Dealing with Loose Dentures: What to Do When Your Dental Work Fails - Dentistry

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Denture issues


Three teeth in the back on the right side were fused together, but one of them became loose after a year.
What should I do about the one closer to the back? It seems like if the dentures are removed, they need to be redone, which is quite troubling.
Additionally, it feels like the gaps between the upper teeth have become very large and are difficult to clean.
Should I go back to the original dentist? But isn't it true that people switch dentists because the work wasn't done well?

Xiao Man, 40~49 year old female. Ask Date: 2021/08/19

Dr. Zeng Guanghui reply Dentistry


If the last of the three fixed prosthetic teeth becomes loose, it may be due to internal tooth structure decay within the crown or the tooth itself becoming loose due to periodontal disease.
It is recommended to return for a consultation with a dentist for diagnosis and to determine the appropriate course of action.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/08/19

More Info


Dealing with loose dentures can be a frustrating experience, especially when they no longer fit properly or when individual teeth become loose. It’s important to address these issues promptly to maintain oral health and ensure that you can eat comfortably. Here are some steps you can take if you find yourself in this situation.


Understanding the Problem
Loose dentures can occur for several reasons. Over time, the shape of your jawbone can change due to bone resorption, especially after tooth loss. This can lead to dentures that no longer fit snugly. Additionally, wear and tear on the denture itself can cause it to become loose. If you have a partial denture with natural teeth, the loosening of one tooth can affect the stability of the entire denture.


Immediate Steps to Take
1. Assess the Situation: If you notice that one of your teeth in the denture is loose, try to determine if it is just the tooth that is loose or if the entire denture is affected. If the denture feels unstable, it may need to be adjusted or remade.

2. Avoid DIY Fixes: While it may be tempting to use adhesives or other temporary fixes, these are not recommended as they can lead to further complications or discomfort. It’s best to consult a dental professional.

3. Maintain Oral Hygiene: Continue to practice good oral hygiene. Clean your dentures daily and ensure that your gums and any remaining natural teeth are also clean. This will help prevent infections and other dental issues.


Consulting a Dentist
Given that you are experiencing issues with your dentures, it is advisable to return to your dentist or seek a second opinion from another dental professional. Here’s what to consider:
1. Discuss Your Concerns: When you visit the dentist, be open about your concerns regarding the fit of your dentures and the loose tooth. Explain how long you’ve been experiencing these issues and any discomfort you may have.

2. Possible Solutions: The dentist may suggest several options:
- Adjustment: Sometimes, a simple adjustment can help improve the fit of your dentures.

- Re-lining: If the shape of your jaw has changed, the dentist may recommend re-lining your dentures to fit better.

- Replacement: In cases where the dentures are too worn or damaged, a new set may be necessary.

3. Consider a Different Dentist: If you feel that your current dentist is not addressing your concerns adequately, it may be worth seeking a consultation with another dentist who specializes in prosthodontics (the area of dentistry that focuses on designing and fitting artificial replacements for teeth).


Long-Term Considerations
- Regular Check-Ups: Regular dental visits are crucial for maintaining your oral health, especially if you have dentures. This allows for timely adjustments and helps prevent further issues.


- Bone Health: If you are experiencing significant bone loss, your dentist may discuss options such as bone grafting or dental implants, which can provide a more stable foundation for dentures.

- Diet and Nutrition: While dealing with loose dentures, be mindful of your diet. Soft foods may be easier to manage until you can resolve the issue with your dentures.


Conclusion
Loose dentures can significantly impact your quality of life, but there are effective solutions available. It’s essential to communicate openly with your dental care provider about your concerns and explore all available options. Whether it’s an adjustment, a reline, or a complete replacement, addressing the issue promptly will help restore your confidence and comfort in eating and speaking. Remember, maintaining good oral hygiene and regular dental visits are key to preventing future problems.

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