Alexandria, VA

Dentures

Full and Partial Dentures

Dentures and partial dentures are artificial teeth that can replace an entire row of teeth or all teeth in a mouth. No matter the reason for tooth loss in adults, we can use dentures to provide an effective and natural-looking replacement. With our dentures, you will be able to eat and speak as you usually would. We offer full and partial dentures customized to your needs.


Dentures and partial dentures are available at Alexandria Old Town Dental in Alexandria and the surrounding area. Along with helping patients chew and speak without issue, dentures can also help create the appearance of a full smile again. With our help, you can obtain a set of functioning teeth and restore your smile.

Complete Dentures

To Replace All Teeth

A patient who wants a complete teeth replacement has three options. The most common option to choose is getting a full set of dentures. Full dentures are an appropriate teeth replacement choice for many patients. Additionally, dentures are usually a more affordable solution to severe tooth loss than others. As opposed to implants, these oral appliances are removable, which allows the patient to use them on a more flexible schedule. Those new to dentures may need several appointments for measurements, impressions, and finally, the fitting of the dentures into the mouth.

Partial Dentures

For One Missing Tooth:

When a tooth is missing, the other teeth move and fill the space. They do not do this evenly, meaning this movement makes things worse. It also becomes more difficult to bite or chew with a missing tooth.


Depending on the patient's needs, replacing a missing tooth with a prosthetic can be a good way to help keep the entire mouth healthy. Having a full set of teeth, natural or not, also improves a person's smile. Partial removable dentures is a tooth-replacement option that can be used for only one missing tooth, in place of an implant or prosthetic.

For Back Teeth:

Getting the right replacement for missing back teeth can make daily life more comfortable. Our doctors may also recommend teeth replacements as a way to maximize oral health after tooth loss. Removable partial dentures for back teeth are dentures designed to replace missing molars; they consist of teeth replacements attached to an acrylic base.

Implant Supported Dentures

Implant-supported dentures offer a practical, comfortable, and natural-feeling tooth replacement option for many patients. They are often a good choice for people who are missing all their teeth but still have a strong and robust jawbone. Implant-supported dentures use dental implants in the jaw to hold dentures in place that feel and function more like natural teeth than removable dentures.


Implant-supported dentures are a permanent appliance. With proper care and regular check-ups, they can last a lifetime. These dentures are a permanent appliance that requires a dentist to place or remove them. They are much like your natural teeth, so they can stay in your mouth at all times.

Reasons to Get Dentures

Dentures are not the only tooth replacement option. Implants have become more popular in recent years. However, not every tooth replacement option is the right choice for every patient. Here are several reasons people may prefer dentures to other tooth replacement options:

  • Dentures May Be An Affordable Solution To Tooth Loss:

    Other tooth replacement options tend to cost more, usually contingent upon the insurance provider. Traditional full dentures and partial dentures are typically more cost-efficient than the alternatives. This is true even when factoring in the cost of replacing the dentures every 5-10 years.

  • Lower Risk Associated With The Denture Procedure:

    The patient prefers to avoid the risk of a potentially painful bridge failure. Dental implants require more invasive surgery, by nature making them riskier. Age and potential bone loss can increase risk.

  • Dentures Can Be Received Relatively Quickly:

    The denture process typically takes less time than implant procedures. Dental implants may take a year or more to complete. Healing periods between steps may last for up to six months.

The tooth replacement method the patient chooses depends on their unique situation. One should examine all their options when making this decision. Our team can offer the guidance you need in deciding if dentures are right for you.

How to Care for Dentures

Removable dentures require special care to keep them clean and in good condition. Additionally, it is vital to continue to practice good oral hygiene, even if one has a full set of dentures. Following these denture care steps will help keep the mouth as healthy as possible. Additionally, avoid stiff brushes and other abrasive cleaners. Do not use whitening products or products with bleach on dentures.

1

Rinse After Eating

It is easy for food remnants to get caught in dentures while eating. Remove the dentures and rinse them after finishing a meal to help ensure bacteria do not build up on the dentures.

2

Clean Thoroughly

When removing the dentures to clean them, be sure to also clean the mouth. Use a toothbrush to clean any natural teeth. Also, clean the tongue, cheeks, and palate with either a toothbrush or gauze.

