What to do if your removable dentures are loose?

Causes of structure failure

Can a dental bridge fall out immediately after installation? The reasons that a permanent dental bridge falls off after a few days, weeks (less often, months) most often lie in errors in its manufacture or fixation. But the patient’s own fault may also be present here. Let's take a closer look at the factors that cause loss in the early period:

• the use of low-quality cement or its incorrect application,
• the presence of a gap between the inside of the prosthesis and the supporting teeth on which it is placed,
• caries under crowns: this may be undetected caries - it was not noticed during preparation for prosthetics. Or when the supporting tooth was overheated during turning. If, during the passage of root canals, they are poorly processed or sealed, then over time this leads to the spread of infection,
• allergy to prosthetic materials,
• if the patient chewed something very hard with his teeth (including artificial ones), chewed toffee, toffee.

Another reason for loss is poor oral hygiene, when a large amount of plaque and stone accumulates around the crowns. This in itself can lead to the destruction of the ceramic or composite coating of the bridge and partial crumbling of the cement composition. If we consider that dental deposits are inhabited by bacteria that have a negative effect on the gums and roots of the teeth under the prosthesis, then loss can occur due to progressive caries on the supports.

Accelerate the process of getting used to the prosthesis

• Rinse your mouth with a salt solution;
• Take the process of cleaning your denture seriously;
• Try sucking on lollipops, this process calms you down and distracts you from having a foreign object in your mouth;
• To improve your diction, say tongue twisters, read aloud, and speak more often. It’s also worth trying to pronounce words louder. Often, normal speech is restored within a few weeks;
• For a more reliable fixation of the prosthesis in the oral cavity, it is best to use special gels and ointments; they not only allow you to securely fix the product in the mouth, but also prevent the appearance of abrasion wounds and other mechanical damage to the oral cavity.
• It is necessary to completely exclude various sticky foods from the diet, and not only for the period of getting used to the prosthesis. These can be candies, various chocolate bars with nougat, toffees, etc.), they can not only cause discomfort during chewing, but also damage the structure.

Relationship between loss and service life

Dental bridges can fall out due to natural wear and tear or the end of their life. On average it is 5 years. And with good oral hygiene and careful treatment, the bridge will last up to 10 years. If the bridge is supported by implants, the service life increases. For ceramic and metal-ceramic it is at least 10 years, and for zirconium dioxide and ceramic-composite – from 20 years.

“My mother built golden bridges for herself back in the 90s. So, they stayed with her for almost 20 years. Either the doctor was such a good one, or she was taking care of her teeth. But she definitely never ate nuts. And I installed metal-ceramic ones in 2014. And they fell out after only 6 years. The doctor was able to glue them in place, but I understand that it is no longer so convenient. We'll probably have to change it."

Anastasia G., review from gidpozubam.ru

Which removable dentures are better for the lower jaw?

Not all orthopedic solutions are equally effective for installation on both jaws, because each of them has its own distinctive features. The individual characteristics of the lower jaw largely determine the choice of a specific design model, since other dentures can cause discomfort or be poorly fixed in the oral cavity. Let us consider the features of choosing dentures for the restoration of the lower dentition.

Rules of conduct when a bridge falls out

What to do if a dental bridge falls off? Often people get lost and don’t know how to behave. Someone almost begins to panic, someone hastily throws the fallen orthopedic structure into the trash. The list below includes simple and understandable rules that will tell you what to do when a dental bridge falls out:

1. carefully spit everything out of your mouth onto a napkin if it falls out while eating,
2. rinse your mouth with water and then with some solution (chlorhexidine or mouthwash),
3. rinse the bridge in clean water, you can clean it with a soft bristle brush: when rinsing and cleaning, make sure that it does not fall into the sink or onto the floor,
4. place the prosthesis in a clean handkerchief or piece of sterile bandage,
5. put the bridge in a small, clean container so as not to accidentally break the product (in case it can be glued back, although this is unlikely). You will need to take the prosthesis to the clinic in the same container,
6. try not to chew on the “affected” side, and also rinse your mouth after each meal (if there is still a lot of time before your visit to the clinic).

When the bridge falls out from clenching the jaws, from pressing with the tongue - that is, when there was no food in the mouth, then immediately go to point number “2” of this list.

If it suddenly turns out that the bridge was swallowed along with food or liquid, then you need to immediately contact a clinic - for example, a therapist, pediatrician, or a hospital emergency room. The sharp edges of the structure can injure the gastrointestinal tract; the bridge can get stuck in the esophagus or intestines. Therefore, you will need to undergo an x-ray or ultrasound. It is important not to make active movements, not to bend over and to adhere to the diet prescribed by the doctor - so that the structure leaves the body naturally. Otherwise, you will have to undergo emergency surgery.

Features of lower jaw prosthetics

Removable structures can be used both in case of partial or complete absence of all teeth in the lower jaw. Considering its main distinctive features, it is worth paying attention to the following anatomical characteristics:

• high level of bone tissue density and slower bone resorption after tooth extraction - the prosthesis is therefore better fixed, since the gums together with the bone tissue sag less,
• the bone tissue is larger in height than in the upper jaw,
• the presence of frenulums under the tongue reduces the strength of the product’s fixation and causes some discomfort during its use,
• due to pressure from the cheeks and tongue, the structure moves, which makes the prosthesis less comfortable,
• There are fewer requirements for the aesthetics of the orthopedic device, but more for its functionality.

