Perhaps it is the most important objective in a prosthesis, since recovering the functionality of a mouth is the basic thing for the well-being of the patient, and it is the first, although not the only, that must be achieved.
The functions of the mouth that must first be recovered are: first an effective mastication (efficient crushing of food), without the prosthesis interferes with swallowing, since both functions directly influence something as fundamental as it is food, and second, an adequate phonetics that allows the patient a correct communication, without the prosthesis interfering in it, but quite the opposite, that makes it possible.
The mere functionality of the prosthesis already means quality of life and therefore the health of the patient, but in addition to this, another fundamental objective is to prevent the rest of the dental structures of the chewing apparatus from deteriorating, since the prosthesis repair even the dimension vertical of the mouth, thus avoiding wrong joint positions that would have very different effects.
When a mouth lacks the totality or partiality of the dental pieces, the different structures that make up this oral cavity are adapted to the new situation, which will produce possible situations that are unsuitable for the health of the teeth or for oral health in general.
Dental prostheses must take into account the occlusal or masticatory forces, which are the pressures that are made during the chewing of food, so that this pressure is distributed and balanced, thus avoiding the mechanical suffering of the mouth and future problems unchained.
Perhaps it could be said that in today’s society, as in the past, aesthetics is sought out of necessity and therefore, whether it is an imposed or self-imposed need, aesthetics and good looks, it will become another goal for prosthetics.
Beauty is something cultural, an abstract and subjective concept, so perhaps not always the patient will have the same criterion of ‘aesthetic prosthesis’ with respect to that of health professionals.
When talking about aesthetics in this field, the mistake of relating the best and most beautiful with the most perfect, white dentures, teeth aligned perfectly and without any type of wear, etc., can appear, however, the prosthetic objective will be to obtain a denture with an aesthetic appearance, but not as perfect as it is natural, taking into account the age of the patient, the patient’s sex, the patient’s facial morphology, the size of the face and the patient’s own teeth.
The teeth should be placed in the same color and shape as natural teeth, especially if the patient partially preserves their teeth.
Aesthetically, a complete and healthy denture is important, however, the prostheses are not limited to restoring dentures, but also restore the vertical dimension of the mouth and the overall appearance of the face.
Use of the prosthesis, care and hygiene
Each prosthesis will present certain indications from which the patient must be informed by the dentist.
Depending on the type of prosthesis, the patient must be more or less aware of the maintenance of the prosthesis, however, it is the removable prosthesis (those that the patient can remove from the mouth and place again by itself), which will need a Special indication for the user.
Some general advice for this type of prosthesis could be:
Wash the prosthesis after each meal, using a conventional toothbrush or a special brush for prostheses (which can be purchased at any pharmacy), applying soap or any type of liquid dishwasher (see fairy, mistol, etc.), then rinse very well with water.
The use of toothpaste to clean this type of prosthesis is contraindicated since it causes the opacity and deterioration of the outer layer of the prosthesis eliminating its original shine over time, promoting the porosity of the material, which in the future will facilitate the aggregation of bacteria to it and I get the formation of bacterial plaque and tartar.
It is important the hygiene of the prosthesis as well as the mouth itself, mainly for health and therefore for comfort and well being, also avoiding the deterioration of the prosthesis, as well as bad odors or the simple loss of the esthetic characteristics of it.
Remove the prosthesis to sleep, since it is recommended that the tissues of the mouth rest from the pressure to which they are subjected, at least a few hours daily.
While the prosthesis is kept out of the mouth, it is advisable to keep it in water, either alone or by adding some disinfectant tablets prepared for that purpose. In this way bumps and deformations are avoided, while at the same time the materials from which the prosthesis are made are better preserved.