Annals and Essences of Dentistry
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Maintenance and Indemnity of Dental Appliances

Aditya Ansari^{* *}Correspondence: Aditya Ansari, Department of Pedodontics and Preventive Dentistry, SCB Dental College and Hospital, Cuttack, Odisha, India, Email:

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Description

There are now many different dental appliances on the market. Mandibular or tongue retention, fabrication, adjustability, provision for jaw movement, and flexibility of materials are characteristics of devices. There haven't been many studies that compare the effectiveness of various designs. There isn't a specific dental appliance design that most successfully raises polysomnographic indices, according to a systematic analysis of their effectiveness [1].

Making dental casts of the patient's dentition and bite registration is usually the first step in the fabrication of a personalized dental appliance. An expert dentist typically performs these chair-side procedures, such as starting or adjusting the device following laboratory work. As a result, this process takes time and money.

In contrast, a dental appliance that is composed of thermoplastic polymer materials and is referred to as "boil and bite" technology is occasionally launched as a fast and affordable replacement for a custom appliance. Until this arrangement settles with cooling, the patient bites into the softened material with a somewhat forward-facing jaw position. Although, thermoplastic dental appliances are linked to inadequate retention in the patient's mouth and insufficient mandibular protrusion.

Dentures

Dentures must be kept extremely clean. Dentures should be mechanically cleaned twice daily with a soft toothbrush and denture cleaning material. Toothpaste is not permitted since it is too abrasive for acrylic and may leave scratches that will attract plaque. Dentures should be removed at night since sleeping with them in has been connected to oral health problems. Sleeping with a denture in decreases saliva's antibacterial and cleaning defenses against Candida albicans (oral thrush) and denture stomatitis, an infection and reddening of the oral mucosa below the denture [2]. It has been established that sleeping with a denture on significantly increases the risk of pneumonia in the elderly. The amount of Candida albicans on an acrylic denture is massively diminished when dentures are kept dry for 8 hours; hence it is now advised that dentures be maintained in a dry container overnight. It is advised to soak a denture overnight in an alkaline-peroxide denture cleansing pill about once a week because it has been shown to lower bacterial bulk and pathogenic organisms [3].

Retainer

As with dentures, it is recommended to clean retainers properly at least once a day (avoiding toothpaste and using dental appliance) and to dental appliance them overnight with an alkaline-peroxide denture cleansing tablet once a week. Since hot temperatures will deform the retainer's shape, it is best to rinse in cold water. Rinsing the retainer before use and storing it in a plastic case are recommended to lessen the number of bacteria that are returned to the mouth.

Braces

To reach places that are difficult to reach when wearing braces, it is advised to use a small-sized or specialty toothbrush with a soft head. Brushing after every meal is highly advisable. During therapy, high-fluoride toothpaste may be more efficient than regular toothpaste. Frequent flossing helps to eliminate plaque buildup, as well as smaller food particles that are lodged in your braces or between your teeth, and is just as vital as cleaning your teeth. Another choice would be interdental brushes for braces. Furthermore, fluoride dental appliance (high fluoride concentrations) application by a dentist every 6-8 weeks during treatment, could reduce dental decay [4].

Conclusion

There are now a wide variety of dental appliances available. The effectiveness of various designs hasn't been compared in many researches. Typically, the creation of a custom dental appliance begins with the creation of dental casts of the patient's teeth and bite registration. In contrast, a dental device known as "boil and bite" technology that is made of thermoplastic polymer materials has occasionally been introduced as a quick and cost-effective replacement for a custom appliance. Two times per day, dentures should be mechanically cleaned using a soft toothbrush and denture cleaning solution. It is well-established that the risk of pneumonia in the elderly increases markedly when a denture is worn while sleeping. As with dentures, it is advised to carefully care for and clean retainers at least once each day (avoiding toothpaste and using dental appliance). Once every week using an alkaline-peroxide denture cleaning pill. It is better to rinse in cold water because heated temperatures will cause the retainer's shape to change. Use a small or specialized toothbrush with a soft head to get to regions that are challenging to reach while wearing braces.

References

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