Restoring the integrity of the lower row involves some difficulties due to the location of the tongue and its articulation. The choice of a specific prosthesis model is also directly related to the number of remaining teeth in the row.

Is it possible to glue the bridge in place yourself?

What to do and how to secure a dental bridge if it falls out at home? Let us immediately point out that putting a fallen bridge back on your own is not the best idea. Since this can injure the supporting and neighboring teeth, harm the gums (if you suddenly decide to glue the bridge with pharmaceutical cement or household glue). The consequences can be unpredictable - up to the removal of “damaged” teeth or implants. Therefore, it is better to entrust your teeth to a professional dentist.

What will the doctor do?

Which doctor is best to see if a dental bridge has fallen off? In general, dental prosthetics is the domain of an orthopedic dentist. If the prosthesis is on implants, then you will need to visit both an orthopedist and an implantologist, because The problem may be with the implant. Will the doctor be able to fix the old prosthesis? Here you will first need to undergo diagnostics, incl. tomography of the jaw, which will help determine the condition of the bone around the roots, the quality of root canal filling, and identify cracks in the roots.

Read on the topic: features of dental bridges - who is suitable for them, how they are made and installed.

If the support is in order and suitable for prosthetics, and the prosthesis itself has no flaws (i.e., the problem of falling out was only due to low-quality cement), then you can try to glue the old bridge in place. Of course, using new and high-quality cement.

If the doctor considers that the support needs treatment or removal, and also if the prosthesis is made incorrectly or is broken, then in addition to the main treatment, it will be necessary to make a new orthopedic bridge structure or, in principle, a different type of prosthesis.

Possible consequences

Long-term use of unstable prostheses is not without negative consequences for its owner - both mild and minor, and serious, threatening health:

• Physical and psychological discomfort due to the device falling out and moving when talking and chewing food.
• Rubbing of gums, injury (biting) of cheeks. Despite the seeming harmlessness of minor injuries to the oral mucosa, if there are permanent injuries, the matter can end in cancer.
• Slurred speech.
• Changes in facial expression when proportions are disturbed.
• Constant entry of food under the structure , poor chewing, leading to disruption of the digestive process and gastrointestinal diseases.
• Breakage of the structure due to accidental jumping out of place.
• The need to constantly monitor the position of the prosthesis and correct it, which is especially inconvenient in the presence of strangers.

What factors are taken into account when choosing abutment teeth and their number.

Come here to find out what requirements apply to denture bases.

At this address https://www.vash-dentist.ru/protezirovanie/semnyie-p/vospalenie-desnyi-pod.html we will discuss the tactics of treating gum inflammation under a denture.

What to do if a temporary bridge falls out

If the temporary bridge falls out, then there is nothing to worry about. After all, it is glued to temporary cement, which has weaker fixing properties. Therefore, you need to contact an orthopedist to glue the structure in place. Or, if a permanent prosthesis is already ready or the implants have taken root, then the temporary bridge will not be put back, but the permanent one will be fixed immediately.

Complex on 4 OSSTEM implants with delayed loading - 140,000 rubles.

Complex implantation Osstem (South Korea) with delayed loading after 4-6 months.
Doctor's work guarantee - up to 5 years (under an agreement on the provision of medical services) Call now or order a call

Opening hours: 24 hours a day - seven days a week

How much does a re-restoration cost?

How much does it cost to put a dental bridge in place if it falls out? If the supports do not need to be treated or removed, then fixation with new cement will cost approximately 1000-1500 rubles. If the screws on dentures on implants have come loose, then fixing them with new screws will cost about the same. If the patient needs to treat/remove supports, install new pins or inlays - and, as a result, make a new prosthesis, then the cost of restoration starts at 30 thousand rubles. And the final cost is calculated individually.

What needs to be done to make the bridge last as long as possible

In order to extend the service life of the bridge, we must not forget that although it is an artificial structure, it should be treated like “natural” teeth. That is, do not load the bridges with excessively hard and stretchy food, regularly brush your teeth with a brush and toothpaste. Another important rule is that you need to visit an orthopedic dentist every 6 months. During a preventive examination, the doctor will examine the condition of the oral cavity and installed dentures, and will carry out professional removal of tartar and plaque.

1Yamamoto M. Basic technique for manufacturing metal-ceramic dentures, 1998.

Your questions and answers

QUESTION Hello, the bridge fell out of the teeth along with the pins. Can it be put back or not? And what is the best way to do this? Oksana

ANSWER Hello, Oksana. It's best not to try to glue the bridge in place yourself, because... This is fraught with complications, and consult an orthopedic dentist. Because there are many nuances due to which the old prosthesis can either be put back or not be used further (i.e., a new one can be made). But, given that your bridge fell out instead of the pins, most likely you won’t be able to put it back in place.

Author: Sambuev B. S. (Thank you for your help in writing the article and the information provided)

Content

• Causes
• What to do if a crown falls out
• What can't you do?
• What to do if you can’t see a doctor right away
• What will the doctor do?
• How to prevent hair loss

The use of modern high-quality and high-tech materials does not make the service life of crowns unlimited. A dental crown has a specific lifespan of 12 years. Sometimes it happens that the crown falls out. Immediately after this trouble, increased sensitivity of the stump may appear. Contact your doctor without delay. If this is not possible, follow your doctor’s recommendations to save the tooth and reduce discomfort as much as possible.