental implants that are surgically placed into the jawbone. This type of denture provides superior stability and function.

• Advantages: More stable and comfortable than traditional dentures. They help preserve bone structure by stimulating the jawbone.
• Considerations: Requires sufficient bone density for implant placement. Bone grafting may be necessary if there is significant bone loss due to gum recession.

Fitting Process for Dentures

Initial Consultation and Examination

The first step in fitting dentures for receding gums is a thorough consultation and examination with a dentist or prosthodontist. During this appointment, the dentist will:

• Evaluate Oral Health: Assess the extent of gum recession, periodontal health, and bone structure.
• Discuss Treatment Options: Explain the different types of dentures and recommend the best option based on your specific needs.
• Take Impressions: Dental impressions are taken to create a precise model of your mouth for custom denture fabrication.

Treating Underlying Issues

Before fitting dentures, any underlying issues such as periodontal disease must be addressed. Treatment may include:

• Scaling and Root Planing: A deep cleaning procedure to remove plaque and tartar from below the gumline.
• Antibiotic Therapy: To control bacterial infections and promote healing.
• Surgical Procedures: In some cases, surgical intervention may be necessary to restore gum and bone health.

Fabrication and Fitting

Once the mouth is prepared, the process of fabricating and fitting the dentures begins:

• Custom Mold Creation: The impressions taken during the initial consultation are used to create a custom mold of your mouth.
• Trial Fitting: A trial denture may be created for an initial fitting to ensure comfort and proper alignment. Adjustments can be made based on feedback.
• Final Denture Fabrication: The final dentures are fabricated based on the trial fitting and any necessary adjustments.
• Final Fitting: The final dentures are fitted, and any minor adjustments are made to ensure a comfortable and secure fit.

Post-Fitting Care and Maintenance

Proper care and maintenance are crucial to ensure the longevity and comfort of dentures, especially for those with receding gums:

Oral Hygiene

Maintaining good oral hygiene is essential to prevent further gum recession and ensure the health of the remaining gum tissue:

• Brush and Clean Dentures Daily: Use a soft-bristled brush and non-abrasive denture cleaner to clean your dentures daily.
• Rinse After Meals: Rinse your dentures and mouth with water after eating to remove food particles and prevent plaque buildup.
• Clean Natural Teeth and Gums: Brush any remaining natural teeth and gums with a soft-bristled toothbrush and fluoride toothpaste.

Regular Dental Check-Ups

Regular dental check-ups are essential to monitor the health of your gums and the fit of your dentures:

• Adjustments and Relines: Over time, changes in the gum and bone structure may require adjustments or relines to ensure a proper fit.
• Professional Cleanings: Regular professional cleanings can help prevent gum disease and maintain oral health.
• Monitoring for Issues: Regular exams allow your dentist to detect and address any issues early, such as sore spots or irritation caused by dentures.

Handling Dentures

Proper handling of dentures can prevent damage and ensure their longevity:

• Handle with Care: Dentures are delicate and can break if dropped. Handle them over a soft surface or a sink filled with water to prevent damage.
• Store Properly: When not in use, store dentures in a denture soaking solution or water to keep them moist and prevent warping.
• Avoid Hot Water: Do not expose dentures to hot water, as it can cause them to warp.

Challenges and Solutions for Denture Wearers with Receding Gums

Common Challenges

Wearing dentures with receding gums can present several challenges, including:

• Discomfort and Soreness: Receding gums can lead to sore spots and discomfort when wearing dentures.
• Stability Issues: Dentures may become less stable if the underlying bone structure is compromised due to gum recession.
• Increased Sensitivity: Exposed roots can cause increased sensitivity, making it uncomfortable to wear dentures.

Solutions and Adjustments

Several solutions and adjustments can help address these challenges and improve comfort and function:

Soft Liners

Soft liners are cushion-like materials placed on the denture base to provide a more comfortable fit:

• Increased Comfort: Soft liners can reduce pressure on receding gums and provide a cushioning effect.
• Better Fit: They can improve the fit of dentures and enhance stability.

Denture Adhesives

Denture adhesives can help improve the stability of dentures and prevent slipping:

• Increased Stability: Adhesives can provide additional grip, especially for full dentures.
• Enhanced Comfort: They can help prevent sore spots and irritation by minimizing movement.

Dental Implants

For those with significant gum recession and bone loss, dental implants can provide a more stable and long-term solution:

• Implant-Supported Dentures: These dentures are anchored to dental implants, providing superior stability and function.
• Bone Grafting: In cases of severe bone loss, bone grafting may be necessary to create a suitable foundation for implants.

Preventing Further Gum Recession

Taking proactive steps to prevent further gum recession is crucial for maintaining the health of your gums and ensuring the longevity of your dentures:

Proper Oral Hygiene

Maintaining proper oral hygiene can help prevent gum disease and further recession:

• Brush and Floss Regularly: Brush at least twice a day and floss daily to remove plaque and prevent gum disease.
• Use Antimicrobial Mouthwash: An antimicrobial mouthwash can help reduce plaque and bacteria that cause gum disease.

Healthy Lifestyle Choices

Making healthy lifestyle choices can also help prevent gum recession:

• Quit Smoking: Smoking is a significant risk factor for gum disease and recession. Quitting can improve your oral health.
• Balanced Diet: Eat a balanced diet rich in vitamins and minerals to support healthy gums and teeth. Avoid excessive consumption of sugary and acidic foods and drinks.

Regular Dental Check-Ups

Regular dental check-ups are essential for early detection and prevention of gum recession:

• Professional Cleanings: Professional cleanings can remove plaque and tartar that regular brushing and flossing miss.
• Early Detection: Regular exams allow your dentist to detect early signs of gum recession and other dental issues before they become severe.

Conclusion

In conclusion, dentures can be fitted to receding gums, but it requires careful consideration and preparation to ensure a comfortable and functional fit. By addressing underlying health issues, selecting the appropriate type of dentures, and following proper care and maintenance practices, individuals with receding gums can achieve a satisfactory outcome with dentures. Regular dental check-ups and a commitment to good oral hygiene are essential to maintaining the health of the gums and the fit of the dentures over time. If you have receding gums and are considering dentures, consult with your dentist or prosthodontist to explore the best options for your specific needs.