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Partial denture missing tooth

A

Anne2023

Member
Joined
Dec 15, 2023
Messages
22
Location
USA
I'm concerned about a partial I had made for me. It's a Valplast bottom partial denture. I had been putting it off most of last year due to fear and finally went in to a new dentist in early December to have a lower partial denture made. He is into the latest technologies and used digital images to make the partial. I chose him because I was afraid of the molds that other dentists use. (I was also still trying to replace my retired dentist so hadn't settled anywhere else long-term).

It was supposed to take two weeks, and at a month I called his office and asked. They told me it was in transit and that it would be there the next day. I only took so long to check on it because it was my busiest season at work and I couldn't carry that stress and dental stress at the same time. It did seem odd to me that they never called me to say it was late, and then it was suddenly arriving the day after I called. Part of me wonders if it arrived and they set it aside and forgot about it. (I don't know if that's just me obsessing or not). Anyway, it hurt quite a bit at the start and I put off wearing it for a few weeks. I've been trying more consistently over the last month to put it in for several meals a week though not every day. There are sore spots and some tightness on one side that isn't on the other. I know that adjusting to it can be normal and I may need the dentist to adjust it, but I have two questions:

1. Should the bite be off right off the bat? Like right from when he first gave it to me, only the back teeth (3 and 14) hit and my other teeth don't come together like they do when it's not in. (I am missing all four wisdom teeth plus 2, 12, and 15 on top and 18, 19, 20, 30, and 31 on the bottom). He asked how it felt when he gave it to me. I told him it was hitting high in the back and worse on the left. He had me bite down with the blue paper and adjusted it. It still felt high and he did it again, but he warned me that if he takes too much off, we can't go back. So we left it at that and the bite still felt off. Is that a bad sign, or should I expect things to adjust on their own?

2. I couldn't figure out what else seemed off about it and I finally figured it out tonight - (It likely took so long due to my avoidance) - The bottom partial denture only has two "teeth" on the left. I would have thought that it would replace 18, 19, and 20 on the left, but it doesn't. There are two "teeth" on each side. When I chew or bite down, the lower right "teeth" meet the whole surface of #3 and extend a bit past it, like when 30 and 31 were still there. On the left where there are only two replacing 18, 19 and 20, the lower left "teeth" do not meet the whole surface of #14. 14 hangs out over the lower "teeth". Does that seem reasonable or does it sound like I didn't get a good job done on this partial?

Thank you for your help.
 
1. Should the bite be off right off the bat? Like right from when he first gave it to me, only the back teeth (3 and 14) hit and my other teeth don't come together like they do when it's not in. (I am missing all four wisdom teeth plus 2, 12, and 15 on top and 18, 19, 20, 30, and 31 on the bottom). He asked how it felt when he gave it to me. I told him it was hitting high in the back and worse on the left. He had me bite down with the blue paper and adjusted it. It still felt high and he did it again, but he warned me that if he takes too much off, we can't go back. So we left it at that and the bite still felt off. Is that a bad sign, or should I expect things to adjust on their own?

No, things won't adjust on their own. Go back and see him. It'll be more obvious now where it needs adjusted as you're more used to the denture, so this time should be more successful.

2. I couldn't figure out what else seemed off about it and I finally figured it out tonight - (It likely took so long due to my avoidance) - The bottom partial denture only has two "teeth" on the left. I would have thought that it would replace 18, 19, and 20 on the left, but it doesn't. There are two "teeth" on each side. When I chew or bite down, the lower right "teeth" meet the whole surface of #3 and extend a bit past it, like when 30 and 31 were still there. On the left where there are only two replacing 18, 19 and 20, the lower left "teeth" do not meet the whole surface of #14. 14 hangs out over the lower "teeth". Does that seem reasonable or does it sound like I didn't get a good job done on this partial?
It can be reasonable, but it's hard to say without looking at it in situ. Ask about it when you go back.

Something that helps with getting used to a new denture is to wear it for a gradually increasing time each time, e.g. 1hr then 2hrs then 3hrs and so on. But if you develop a particularly sore spot, don't continue, remove the denture and start again.

Don't get fooled into thinking soft foods are easier to eat than hard ones, soft and sticky foods can be more difficult to chew then crunchy ones, believe it or now.
 
@Gordon Thank you so much for your reply.

I will work on increasing my time wearing it and make an appointment to have it adjusted.
 
Good luck and please let me know how you get on.
 
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