3

Rinse Before Replacing

When waking up in the morning, rinse the dentures before placing them in the mouth. This is especially important if patients use a denture-soaking solution. Many solutions are unpleasant or even unsafe to ingest.

4

Brush Daily

Cleaning dentures is essential and easier to do than some people realize. Like natural teeth, dentures require regular brushing. Remove the dentures and gently clean them with a soft brush. If the patient uses adhesive, they need to make sure to clean out any that remains in the grooves that fit against the gums.

5

Soak Overnight

Most types of dentures need to stay moist to remain in good condition. Soak them overnight in a mild solution. Patients can find denture-soaking solutions in most convenience stores and pharmacies. Only use cold or lukewarm water because hot or boiling water can warp dentures.

Common Myths and Misconceptions

One of the most common myths we hear about dentures is that once a patient gets their dentures created and placed, they are set for life. Dentures typically last for five to 10 years. Since this is a long time, patients may wonder how to know when they need new dentures. If the color has changed dramatically or there is physical damage, dentures may need replacement. A common telling sign is when they no longer fit securely.


Some people believe that if they remove all their teeth and get full dentures, they will never need to set foot in a dentist's office again. This is not true, and regular dental visits are still necessary. Dentists are in the best position to tell patients whether or not they need to get their dentures repaired or replaced. In fact, they may adjust dentures during annual or bi-annual visits to keep them fitting correctly. Our talented doctors also pay keen attention to gum health, especially if the patient.

Adjusting to New Dentures

Adjusting to new dentures can be a challenge because the feel of these prosthetics is different from your natural teeth. However, once you get used to them, it should be a more enjoyable experience. If your dentures are new, expect a few weeks to adjust.


While dentures improve the form and function of a person's smile, they feel and act differently from natural teeth. These differences can entail a learning curve as people must learn how to care for their dentures and get used to smiling, eating, speaking, and drinking while wearing dentures. It is important for people to continue wearing their dentures to help their mouth adjust. It is common for people to feel that their dentures are too loose or big at first. However, the tongue and mouth muscles will soon adjust and help keep the dentures in place.


Speaking is one of the most noticeable adjustments patients must make when adjusting to dentures. Patients may experience some difficulty speaking with them because of the changes in the way the mouth muscles move. We recommend that people practice reading out loud in front of a mirror during those first few weeks. Patients should also make sure they have the right denture adhesive and start by speaking slowly to get used to conversing with dentures.

Denture Repairs

If a part of the denture is missing, a laboratory technician can repair it by creating a mold of the original denture attachment. On the other hand, if a patient has saved the broken-off piece, it may be possible to glue it back onto the device. Other repairs, such as a denture that has split in two, require more intensive repair. This type of damage will require the two pieces to be glued together and repaired by adding another protective layer of acrylic resin.


It may also be necessary to insert a piece of metal through both pieces before gluing them together. In many cases, denture repairs can take as little as a day to complete since patients need them repaired as soon as possible. Our team will carefully assess the damage to provide patients with an estimated repair timeline.

Denture Relining

Denture relining and rebasing provides a secure, comfortable fit inside the mouth, thereby extending the lifetime of the patient's dentures. Our team uses these two procedures to adjust dentures instead of replacing them frequently as patients age. Denture rebasing allows dentists and prosthodontists to replace the base of the appliance while preserving the artificial teeth, and denture relining involves adding material to the base to provide a more secure fit.


Denture relining and rebasing services are available at Alexandria Old Town Dental in Alexandria and the surrounding area. We use these procedures to restore dentures and make them more comfortable as patients age. Having dentures adjusted regularly allows them to last longer and provides a comfortable fit throughout their lifetime.


Our experienced team is standing by to make your dental appliances seem new again. Whether you wear complete or partial dentures, let us modify them with relining or rebasing to improve the fit and keep them comfortable.

How to Tell When Dentures Need to Be Relined or Rebased

You should make a dental appointment any time your dentures feel uncomfortable. Dentures must fit properly, so they do not rub on the gums and create sore spots. Most patients will need to have their dentures adjusted after tooth loss, as reshaping of the gums and jawbone will naturally follow.


The
American College of Prosthodontists explains that many patients mask these changes by using denture adhesives to ensure the prosthetics stay in place. However, relining will still be necessary. Denture relining involves adding material to the existing base of the denture (the part that supports the artificial teeth) to make it hug the patient's gums and stay in place.

