Dentures, i gag when i talk

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So i got my last 7 top teeth pull a month ago and i can barely talk with them in without gagging, sometimes i gag without even talking. It still hurts to eat. I went to the dentist and asked if they could taper the back so my tongue doesnt hit it as much and he refused said if he did that it would crack. Also the right side is slanted so it hits the bottom teeth when i talk or chew and that causes pain, the dentist said he didnt want to do anything to it because of possible problem later when i get my bottom done. I paid $3000 out of pocket for u teeth and dentures and i feel now that he really doesnt care, aany ideas of what i can do?
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Nikki Collins

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  • depressed and frustrated

Posted 3 years ago

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Josie

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So sorry to hear this Nikki. The back of the denture you speak of is called the PPS (post palatal seal) everyone has it in their mouth. And everyone's length can be different. The thickness there should only be approx 3mm and they should be able to trim it with out cracking. But they can only trim away so much before you lose total suction. When impressions are poured into stone models usually you can see a faint line on the model that shows where your pps is on your skin of your palate. Wonder if you have those models. I don't know why they told you it would Crack? ?!!! If an upper and lower denture are needed it is best to have the set made at the same time so when they join the bite is accurate so maybe that's what they mean about the right side and when you get your lower. Is your upper a permanent one?
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Nikki Collins

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Yes it is a permanent one, i got the immediate ones. When they did the mold they did the top and then the bottom but i had to leave my mouth open and she pushed it in and held it there they didnt ask me to bite down or anything. They cut the back off because it was hitting the humps on the back of my jaw on the botto. and it made the front fall down, before they did that it cupped those humps and now it stops at the humps. But since they did that it stops with a thick edge, the right side feels almost like its barely touching and i have to use adhesive otherwise they fall out.
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Josie

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When you take impressions you aren't supposed to bite down. That's the 2nd appt when they take your "bite registration". If you mean the "humps" like the end of your gum on each side those are your maxillary tuberosities. Those should be completely covered with your denture. You shouldn't need to use adhesive for an upper. So correct me if I'm wrong. Is your upper permanent but you got it as an immediate?
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Josie

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Nikki Collins

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I never did a bite registration. They took my impression and i didnt see or hear from them until the day of instraction. Yes those are the humps im talking about but the denture would hit the bottom ones and fall forward. I have to use adhesive for the upper because it falls out otherwise. Yes the upper was immediate but permanent ones, i didnt know there was a choice he didnt offer me any other choice or even mention one.
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Josie

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You should've had a Bite Reg done to be more accurate. Weird. Okay so don't panic. I work at a Denture Clinic in Canada and we don't offer choices (well we do but long story short) but I've noticed on here that there  are options in the USA to get 2 (one temporary) then later get (one permanent). We basically do the type of denture you got and it's a permanent one. I just don't understand why they didn't do a bite reg? Anyways. Ok so you got them pulled a mth ago and have you had a soft liner put in yet?
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Nikki Collins

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Idk they never mentioned one, i did bite paper yesterday when i refused to leaved until he adjusted the teeth so it didnt hit the bottom teeth, one side was hitting but the otherside wasnt because i have 2 bottom teeth that are longer on one side than the other. No reline done he said that is several months away
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Josie

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A bite registration is usually the 2nd appt when you are getting dentures made. It's wax that gets warmed up and you bite on it so it takes an imprint of your bite. Bite paper (kind of looks like carbon paper?) is when you need an adjustment and it leaves like a blue ink on the teeth so they know where to do a little trim here or there. Okay but there are different types of relines etc. Are you in the USA?
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Nikki Collins

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Nope never did a bite registration then, i went in to get advise for painfull teeth and they said ithey reccomended a full upper, they took impressions gave me an estimate and said they would call me when my dentures were in. The impression was done on jan. 2nd and i didnt hear from them again until feb. 25th to schedule the apt for the procedure. Im in Fairbanks AK
(Edited)
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Josie

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Oh wow. Ok I'll do my best to help you out as some things are different here regarding this in Canada. There are so many great people here that can help as well. So I'm not sure what exactly you paid for but when you get immediates it's a bit of a process. About 6 mths to a year but for most 6 mths. People should get standard dentures approx 3 mths after extractions but not every one can do that so they get immediates. With immediates they are made the best they can as you still have your natural teeth in your mouth. After the denture is placed it's best to keep the denture in your mouth for the 1st 24 hrs and then a professional take them out. This is in case you can't get them back in. After that you shouldn't wear them to sleep and have them soak in water. Keep away from dogs. They love them. Water keeps the denture in it's shape and this allows your gums to breathe and blood flow circulate. It also helps maintain the gums you have left longer. You should go for any adjustments you need. Now, there is what's called a soft liner or soft reline. Basically the same thing. This is a temporary lining they put in your denture to help with the fit and it's soft kind of like a cushion while your gums are healing. Remember it's temporary as your gums are going to take about 6 mths to heal. Not sure if you got this in the package you paid. Once your 6 mths are up....I notice on here dentists over there do it less than that but at 6 mths you get a permanent or hard reline. This is done in one day where they keep your denture and take impressions again with your mouth all healed and they will trim away any bulkiness and fill acrylic in areas that it's loose. They should feel so perfect at that point and no adhesive needed. The suction should be great. It's a 6 mth process though so try to be patient. Not sure if I'm missing anything at this point but let me know....
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Josie

