Gum care after dentures: products and home care

Patients of some dental clinics experience pain in their gums after dentures. What to do is their constant question, which they ask doctors and specialists on the Internet. In fact, this issue is very complex, and it is impossible to solve it in absentia; such patients simply need a face-to-face consultation with a specialist. First, a thorough examination can reveal complex problems that are not noticeable at first glance, or that do not have obvious symptoms. Also, the specialist will be able to immediately prescribe treatment.

Gum inflammation after metal-ceramic dental prosthetics is quite common. This effect may be related to several aspects of the operation. Firstly, an unprofessional, inexperienced doctor can harm a person. Secondly, the patient’s individual intolerance to this material may affect it. Thirdly, the distorted shape of the prosthesis can cause pain and rub the gums. This can even lead to infection, inflammation and other serious problems. To avoid such negative consequences, contact only trusted clinics, for example, ours. We guarantee you that our employees are highly qualified, and all surgical interventions in our clinic will be safe. Call the number listed on the website and sign up for a consultation!

Oral hygiene with removable prosthetics

At first, after installing the prosthesis, discomfort may occur. The gums need to adapt to the design. Typical problems in the first few days of using a new denture: impaired diction, pain and redness of the gums associated with rubbing. If you immediately begin to properly care for your gums and structures, these symptoms will go away.

Basic Rules:

Wash your denture after every meal. Goal: remove food debris, prevent plaque formation and microbial attack. It is enough to rinse the structure with running water. If you use gels or other means for fixation, there is no need to remove the denture: just rinse your mouth thoroughly with clean water or a special rinse, for example, ASEPTA® Active.
Clean the prosthesis once a day. It must be cleaned daily with a toothbrush and a special paste (you can use children's paste) with minimal abrasiveness. Under no circumstances should you use tooth powder or whitening pastes containing solid particles. Aggressive components scratch the surface of artificial teeth, as a result they become dirty faster and the service life of the prosthesis is reduced. You should choose a brush with soft bristles.
Using special products for the prosthesis once a week. The most popular: effervescent tablets and ultrasound baths. The tablets quickly dissolve in water and contain special antiseptics and enzymes (substances that accelerate the action of antiseptics): just dip the prosthesis into the solution and after a few hours it will be completely cleared of bacterial plaque and, as a result, unpleasant odor. Ultrasonic baths help even faster than effervescent tablets: they easily destroy plaque even in hard-to-reach places.
Professional cleaning once every six months. Done at the dentist.

It is important not only to wash and clean the structure, but also to store it properly at night. To do this, use plain water or special pharmaceutical solutions. When stored in a dry environment, the denture may become deformed, so it is important to soak it completely. The optimal liquid temperature is room temperature.

Important! Be sure to take proper care of the remaining teeth in your mouth. To do this, we use a separate brush with bristles selected according to the condition of the teeth (usually medium hardness) and a suitable toothpaste.

To fix dentures, doctors recommend using special powders, creams and gels. Firstly, they securely fasten the structure to the gums, and secondly, they prevent food particles from getting under the denture.

Causes of tooth pain under a crown or denture

If you have not had root canal treatment to remove the pulp before getting a crown, pressure on the damaged nerve may cause pain.

Patients with malocclusion and bruxism may experience pain at night from pressing on ridges or areas of the tooth that are higher than normal.
If the denture has shifted, exposing part of the tooth, or, worse, is pressing on the dental nerve, then the slightest pressure or change in temperature can send strong pain signals.
Teeth under a crown are also at risk for all the problems associated with regular teeth, meaning they can become infected, break, and become vulnerable if the enamel wears down. And this can cause pain.

Rules for dental care after removable dentures

Fixed prostheses include crowns, bridges, microprostheses (veneers, inlays), and implants. Ensuring their effective cleaning is more difficult than caring for removable structures: it’s easy to miss hard-to-reach places.

Dentists recommend following the following rules:

Brush your teeth thoroughly 2 times a day. It is worth using a soft or medium-hard brush (preferably a hand brush), special pastes with low abrasiveness (for example: ASEPTA® Active therapeutic and prophylactic paste). If you use whitening pastes, avoid dentures when brushing.
Use the irrigator after meals. It helps clean the interdental spaces from plaque, and is more effective with ASEPTA® solution. As a last resort, rinse your mouth thoroughly and use dental floss, including for cleaning dentures. Use floss carefully, especially in the crown area.
Light gum massage. It is carried out to stimulate blood circulation and reduce the risk of gum inflammation.

Some manufacturers produce special brushes for cleaning teeth with dentures. Their bristles have different lengths, which allows you to effectively clean the interdental spaces.

First aid

To relieve pain and alleviate the condition, the patient can use some tips:

Mouth rinses with medicinal herbs. Decoctions have analgesic, sedative and anti-inflammatory effects.
Pain relieving gels and ointments.
Special pads between the denture and the gum.
Gum massage improves blood supply to tissues and accelerates their regeneration.
Painkillers for severe pain.

If pain persists for a long time, you should consult a doctor.

How to prevent or relieve gum disease

After installation of dentures, both fixed and removable, discomfort may occur in the mouth. The reason is that the gums are not yet accustomed to the structures, and because of this, redness and swelling occur.