Three Types of Denture Relining

The common types of denture relining procedures include hard relining, soft relining, and temporary relining. The type of relining one needs depends on that patient's situation. Here are descriptions of the three types of relining and what they involve:

1

Hard Relining

Hard relining consists of the same kind of material as the denture’s original base, usually acrylic. Hard relines last around two years. After two years, the patient’s gums may have changed shape enough to need another reline.

2

Soft Relining

Soft relining can last slightly longer than hard relining. Still, if the patient’s gums are steadily changing, a new hard reline may be needed before the previous one wears out. According to an article in the Journal of Dentistry and Medical Research, a soft, silicone-based denture lining may help dentures stay in place. The material used for a soft reline is molded to fit the patient’s gums, and is more comfortable than acrylic.

3

Temporary Relining

A temporary reline is a special type of soft reline that uses a medicated temporary lining material to help a patient with swollen, irritated gums. Once the irritation has gone, a dental professional can take new, accurate impressions, and the soft or hard reline can be done.

One or a combination of methods could work for you. Our team suggests making an appointment once you realize dentures are not fitting right. At the appointment, the dentist can assess the situation and discuss options.


As per the
American College of Prosthodontists, the bone under a patient's gums deteriorates naturally with age. This deterioration changes the shape of the jaw in addition to altering the ridges in the gums that hold dentures securely in place. As a result, dentures become loose over time. Relining and rebasing allow dentists to preserve denture teeth and adjust the base to provide a more secure fit.


Our dentist can determine the suitability for relining or rebasing by analyzing the current fit and condition of the dentures. If the artificial teeth are in good condition, but the base needs adjustment, then these procedures are good options. The condition of the base determines whether relining / rebasing is required.

Rebasing

According to the American Dental Association, if the base has begun to deteriorate, the dentist will recommend rebasing. This is the process in which a new base is created. The new base is modeled after the existing denture. Our team takes a new cast of the patient's mouth and uses it to create an entirely new base. We will then place the current denture teeth on this new base.


Rebasing may be necessary when the denture becomes broken or damaged, the denture base is weakened, or an immediate denture requires replacement. In-denture rebasing, only the acrylic denture base is replaced (that is, the teeth are left alone).

What To Know About Denture Rebasing

The process of rebasing dentures involves creating an entirely new base portion. Denture rebasing is a viable option when the pink base portion has worn out, but the artificial teeth are still in good condition. Rebasing, when possible, is a lower-cost alternative to getting an entirely new set of dentures.


While dentures can last for years before needing extensive repairs, it is crucial to seek regular checkups and ensure they are in proper shape. We can restore damaged dentures and help patients continue using their dentures without issues. By rebasing dentures, patients will not have to constantly get a new set.

Denture FAQs

  • What Is The Process For Receiving Dentures?

    One of our doctors will first meet with the patient to discuss the treatment and what to expect. Team members will take X-rays before making impressions of the patient's mouth. These will go to a lab technician who can customize the appliance for the patient. At this first appointment, our dental team may remove any decayed or severely damaged teeth. If necessary, this may occur at a subsequent appointment.


    Once the dentures are ready, the patient will return to Alexandria Old Town Dental for the fitting process. This appointment will also happen after the gums have healed following any tooth extractions. In making sure the dentures fit correctly, we will also make any adjustments when necessary. Once complete, the patient will be able to bite down without issue.

  • Will Dentures Change The Way I Look And Speak?

    Dentures may enhance your overall appearance. In addition to replacing any missing teeth and improving the smile, dentures can help stop the facial muscles from sagging.


    It may take you some time to get accustomed to speaking with dentures. However, with enough time and practice, dentures will likely improve your speech.

  • Can I Sleep In My Dentures?

    Depending on the type of dentures a patient has, they may be able to sleep in them. However, it is usually suggested to remove dentures before going to sleep, even for those who can wear them overnight. Use this time to soak them in a mild denture-soaking solution or water.

  • Are There Any Food Restrictions With My Dentures?

    For the most part, patients can continue to eat food with dentures as they normally would with natural teeth. This can be slightly uncomfortable and feel strange at first. Using proper denture adhesive and ensuring they fit properly by visiting a dentist can help.

  • How Much Do Dentures Cost? Can Insurance Cover Part Or All Of The Cost?