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Unless they didn't do a bite reg because you had at that moment plenty of your teeth in your mouth. I have to run that by my boss tmro. I'm the  Clinic Coordinator at our office he's the licensed Denturist.
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Nikki Collins

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Thank you so much for your input! The first day after i woke up from having it done i woke up because they had fallen out and that caused vomiting. I could not get them back in at all i was to swollen from what the dentist said so i should give the swelling time to go down, so i didnt wear them for a week and then it hurt so bad trying to get them in that he had to trim it down. He told me that day that i had to try and adjust to them so hold off on making any apt until i had given it time to adjust so i waited 2 weeks and i wasnt adjusting , hes trimmed them twice now and said if that doesnt work i need to get implants so i may just find another dentist.
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Nikki Collins

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I had 7 teeth on top and 9 on the bottom, he didnt even ask me about a lower partial or anything just came in looked and said i needed a top plate and had the nurse do the mold impression
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Josie

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Okay so you should be gargling with warm salt water like crazy and massage your gums gently from time to time. Implants are the best way to go however very costly and you shouldn't need them on the upper. Implants are best for the bottom when you have to get a full lower. Nobody has a good fitting full denture on the lower. It will always rock and food get under. Don't worry. Unfortunately I can't see you but you shouldn't need implants on the upper. If you haven't paid for a soft reline..we call it Tissue conditioner then find out how much it is and if it's affordable then tell him you want one while you're healing. If you can't afford to get one then wear the adhesive. You should only have to put 3 dabs the size of a pea...1 on the left 1 on the right and 1 on the center and put your denture in. The adhesive should spread all around the denture. Some times people put too much and it causes gagging and vomiting. I really recommend that you don't get the permanent reline until your 6 mth date after extractions. The reason I say that is if you pay for 1 and get it sooner your gums are still healing and will need to get another one. Waste of money. We don't offer it sooner because we don't want our patients to pay twice but of course it's a service and not everything is free in life. So we give the soft reline for free and if it doesn't last the whole 6 mths (it's temporary and everyone is different) we recommend adhesive until the 6 mth date comes.
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Josie

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Oh and Nikki you should be able to go for as many adjustment as you want. You just paid quite a bit of money for them. You may also notice your speech is different like your "s" for example. Practice talking out loud...the paper or a book and count 60-79 to help get your speech back. It's a long process and tests ones patience but you need to hang in there.
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Josie

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Only 2 adjustments and he's saying that?! Uhhh no. You should be able to get more adjustments depending if it was a decent denture he had made for you at the lab. So what's going on with your lowers?
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Ok thank you so much for your help! I will do everything you suggested and hope it helps! Again thanks so bery much for the help and advise i really appreciate it!
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Josie

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No prob! Hope it works. I'm here if you have any other questions. :)
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Nikki Collins

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So i called my dentist for a soft reline because my upper is so loose that without adhesive it just falls out of my mouth, they want $470. Is this the typical charge for this?
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Josie

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Wow. I think he's thinking of a permanent one. It runs about that price and it's like a cushion but tell him you want the temporary one that people usually get after extractions. I'm at home now so I don't have the prices but it should be less than $70 for an upper. I think in the $50 range but saying $70 to play safe. But we dont charge for it. It's temporary until you get a hard reline. At 6 mths after extractions you should get a permanent HARD Reline and should be in the $200 range for a full upper.
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Nikki Collins

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No its not for the hard reline, i asked specifically tgis is theone that wears off over time and he said yes it will need to be done,again in about 6 weeks. I have learned that i either need to get him to have them remade or refunded or something because when i put them in there is about a half an inch gap between the denture and my gums on one side. (i bought a reline kit from the drug store.) the left side is fine but starting around the last front tooth on the right it starts to slowly slope down away from my gums, you can kinda see when i smile that they slant down. .
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Josie

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I can see the slope on the right. There are so many people on this forum that had the temporary one done but I don't know how much they've paid. That is so weird. He's right that you will need another one done but that would be your permanent one and at my place we do it at 6 mths when the healing is done. If we do it sooner they would have to get it again and pay another $243. I don't want to say your dentist doesn't know what he's talking about but it does exist. Start a new post on this forum with that as your title and I'm sure people will answer it. I'm really curious. See there is a soft liner approx $470 but that's if you want a permanent soft like cushion feeling in your denture. Not many people get it. Usually people with no gums left or very sensitive ones but that's not what you and I are talking about
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Nikki Collins

