Concerns After Getting Fixed Dentures: Gaps and Next Steps - Dentistry

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After the installation of fixed dentures?


Hello, doctor.
I just had my fixed dentures placed, and on the very first day, I noticed that there is a gap between the dentures and my natural teeth.
The dentist did not give me a trial fitting period and bonded them without my consent.
He said he determined it was fine to bond them directly (and I did ask him why he didn't provide a trial fitting).
However, the problem now is that the dentures are not properly sealed with the natural teeth, which significantly increases the risk of secondary cavities and other complications.
Can I directly request my dentist to remove them and remake them? What if he refuses my request? Can I file a complaint? It's a three-unit dental bridge, and if I don't insist on having it corrected now, I will be the one suffering in the future, especially since it's made of all-ceramic material.
What should I do? I'm really worried right now.

Lai Xiaojie, 40~49 year old female. Ask Date: 2021/06/06

Dr. Qiu Qiongyao reply Dentistry


Ms.
Lai: Hello, please seek assistance from the local dental association for coordination and assessment.
The administrative staff of the association can relay the matter to the association's president for resolution.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2021/06/06

More Info


It sounds like you're experiencing a challenging situation with your newly placed fixed dentures, and it's completely understandable to have concerns about the fit and potential complications. Let's address your questions and provide some insights based on dental practices and patient rights.

1. Concerns About Gaps and Fit: It's crucial for fixed dentures, such as crowns or bridges, to fit snugly against the natural teeth. Gaps can lead to food accumulation, plaque buildup, and ultimately increase the risk of cavities or gum disease. If you notice gaps immediately after placement, it's important to communicate this to your dentist. The dentist should have ensured a proper fit before permanently cementing the prosthesis.
2. Requesting Remake: You absolutely have the right to request a re-evaluation of the fit of your dentures. If you feel that the dentist did not provide adequate time for a trial fit or did not obtain your consent before permanently bonding the dentures, you can express your concerns directly to them. A good dentist will appreciate your feedback and may be willing to adjust or remake the dentures to ensure they meet your expectations and health needs.

3. What If the Dentist Refuses?: If your dentist is unwilling to address your concerns or remake the dentures, you have several options. First, consider seeking a second opinion from another dental professional. They can assess the fit and provide recommendations on how to proceed. If the second opinion confirms that the fit is inadequate, you can return to your original dentist with this information and request a resolution.

4. Filing a Complaint: If you feel that your dentist has acted unprofessionally or has not adhered to standard practices, you can file a complaint with your local dental board or regulatory body. They can investigate your concerns and take appropriate action if necessary. It's important to document your interactions and any evidence of the issues you're facing, as this will support your case.

5. Long-Term Considerations: If the gaps are not addressed, you may indeed face complications such as decay in the underlying teeth or gum issues. It's essential to act promptly to avoid further problems. Discuss with your dentist the potential risks of leaving the current dentures as they are, and emphasize your desire for a solution that prioritizes your oral health.

6. Emotional Impact: It's completely normal to feel anxious or frustrated in this situation. Dental work can be a significant investment, both financially and emotionally. Remember that you are your best advocate when it comes to your health. Don't hesitate to voice your concerns and seek the best possible outcome for your dental care.

In summary, you have the right to request a proper fit for your fixed dentures, and if your dentist is unresponsive, seeking a second opinion or filing a complaint are valid steps. Your oral health is paramount, and addressing these issues sooner rather than later will help ensure a healthier and more comfortable outcome.

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