    Partial dentures are one of the most affordable options for missing teeth. We can go over dental coverage for this treatment during a consultation appointment in our office. We will go over the replacement options with you and the types of insurance we accept. If you wish to know about your coverage, you will need to contact your insurance provider.

  • How can my life improve with all teeth replacement options?

    Not replacing missing teeth can lead to various problems with oral health. Along with that, it can help to restore one's smile. Complete teeth replacement helps improve speech, eating, appearance, and oral health.

  • What can I eat with a complete teeth replacement?

    Patients with dentures or implant-supported dentures may need to avoid foods such as carrots, apples, nuts, and tough cuts of meat. With dental implants, there is no need to adjust the diet. Whatever one eats, it is important to continue to brush and floss regularly after getting dentures or implants.

  • What is the adjustment period for all teeth replacement options?

    After getting implants, there is no adjustment period because they act and feel like real teeth. Wearing dentures for the first time may require an adjustment of about 30 days. Patients may feel a little discomfort in the jawbone as their mouth gets used to the dentures.

  • How do I take care of my dentures?

    Denture care consists of good oral hygiene, cleaning your dentures, and visiting the dentist for routine checks and maintenance. Dentures are a common, inexpensive, and effective way to improve the look and function of a patient's mouth who has one or more missing teeth. While dentures can include a partial or full set of artificial teeth, they require extra steps beyond regular oral hygiene.


    Dentures do require ongoing maintenance outside of the typical oral hygiene routine. Many people believe they can set dentures down by the side of the bed. However, this can lead to warping and cracking over time. Patients should soak dentures overnight. Avoid hot water, as this may also cause warping. Never use a denture solution directly in the mouth. Patients who use denture solutions should rinse thoroughly before placing dentures in the mouth because denture solutions should not be ingested. Our team can help you determine if a solution is right for your regimen. It is also important to note that dentures require cleaning, just like regular teeth do. Whenever possible, remove dentures after eating or drinking and rinse them to get rid of food particles. Patients should brush dentures at least once per day. Dentists recommend a soft-bristled brush as a more abrasive brush may cause damage over time.


    Even if no teeth remain, continued dental hygiene is essential. Brush the teeth and gums and floss any remaining teeth. Patients may use gauze or a soft bristled toothbrush to clean the cheeks, roof of the mouth, and the tongue. Finally, people who use adhesives should take care to remove it.

  • What are denture adhesives, and are they safe to use?

    Denture adhesives are any adhesives placed in or on dentures to assist them in staying in place. They typically come as pastes, powders, or adhesive pads. Some also contain zinc to enhance adhesion. In moderation, they are safe to use.

  • Does it hurt to get partial dentures for one tooth?

    Generally, no. The procedure usually does not require any tooth extractions, so it is relatively pain-free. However, you may experience some slight discomfort as your mouth adjusts to the new appliance. Most people become fully accustomed to their partial dentures in a few weeks.

  • How can my life improve with all teeth replacement options?

    Not replacing missing teeth can lead to various problems with oral health. Along with that, it can help to restore one's smile. Complete teeth replacement helps improve speech, eating, appearance, and oral health.

  • Can a damaged denture be worn if it is not uncomfortable?

    While comfort is a major factor, there are other reasons to seek prompt help for damaged dentures. Uneven surfaces or a bad fit can gradually cause irritation, sores, and even infections in the mouth. It is preferable to get denture adjustments and repairs before a small problem gives rise to serious issues.

  • Can bleach be used to get rid of stains on dentures?

    Modifying dentures can cause minor speech and eating issues. However, these will go away with a little practice. Properly-fitting and well-maintained dentures become more comfortable to eat and speak with over time.

  • Can I use glue for fixing dentures?

    Dentists caution against using superglue to repair a break. This material is not intended for use on anything that goes in the mouth. The chemicals in it can cause toxic reactions. In addition, it can be difficult to remove and can prevent a dentist from performing proper repairs.

  • Can all types of damage to dentures be fixed, or will I need a replacement?

    Many types of damage can be repaired. If the damage affects a specific tooth replacement or only the base of the dentures, it may be possible to replace only the affected part. Your dentist will inspect the dentures and make an appropriate recommendation.

  • Is there a way to completely prevent damage to dentures?