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Well unfortunately im dealing with the alaska mark up, ive asked so many time why things are so expensive and all i ever get in response is "this is alaska do you know how much it costs to get things shipped here. The whole process was the most expensive ive ever heard of! I had 7 teeth that were suppose to be surgical, they were suppose to grind down bone ( not sure they did i have no stitches at all not even the area they were suppose to grind down which had no teeth at the time), and then the denture. I paid $2,900 out of pocket plus insurance paid $1,300 so $4,200 all together
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Josie

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I'm not sure if that $4200 included the extractions but you would be surprised to read on here the prices people have paid. A lot have paid more. There's got to be a way we can get your dentist to understand what we are talking about....
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Nikki Collins

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Im hoping there is, ive gotten lots of advise from a people so i know how to explain, i have an apt wednesday so i guess we will see
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CherylK (Shay)

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Good Luck Nikki
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Josie

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Temporary Soft Reline (Tissue Conditioner)

     It is used to take an impression for the other two relines.  It is also used to help clear up denture sore sports before a more permanent reline is placed in your denture. It is done here in the office and is only used for two to six weeks, at the end of this time period a permanent reline must be placed. - This is one example I found online from a dentist in Nebraska while I was randomly going through google. You should google temporary soft reline and see what you get Nikki. 


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Josie

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Hey Nikki maybe if you find something online you can show them. It can't be $400ish. We only charge like $58 or something like that. That would be an outrageous mark up.
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Nikki Collins

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Yeah i have been looking and calling other dentist in the area, ive called 4 now and thwy all give a price between $450-$565 for the temporary soft reline
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Josie

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Hmmm that's crazy. Ask them how much for a "Tissue Conditioner".
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Nikki Collins

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Josie

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If you can't get a Tissue Conditioner around the cost I mentioned don't give up. Use adhesive for now until you actually get your Hard Reline. That service is supposed to make your denture fit nice and snug and not require adhesive and should look "normal" as your gums will be healed at that time.
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Elizabeth Thompson

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Hi Josie, how are you? I am supposed to be going for my hard reline either at the end of this month or the beginning of May will be six months from my extraction date at that point. I noticed someone commented on here that when they got their hard reline that their dentures were thinner and lighter. My dentist told me not so. So I'm just wondering if they will feel more smug and I could get rid of the adhesive since he told me mine would not be thinner and lighter.
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Josie

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Hi Elizabeth, I'm great thanks. Hope all is well with you. Once you have a hard reline it supposed to feel snug and have great suction that you won't need adhesive. Hopefully the place that is doing it will be successful with that.
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Ken

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That sounds more like a hard reline (acrylic). Affordable dentures here (Tennessee) sells a whole set (top and bottom) for $475 and a hard reline is $200 per plate. I was told by whoever answered the phone that they don't do soft relines. I bought a soft reline kit at food city (grocery store) for $4.39 and most wal-marts have it for around 5 or 6 bucks. That is the only kind I have tried, but there are others such as pro-soft or perma-soft.
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Josie

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Oh really Ken. So they didn't do a soft reline? Maybe not all places do it. They should do it no later than 1 mth after extractions. Ken you have noticed on here right, that people have had it done. I have.
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Ken

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Most said they got all the soft relines they needed. I think the dentist even said something about coming back in 3 or 4 weeks. I thought he meant for a hard reline, but he may have meant a soft reline. But when I called, they said they don't do soft relines? I shoulda paid more attention at the start. I've only been back once about a week after e-day and got an adjustment.
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Josie

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oh that's good for you.
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CherylK (Shay)

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Ken, how long ago did you get dentures?
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Ken

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December 17th 2015 Almost 4 months
Sory I just saw your post
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CherylK (Shay)

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i forgot why I asked you lol
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Elizabeth Thompson

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And if part of my problem is that they are too heavy and they r not going to be lighter then I don't see how it's going to make so much of a difference but once again I will just be positive and hopeful.
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Josie

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Elizabeth who's doing the reline? The dentist or the lab? Also Elizabeth Maybe you should make a new post or comment on one of my posts so we don't get into a long chat on Nikki post here.
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Elizabeth Thompson

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I believe what they told me was I will come in and they will do something like impressions and then it will be sent out to the lab so I will be without it for most likely a day.
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Josie

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Well most of the time it is thinner in areas it needs to be and filled in where you find it loose now. So technically thinner and not. The back of your denture closest to your throat should be no thicker than 3mm. Wait and see what happens with your hard reline.
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Rosie

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The cost of dentures is dependent upon the conditions within your mouth, the types of materials being used, the techniques used by the dentist or prosthodontist, as well as the location and general operating costs of the dental office.

Denture care is an ongoing service to maintain a healthy mouth. What many patients don't realize is that there is a service aspect connected to complete denture care, which includes modification of dentures over time to eliminate "sore spots" or to improve how the teeth fit for chewing, and correcting the look of or adjusting the dentures to make them more comfortable and stable. The conditions of your mouth make your treatment easier or harder and therefore may result in different costs.

If cost is your primary concern, you might want to locate a dental school in your community for treatment. Keep in mind, low-cost treatment is of limited value if you have to have the treatment done over again in a short time. To locate a prosthodontist near you,visit www.gotoapro.org.