Dr. Noah's Dentistry Blog

Questions About Dentistry Answered

Archives for October 2018

Why is My Face Shrinking?

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I’ve heard you can get smaller as you age, but lately, it seems like the lower half of my face is shrinking as well. I don’t know what’s going on. My dentures barely fit anymore. I’m afraid to go out in public because there’s no room for them and they slip out. Is this typical?

Avery

Dear Avery,

An illustration of the damage done by facial collapse using two pictures of a woman, one before and one after

Wearing Dentures for Too Long Causes Facial Collapse

What you’re suffering from is known as facial collapse. This occurs when you’ve been wearing dentures for a number of years. When you remove your teeth, your body realizes that you no longer have teeth roots in your jaw. Because our bodies are incredibly efficient (I mean what other pieces of equipment holds up for 80 years living mostly off burgers and fries?), it resorbs the minerals in your jawbone to use elsewhere, perceiving they’re no longer needed.

This is why your jaw is slowly shrinking. It’s also why your dentures no longer fit properly. Eventually, you will be unable to keep them in your mouth at all, leaving you a dental cripple stuck on a liquid diet. I’m concerned your dentist neither warned you about this nor recognized what was happening to you.

A Solution for Facial Collapse

There are two solutions for you. Both will include getting bone grafting done. This is where a surgeon builds back up the bone you’ve lost. After that, you can choose to have your dentures remade to fit the new structure. Just bear in mind, you’ll face the same issue of disintegration that your original dentures caused.

Another option is for you to replace your teeth with dental implants. This uses prosthetic tooth roots, usually made out of titanium, to help your body to know the bone is still necessary to hold in the new roots of your teeth. They have other benefits as well.

Advantages of Dental Implants

  • They are permanently secure. Once they’re placed, it’s like having healthy, natural teeth back. There’s no slipping. No sliding.
  • Your chewing capacity will increase dramatically.
  • They protect you from developing facial collapse.

The key is to communicate with your dentist and let him look and advise.

This blog is brought to you by Glenpool Dentist Dr. Noah Ryan.

The Aftermath of Thumb Sucking

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Can you help me? I have a teenager who is still sucking her thumb and now her teeth are protruding quite a bit. She’s starting high school soon and I want her to feel beautiful. But, they’re not just an overbite. They’re also kind of curved. What will fix this AND is there anything which can help her with this habit?

Tracy

Dear Tracy,

Smiling young woman with braces

I agree it is important for a young woman to feel confident and attractive. In fact, confidence is attractive. Because of the issues facing your daughter’s teeth, I’d suggest you see an orthodontist. She will need braces. These will fix both the problems of inclination and position simultaneously.

As for aiding her in giving up the thumb sucking, the first thing to do is not use punishments or shaming. You want her to grow up confident, not worried there’s something wrong with her. However, the thumbsucking has to stop or her teeth will continue to go out of alignment.

The easiest way is to use a product called Thum. It’s an unpleasant tasting liquid you can paint on her thumb. It should help her break the habit.

It’s important she’s careful about brushing her teeth during braces. Let her know ahead of time it’s harder. She’ll have to really work to get in there. It would help her to have a water pick too, which helps with getting food trapped around the bits of metal.

Too often we see white spots on teeth after braces. This is decalcification, which is the precursor to decay.

After Orthodontics

When her braces are done, she’ll be given a retainer to wear. It’s important she wears that or her teeth won’t stay in the proper position. You won’t be starting over, but you will have to do some repairs after shifting without that retainer.

With healthy teeth, there usually isn’t much a teenager needs to do cosmetically. However, some prefer to have their teeth whitened after they finally get their braces off, giving them a fresh look along with the straighter teeth.

This blog is brought to you by Tulsa Dentist Dr. Ryan Noah.