Impact of Natural Gum Aging on Dentures: Do You Need a Replacement?

The natural aging of the gums can significantly impact dentures. As individuals age, the gum tissue may undergo changes such as shrinkage or loss of volume, which can lead to a poor fit of the dentures. This can result in discomfort, difficulty in chewing, and potential sores or irritation in the mouth. Additionally, changes in the underlying bone

Hello, doctor.
I would like to ask if dentures need to be redone after natural gum aging (not due to improper cleaning)? Should a full ceramic crown be redone for this reason? Thank you!

Lan, 20~29 year old female. Ask Date: 2016/10/29

Dr. Huang Tingfang reply Dentistry

Dear Miss Lan,
Hello! The natural aging of the gums leads to gum recession.
In fact, if there are no cavities at the margins, there is no need for redoing the work, unless there are high aesthetic demands! Please communicate more with your dentist.
Thank you! Wishing you peace!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2016/10/29

More Info

The natural aging of gums can significantly impact the fit and function of dentures, including full porcelain crowns. As we age, our gums undergo various changes, including loss of firmness, shrinkage, and changes in the bone structure that supports our teeth. These changes can lead to several issues with existing dental restorations, including discomfort, misalignment, and potential damage to surrounding teeth.

When gums recede or change shape, it can create gaps between the dentures and the gum line. This can lead to discomfort and difficulty in chewing, as well as an increased risk of food particles getting trapped, which can lead to gum irritation or infection. In some cases, the fit of the denture may become so compromised that it no longer functions effectively, necessitating a replacement.

For full porcelain crowns, the situation is somewhat similar. While porcelain crowns are durable and aesthetically pleasing, they are not immune to the effects of gum aging. If the gums recede significantly, the crown may become exposed at the margins, leading to potential decay at the interface between the crown and the tooth. Additionally, if the underlying tooth structure is affected by gum recession, it may require a new crown to ensure proper fit and function.

In general, if you notice any discomfort, changes in the fit of your dentures or crowns, or visible gaps between your dental work and your gums, it is advisable to consult your dentist. They can assess the situation and determine whether a replacement is necessary. Regular dental check-ups are essential, especially as we age, to monitor the health of our gums and the integrity of our dental restorations.

Moreover, if you are considering a replacement, your dentist may discuss options such as relining existing dentures or crowns, which can sometimes provide a more immediate solution without the need for complete replacement. Relining involves adding material to the base of the denture to improve its fit, while crowns can sometimes be adjusted or replaced based on the condition of the underlying tooth and gum.

It's also worth noting that maintaining good oral hygiene and regular dental visits can help mitigate some of the effects of gum aging. Your dentist can provide personalized recommendations based on your specific situation, including any preventive measures you can take to prolong the life of your dentures and crowns.

In conclusion, the natural aging of gums can indeed necessitate the replacement of dentures or crowns, particularly if they no longer fit properly or if there are signs of decay or discomfort. Regular dental evaluations are crucial to ensure that any changes in your oral health are addressed promptly, allowing you to maintain optimal function and comfort in your dental restorations.

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