Dentures: Nerve Inflammation and Cavities Explained - Dentistry

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Regarding dentures and some other issues?


Hello, I would like to inquire about issues related to nerve inflammation and cavities after getting dentures.
Three years ago, I had dentures done at a clinic, and after returning home due to the pandemic, I discovered that each denture had nerve inflammation and even cavities.
The doctor mentioned he forgot to cement them properly or something like that, then laughed and did not provide further explanation.
Previously filled teeth have also developed cavities again, which he said is normal.
I would like to know if this is normal.
Should I consider switching clinics? Are the issues with the dentures due to improper cementing, or is this a common occurrence? One of my previous dentures broke, and the doctor recommended a dental bridge, which requires grinding down a tooth.
He mentioned that eventually, all dentures need to be replaced with implants.
Given my past experiences, I am somewhat apprehensive.
Would it be better to go directly for implants? Thank you!

Nǐ hǎo wǒ xiǎng qǐngwèn, 20~29 year old female. Ask Date: 2021/02/17

Dr. Lin Jiayong reply Dentistry


Hello: There are many reasons why dentures may not adhere properly, and it is recommended that you consult with your dentist for clarification.
Traditional dentures and dental implants each have their own advantages and disadvantages.
If you have concerns about your current dental practice, it is advisable to seek a second or third opinion from another healthcare facility before making a decision.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/02/17

More Info


Hello! Thank you for your detailed inquiry regarding your concerns about dentures, nerve inflammation, and cavities. It sounds like you've had quite a challenging experience with your dental care, and it's understandable to seek clarity on these issues.

First, let's address the concerns about nerve inflammation and cavities related to dentures. When you mention that the nerves in your teeth are inflamed and that you have cavities in your dentures, it's important to clarify a few points. Typically, traditional dentures do not have nerves because they are not natural teeth. However, if you are referring to dental implants or teeth that have been prepared for crowns or bridges, inflammation can occur if there is an infection or if the tooth structure is compromised.

If your dentist mentioned that the nerves are inflamed, it could indicate that there is an underlying issue, such as pulpitis (inflammation of the dental pulp) or an infection that has spread from the tooth to the surrounding tissues. This is not a normal occurrence and should be addressed promptly. Cavities forming on previously restored teeth can happen if the restoration was not properly sealed or if there is recurrent decay due to poor oral hygiene or dietary factors.

Regarding your question about whether these issues are normal, the answer is no. While some wear and tear can occur over time, especially with dentures or dental work, significant problems like nerve inflammation and recurrent cavities should not be considered typical. If your previous dentist did not provide adequate explanations or solutions, it may be wise to seek a second opinion from another dental professional.

As for your concern about switching dental clinics, it is always advisable to find a provider who communicates effectively and addresses your concerns thoroughly. If you feel that your current dentist is not taking your issues seriously or providing satisfactory care, it is perfectly reasonable to seek treatment elsewhere.

Now, regarding the recommendation for a dental bridge versus implants, there are several factors to consider. Dental bridges require the alteration of adjacent teeth, which can compromise their integrity over time. If you have a history of dental issues, opting for dental implants may be a better long-term solution. Implants are designed to mimic the function of natural teeth and do not require the alteration of surrounding teeth. They also provide better stability and can help preserve the jawbone, which is often lost when teeth are missing.

In conclusion, your concerns about nerve inflammation and cavities are valid and should be addressed by a qualified dental professional. It is essential to have a thorough examination, possibly including X-rays or other imaging, to determine the extent of any issues. If you are considering switching clinics, look for a dentist who prioritizes patient education and provides clear explanations of treatment options. Ultimately, whether you choose bridges or implants should be based on a comprehensive evaluation of your dental health and personal preferences. Thank you for reaching out, and I hope you find the care you need!

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