Make sure to follow all of the fitting instructions to be certain you have properly adapted the denture to your ridge line. **Most important, make sure to follow Step #6 and #7 in the instructions for fitting the upper denture, and watch the video about gagging.
If the suction method (in Step 7) does not work well for you, use your fingertips and/or thumbs to press the rear of the warmed upper plate upward to fit snug against your palate. Then give yourself plenty of time to adjust to the sensation of it against the roof of your mouth. If the upper plate is too long and still causes gagging after a few days of wearing it, you can reheat and remove material or even trim down the back edge of the hard plate, a tiny bit at a time; but realize that removing too much can prevent proper suction and retention. Although the softer Nuvoflex™ lining material can be added back once removed, the hard base-plate material cannot. Once it is cut away, it will be permanently altered and may then limit suction and retention.
Also, please know that should you not have enough of a ridge on your gum line to achieve adequate retention by suction, a denture may not work well for you unless you use sufficient adhesive. Sometimes loss of ridge can happen after a length of time passes without teeth or from wearing a denture for a long time. Other reasons you may not achieve good retention are the presence of tori (boney protrusions in the mouth) or dry mouth (a common side effect of certain medications or medical conditions). If such conditions remain, you may be better suited for dental implants than for a denture.
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