It is important to prevent the inflammatory process, and this can be done with the help of medications or folk remedies:

Camomile tea. To prepare, take 1 tbsp. spoon of dried herb, pour boiling water and leave for 10-20 minutes. Rinse your mouth with the cooled infusion every 3 hours.
Sage. Prepare the infusion in the same way or following the instructions on the package. It has an antimicrobial effect, therefore relieves inflammation and is safe for dentures.
Oak bark decoction. Improves the condition of the gums in general, strengthening them and relieving inflammation.
Salt + soda + water. A teaspoon of salt and soda per glass. This solution anesthetizes and disinfects.
"Rotokan" is an inexpensive liquid herbal extract, sold in pharmacies. Dilute with water in the proportion specified in the instructions and rinse your mouth after each meal.

Medicinal herbs and antiseptic drugs prevent inflammation, relieve pain, stop bleeding, and avoid tissue infection as a result of rubbing with dentures. However, if there is bleeding and inflammation due to dentures, it is best to use proven products such as ASEPTA® Parodontal products.

Symptoms

The presence of discomfort during the first month from the moment of installation is a standard situation caused by the body’s gradual adaptation to the new element in the oral cavity. The reason for contacting a dentist is the persistence of painful sensations for 2-3 months after the operation. Symptoms that require medical evaluation include:

Swelling and redness of gum tissue;
Bleeding and pain;
Formation of ulcerative and erosive areas;
Temperature and unpleasant odor from the mouth.

The development of inflammation makes it difficult to eat and communicate with others, causing loss of appetite and disruption of sleep patterns.

Clinical researches

All ASEPTA products are clinically proven effective.

Repeated clinical studies have proven that the two-component mouth rinse ASEPTA ACTIVE more effectively combats the causes of inflammation and bleeding compared to single-component rinses - it reduces inflammation by 41% and reduces bleeding gums by 43%.
It has also been clinically proven that regular use of preventive toothpaste ASEPTA ACTIVE for a month can reduce bleeding gums by 60%, improve overall oral health by 44% and reduce inflammation by 33%.
Laboratory studies have proven that using ASEPTA adhesive gum balm for a week can reduce gum bleeding by 51% and reduce inflammation by 50%.

Sources:

The role of anti-inflammatory rinse in the treatment of periodontal diseases (L.Yu. Orekhova, A.A. Leontyev, S.B. Ulitovsky) L.Yu. OREKHOVA, Doctor of Medical Sciences, Prof., Head of Department; A.A. LEONTIEV, dentist; S.B. ULITOVSKY, Doctor of Medical Sciences, Prof. Department of Therapeutic Dentistry of St. Petersburg State Medical University named after. acad. I. P. Pavlova
Clinical and laboratory assessment of the influence of domestic therapeutic and prophylactic toothpaste based on plant extracts on the condition of the oral cavity in patients with simple marginal gingivitis. Doctor of Medical Sciences, Professor Elovikova T.M.1, Candidate of Chemical Sciences, Associate Professor Ermishina E.Yu. 2, Doctor of Technical Sciences Associate Professor Belokonova N.A. 2 Department of Therapeutic Dentistry USMU1, Department of General Chemistry USMU2
The use of adhesive balm "Asepta®" in the treatment of inflammatory periodontal diseases L.Yu. OREKHOVA*, Dr. med. Sciences, Professor, Head of Department V.V. CHPP**, Dr. med. Sciences, Professor, Head of Department S.B. ULITOVSKY*, Dr. med. Sciences, Professor A.A. LEONTIEV*, dentist A.A. DOMORAD**, O.M. YAKOVLEV** SPbSMU named after. acad. I.P. Pavlova, St. Petersburg - *Department of Therapeutic Dentistry, **Department of Microbiology

Reviews

Inflammation of the oral mucosa can occur for various reasons. It is important to contact a specialist as early as possible and not self-medicate.

In the comments to this article, we invite you to share useful tips on how to avoid the development of inflammation between the gum and the denture or suggest effective treatment methods.

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Tags prosthetics removable dentures

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What are the special indications for metal-ceramic prosthetics?

Almost every patient can choose this type of prosthetics for themselves. But there are certain indications when the dentist recommends installing dentures made of metal-ceramics:

If it is necessary to restore lost chewing teeth.
If the existing dental structures (bridges, plastic crowns, etc.) do not suit the patient aesthetically.
If there is a need to replace two or more teeth on a dental bridge.
If there are defects in the crown standing on the tooth (deformation, color changes, loss of shine)
If the crown has collapsed, it is not possible to restore it by installing a filling or dental inlays.
If pathological abrasion of tooth enamel is observed.

Prosthetic materials that can cause problems

Patients who have metal (base alloys) or, less frequently, plastic in their restoration structure complain of inflammation of the gums after prosthetics. These two materials can cause individual intolerance and allergies, causing the mucous membranes of the oral cavity to swell, redden, and itch.

Metal is used to create arches and fastening elements (hooks) for removable clasp dentures. It is also included in the base of many fixed structures (bridges, crowns), which are covered with aesthetic ceramics on top. The metal interacts with saliva, tends to oxidize and leave unsightly bluish spots in places of contact with mucous membranes. In addition, the material can provoke the development of galvanic syndrome, which negatively affects general well-being, internal organs and the nervous system.