Dealing with a Fallen Denture: Should I Replace or Extract? - Dentistry

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Dealing with a fallen denture can be a challenging situation, especially when it involves a single tooth denture that has been in place for a long time. Based on your description, it seems that your front tooth denture has come loose, and you are faced with the decision of whether to simply reattach it or to extract the root and possibly adjacent teeth. Here’s a comprehensive response to your concerns.

First, it’s important to understand the condition of the remaining root and the surrounding teeth. If the root is still intact and healthy, it may be possible to reattach the denture. However, if the root is deemed too short or compromised, as your dentist has indicated, it may not provide a stable foundation for the denture. This is a common scenario, especially if the root has been previously treated or if there has been significant bone loss around it.

When a denture falls out, it can be due to several reasons, including the deterioration of the supporting structures, the quality of the previous dental work, or simply wear and tear over time. If your dentist has suggested that the root is too short to support the denture, it is likely based on an assessment of the bone structure and the health of the surrounding teeth. In such cases, extracting the root and possibly adjacent teeth may be recommended to ensure a more stable and aesthetically pleasing result with a new denture.

If you are feeling uncertain about your current dentist's recommendation, it is perfectly reasonable to seek a second opinion. Different dentists may have varying approaches to treatment, and another professional may provide you with additional options or reassurance regarding your current root and denture situation. It’s essential to feel comfortable and confident in the treatment plan you choose.

Regarding your fear of tooth extraction, it’s understandable. Many patients experience anxiety about dental procedures. However, modern dentistry offers various sedation options to help manage discomfort and anxiety during extractions. Discussing your concerns with your dentist can help them tailor the experience to make it as comfortable as possible for you.

In terms of the timeline for treatment, if extraction is necessary, the healing process typically takes a few weeks before a new denture can be fitted. During this time, your dentist may provide you with a temporary solution to help you maintain functionality while your mouth heals.

Lastly, if you decide to proceed with the extraction and subsequent denture placement, it’s crucial to follow post-operative care instructions diligently. This will help ensure proper healing and the best possible outcome for your new denture.

In summary, whether to replace or extract depends on the condition of the remaining root and surrounding teeth. If the root is compromised, extraction may be the best option. Seeking a second opinion can provide clarity and peace of mind. Remember, it’s important to communicate openly with your dentist about your fears and preferences to ensure a treatment plan that works for you.