    Even with careful maintenance, dentures do not last forever. Your dentist will give you care instructions to help you extend the life of your dentures as thoroughly as possible. Be sure to follow your dentist's advice on how to safely clean dentures, such as avoiding abrasive cleaning material and whitening toothpaste, bleach-containing products, and hot water that could warp your dentures.

  • Does denture relining and rebasing hurt?

    Improper denture repair can potentially lead to pain. At Alexandria Old Town Dental, we will do everything in our power to minimize any risks.

  • What are the costs associated with denture relining and rebasing?

    The costs associated with denture relining and rebasing depend on a number of factors, including the dentist's proposal, the type of denture reline process, and the type of dental prosthesis. When it comes to cost, we will consider your insurance plan and preferred form of payment.

  • What is the recovery time for denture relining and rebasing?

    A patient can resume a normal lifestyle immediately after denture relining. The new fit may cause mild discomfort for a few days, but over-the-counter medications should relieve it. Patients may need to schedule a follow-up appointment with the dentist to ensure the denture fit is correct.

  • My Dentures Seem Loose; What Should I Do?

    If the dentures feel loose or otherwise improperly fit, call us or visit the office for a checkup. One of our practitioners will be able to adjust them to ensure a proper fit. There are "do-it-yourself" adjustment kits on the market, but these can permanently damage dentures. A short follow-up can help solve the problem in a quick and efficient manner.

  • What Should I Do If My Dentures Need To Be Repaired?

    While dentures are a functional and reliable method of replacing missing teeth, sometimes, minor damage or a change in fit can decrease comfort. Getting necessary repairs and adjustments as soon as possible is essential to keeping dentures in good condition for longer.


    The repair process will depend on the type of damage the denture has sustained. Even when dentures are in good condition, adjustments may be needed if the undamaged dentures no longer fit well due to changes in the jawbone, gums, or remaining natural teeth. Recognizing these early signs of required maintenance is important to return to wearing dentures comfortably as soon as possible. Early signs of needing dental maintenance can include:


    • Broken or loose replacement tooth: Any issues with replacement teeth should be addressed promptly. A dentist can easily solve this problem. Avoid chewing with a denture whose structure is unsound, since this can lead to further breakage and possible mouth injury.

    • Cracked or chipped teeth or base: Cracks or chipping can result from biting down on hard foods or dropping the dentures. While this defect may not render the denture unwearable, it needs a prompt fix. In addition to further deterioration, cracks and chips can provide havens for bacterial growth.

    • Discomfort while chewing: Chewing with dentures often feels different from using natural teeth. However, after an initial adjustment period, it should not be uncomfortable. Pressure or pain while eating can mean the dentures need adjustment.

    • Pain or pressure: These sensations in the mouth can indicate a damaged denture surface. They can also arise if the dentures no longer fit properly. Ignoring this sign can lead to more serious problems later.

    • Persistent odor: Following your doctor’s care instructions should get rid of the smells. If it does not, this can mean a hidden crack where bacteria are growing. A dentist can identify and fix any issue causing a persistent odor.

    Regular check-ups can help address issues requiring denture adjustments and repairs. We recommend denture wearers visit the dentist at least once a year. Individual patients may receive a recommendation to come in more frequently.

  • What To Do About Stains on Dentures

    Using appropriate denture care routines goes a long way toward keeping them clean. Regular brushing and denture cleansing solutions are necessary to get rid of harmful microbes. A proper cleaning routine will keep the mouth healthy and prevent stains from occurring. However, sometimes stains persist. While many people reach for regular tooth whitening products, it is important to know that they are not appropriate for dentures and can even damage them.


    Our team can help with persistent stains by performing an in-office cleaning or providing a specialty cleaning product that is effective and denture-safe. To minimize staining, rinse the dentures immediately after ingesting substances such as coffee or wine that commonly cause stains. Seeing a dentist according to the recommended schedule, closely following denture care instructions, and seeing a dentist are some other ways to keep dentures in great condition.

  • Can I Fix My Dentures At Home?

    Even a seemingly simple fix is better left to a qualified professional. Attempts to make denture adjustments and repairs at home often cause damage that can take longer to repair or even necessitate a replacement. People who use over-the-counter denture repair kits should follow instructions to the letter and be aware that this is not a permanent solution but a stopgap measure until a visit to the dentist is possible.

