Do I Need to Replace My Dentures After Gum Disease Affects My Tooth? - Dentistry

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Dental root + prosthesis


One of the roots of my front tooth has been damaged due to periodontal disease, causing the three crowns on that tooth to become loose and nearly fall out.
The doctor said I need to redo the crowns.
Is it absolutely necessary to redo them? The original crowns are fine.
Thank you!

Chen S, 50~59 year old female. Ask Date: 2016/09/21

Dr. Lin Jiayong reply Dentistry


Hello: If the dentures no longer fit properly and are causing movement or dislodgement, it is recommended to remake them.
However, this is an elective and out-of-pocket treatment, so it is up to you to decide whether to proceed with the remake.
Wishing you peace and good health.

Reply Date: 2016/09/21

More Info


When it comes to dental health, particularly regarding the impact of gum disease on your teeth and dentures, it's essential to understand the underlying issues and the best course of action. In your case, it appears that you are experiencing significant problems with your front teeth due to gum disease, which has led to instability in your existing dentures.
Firstly, gum disease, or periodontal disease, can severely affect the supporting structures of your teeth, including the gums and bone. When gum disease progresses, it can lead to the loss of bone around the teeth, which is crucial for maintaining their stability. If your natural tooth roots are compromised due to gum disease, it can create a situation where any attached prosthetics, such as dentures or crowns, may also become unstable or fail.

In your situation, where you have three dentures that are becoming loose, it is advisable to consider the recommendation of your dentist to replace them. While your original crown may still be in good condition, the integrity of the supporting structures (the gums and bone) is critical for the overall health and function of your dental restoration. If the underlying support is compromised, even a well-made crown or denture may not function effectively or may lead to further complications, such as additional tooth loss or increased discomfort.

Here are some important considerations regarding your situation:
1. Assessment of Gum Health: Before making any decisions about replacing your dentures, it is crucial to assess the health of your gums and the surrounding bone. Your dentist may recommend a thorough periodontal evaluation to determine the extent of gum disease and whether any additional treatments (such as scaling and root planing) are necessary to restore gum health.

2. Stability of Existing Dentures: If your current dentures are unstable due to the underlying gum disease, they may not provide the necessary support for effective chewing and speaking. Loose dentures can lead to discomfort and may even cause further damage to the gums.

3. Replacement Options: If your dentist recommends replacing the dentures, they may discuss various options with you, including traditional dentures, implant-supported dentures, or other restorative solutions. Implant-supported dentures can provide greater stability and may be a suitable option if you have enough bone density.

4. Long-term Health: Replacing your dentures may not only improve your immediate comfort and function but also contribute to your long-term oral health. Properly fitting dentures can help maintain the shape of your face and prevent further bone loss in the jaw.

5. Follow-Up Care: After replacing your dentures, it is essential to maintain regular dental check-ups to monitor your gum health and the fit of your dentures. Good oral hygiene practices, including brushing and flossing, are crucial to prevent the recurrence of gum disease.

In conclusion, while it may be possible to keep your original crown, the recommendation to replace the dentures is likely based on the need for stability and the overall health of your gums. It is always best to follow the advice of your dental professional, who can provide personalized recommendations based on a thorough examination of your oral health. Taking proactive steps to address gum disease and ensuring that your dentures fit properly will contribute significantly to your overall dental health and quality of life.

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