Many denture wearers experience an alteration in their facial appearance, and a prominent upper lip is a common concern. This isn't necessarily a sign of a poorly fitting denture, but rather a consequence of the way dentures affect the underlying facial tissues. This article explores the reasons why dentures can make your upper lip stick out, potential solutions, and what you can expect during the adjustment period.
Why Do Dentures Make My Upper Lip Stick Out?
The most significant reason dentures can cause upper lip protrusion is the loss of vertical dimension. Your natural teeth support your facial structures. When teeth are lost, the supporting tissues (bones, muscles, and ligaments) begin to resorb, leading to a decrease in the vertical height of your face. Dentures, while restoring the chewing surface, don't replace the lost bone volume. This can cause the lip to collapse inward, resulting in a more pronounced outward projection. Additionally, poorly fitting dentures can exacerbate this effect. An ill-fitting denture might exert excessive pressure on the tissues, further distorting the natural lip position.
Does It Always Happen?
No, not every denture wearer experiences upper lip protrusion. The extent of the change is highly individualized and depends on several factors, including:
- Bone resorption: The degree of bone loss after tooth extraction. More significant bone loss generally leads to a more noticeable change in facial structure.
- Denture design and fit: A well-made, properly fitting denture minimizes the impact on facial tissues. A poorly fitted denture can significantly alter facial features.
- Age and skin elasticity: Older individuals with less skin elasticity might experience a more pronounced change.
What Can I Do About It?
Several options exist to address upper lip protrusion caused by dentures:
- Relining or remaking the dentures: If the dentures are poorly fitted, relining or remaking them can significantly improve the fit and potentially reduce the lip protrusion. This involves adjusting the denture base to better conform to the gum tissues.
- Facial exercises: Certain exercises can help strengthen and tone the facial muscles, potentially improving lip support and reducing protrusion. Your dentist can recommend specific exercises.
- Surgical interventions: In some cases, more invasive procedures like bone grafting or implants might be considered to restore the lost bone volume and improve facial support. This is a more drastic measure and is usually discussed only after other options have been explored.
- Cosmetics: Makeup techniques can help to minimize the appearance of a protruding lip.
Is This a Permanent Change?
The change in lip position might be temporary, especially if caused by poorly fitting dentures. Adjusting the denture can often alleviate the issue. However, the bone loss associated with tooth loss is usually permanent. Therefore, any changes in facial structure resulting from bone resorption will likely persist. However, a well-fitting denture and possibly some other interventions can mitigate the visible effects.
How Can I Prevent This From Happening?
Preventing significant changes to facial structure requires early intervention. Maintaining good oral hygiene, addressing dental problems promptly, and considering options like dental implants to preserve bone volume can all help minimize bone loss and the associated effects on facial features.
What are the Long-Term Effects?
The long-term effects can vary greatly depending on the individual and the overall denture fit. However, in some cases, a persistent outward protrusion of the upper lip could lead to discomfort, difficulty speaking, or even a change in self-confidence. Regular check-ups with your dentist are crucial to monitor the fit and make necessary adjustments.
This information is for general knowledge and does not constitute medical advice. Always consult your dentist or a qualified dental professional for diagnosis and treatment of any dental concerns. They can assess your specific situation and recommend the best course of action.