  • How Can I Reduce The Risk Of Cracking Or Chipping My Dentures?

    Chips and cracks are common reasons patients need denture adjustments and repairs. Handle and clean dentures over a soft surface such as a towel, never over the sink or countertop. Avoid biting down on hard foods that can cause damage.

  • What kind of oral care do I need for a complete teeth replacement?

    Dental implant patients can continue their normal oral hygiene routine of brushing, flossing, and using mouthwash. Patients with dentures or implant-supported dentures should rinse the dentures after each meal and soak them in a cleaning solution at night. All patients should continue to make regular appointments with their dental provider.

  • What does the process of replacing all teeth entail?


    When a patient is ready to go forward with complete teeth replacement, our team can guide them through the process. After deciding on a complete teeth replacement, our team schedules a consultation. We evaluate the mouth and gums and take X-rays. Then, the dental provider recommends treatment. Before getting dentures or implants, our dentist will remove any other remaining teeth or diseased gum tissue.


    With dentures and implants, the dentist measures the mouth before treatment begins. We take impressions to get the right dimensions for the new prosthetic. Afterward, that information goes to the lab for a custom fit. After the lab creates the dentures, they may require several fitting appointments to ensure comfort. Patients who need implants will schedule surgery to place the implants. Then, there may be an appointment to place abutments onto the posts. A few months later, the dentist places the individual implants onto the metal posts.

  • Do partial dentures for one tooth put gums in danger of receding?

    Gum recession is a common risk of partial dentures. However, this typically occurs when bacteria become trapped between the partial dentures and the gums and the area where the partial dentures are attached to the natural teeth. As such, it is imperative for patients to remove their partial dentures nightly and clean both the natural teeth and the dentures properly.

  • How many implants will I need?

    Typically, implant-supported dentures are connected to the mouth with between two and five implants. It is common for an entire row to attach to four implants. However, the number needed varies from case to case.

  • Which type of dentures do I need?

    The American College of Prosthodontists suggests that you visit your dentist to determine which type of dentures is right for you. When visiting our office, our dentist will provide a consultation and exam. This initial evaluation will help inform the treatment plan.

  • When do I need to redo a complete teeth replacement?

    Dentures are typically replaced every five to 10 years. The bridge from implant-supported dentures may also need replacement after time. Dental implants can last for decades, so they may never need replacement.

  • Is there any way to completely avoid denture adjustments and repairs?

    Most patients end up needing to see a dentist for repairs or adjustments at some point. Following proper care routines can cut down on this necessity. However, normal wear and tear and changes to the shape of the mouth can still make it necessary to get adjustments or repairs.

  • Is it better to see a dentist about fixing dentures or get a new set?

    This depends on the type of damage and the age of your dentures. Most dentures last between five and 10 years with proper care. If a denture is at the end of its lifespan, it can make sense to get a replacement. Likewise, a high level of damage may not be worth repairing.

  • Where are denture adjustments and repairs available?

    The Mayo Clinic warns against using products containing bleach on dentures. Bleach can weaken the structure and degrade the materials of the dentures. A dentist can help with stains, as well as with any other necessary adjustments and repairs.

  • What happens if I keep wearing damaged dentures?

    Damaged dentures tend to cause a bad fit. Continuing to wear ill-fitting dentures instead of fixing them can lead to problems such as gum pain, irritation, sores, and even infection. Poor placement can also affect the ability to chew food, resulting in digestive issues.

  • What are some ways to reduce the risk of damaging my dentures?

    Proper care can help you wear your dentures comfortably for the maximum possible time period. Reduce the risk of cracks and other impact damage by only handling the dentures over a soft surface such as a towel. Following your dentist's care and cleaning instructions can help avoid cracks and abrasions.

  • Are my gums in danger of receding?

    There are several risk factors for receding gums, including but not limited to aggressive brushing, tartar buildup, smoking, genetics, diabetes, and HIV. Hormonal changes in women may also lead to gum recession.

  • What are mini-implants?

    As the name suggests, mini-implants are smaller dental implants. They have the same structure as regular implants, but consist of a one-piece screw less than 3mm in diameter. They also include a ball-shaped end protruding from the jawbone.

  • What do I do if my denture for one missing tooth loosens over time?

    Call us immediately for an adjustment. Avoid moving the denture around in the mouth, as this can loosen it.