Temporary dentures
Hello Doctor, my mother is 87 years old.
Three months ago, she had a tooth extraction, and the dentist prepared two adjacent teeth for a dental bridge, providing her with a temporary denture.
We had planned for her to get a permanent fixed denture soon, but due to sudden severe pain in her spine, she needs to undergo spinal repair surgery, which has delayed the placement of the fixed denture.
I would like to know if there are any risks associated with having the temporary denture for an extended period due to a prolonged recovery time from the spinal surgery?
Hong Mao, 50~59 year old female. Ask Date: 2016/04/12
Dr. Huang Zhicheng reply Dentistry
Hello, based on the above situation, wearing it for an extended period should not cause any issues.
Please keep it clean and also consult with your original clinic and physician.
Wishing you safety and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2016/04/12
More Info
Prolonged use of temporary dentures, especially after tooth extraction, can indeed pose several risks to oral health. Temporary dentures are designed to serve as a short-term solution while waiting for permanent restorations. However, if they are worn for an extended period, as in the case of your mother, there are several potential issues that could arise.
Firstly, temporary dentures are typically made from less durable materials compared to permanent dentures. This means they may not withstand the forces of chewing as effectively, leading to wear and tear. Over time, this can result in cracks or fractures in the denture, which can compromise its fit and function. If the denture becomes loose or misaligned, it can cause discomfort and difficulty in eating, which may lead to nutritional deficiencies, particularly in elderly patients who may already have dietary restrictions.
Secondly, prolonged use of temporary dentures can lead to oral hygiene challenges. These dentures may not fit as snugly as permanent ones, creating spaces where food particles can become trapped. This can increase the risk of plaque accumulation, leading to gum disease (gingivitis or periodontitis) and potentially causing further tooth loss. For elderly patients, maintaining good oral hygiene is crucial, as they may already be at a higher risk for oral health issues.
Another concern is the impact on the underlying bone and gum tissue. When a tooth is extracted, the bone that once supported it begins to resorb over time. Temporary dentures can exert pressure on the gums and bone, which may accelerate this resorption process. If the dentures do not fit well, they can cause irritation and inflammation of the gum tissue, leading to further complications.
Additionally, wearing temporary dentures for an extended period can affect the alignment of the remaining teeth. If the temporary denture is not properly aligned, it can cause the adjacent teeth to shift, leading to bite issues and further complications that may require more extensive dental work in the future.
In your mother's case, given her age and the need for spinal surgery, it is essential to communicate with her dentist about the situation. While the dentist mentioned that wearing the temporary denture for an extended period may not pose immediate risks, it is still advisable to monitor her oral health closely. Regular dental check-ups can help identify any issues early on, allowing for timely intervention.
In summary, while temporary dentures can be a practical solution in the short term, prolonged use can lead to various complications, including discomfort, oral hygiene challenges, gum irritation, and potential changes in the alignment of remaining teeth. It is crucial to maintain open communication with her dental care provider to ensure her oral health is monitored and managed appropriately during this period. If possible, consider discussing alternative solutions or interim measures that could alleviate some of the risks associated with prolonged use of temporary dentures.
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