Periodontal Disease and Dentures: Key Considerations

Regarding periodontal disease and its prosthetic aspects?

I understand that I have periodontal disease, but I also have cavities.
Since June, I started seeing a dentist who said my periodontal disease is not severe.
On the same day, I had a dental cleaning, and I have now begun the process of extracting my cavities (removing the decayed roots in preparation for dentures!).
However, I still have white spots on my teeth that are not decayed (could this be dental plaque?).
If it were just cavities, extractions, and dentures, it wouldn't be so complicated, but I'm worried that after completing the dentures, I might find out that my periodontal disease is actually quite severe.

I have a few questions:
1.
Are the white spots on my non-decayed teeth dental plaque?
2.
Should I fully treat my periodontal disease before getting dentures?
3.
How should dentures be placed in the areas where the roots have been extracted? What are the options available? (I have quite a few cavities, some of which have adjacent teeth, while others do not.) Thank you for your detailed answers!

xiong, 20~29 year old female. Ask Date: 2003/08/19

Dr. Lin Qingye reply Dentistry

Dear Bear,
Regarding your inquiry, I would like to provide the following explanations:
a.
The white spots on the surface of your teeth may indicate demineralization or the deposition of intrinsic pigments.
A direct examination of your teeth is necessary for an accurate diagnosis.
b.
Before getting dentures, it is essential to address all dental issues in your mouth.
This ensures a healthy oral environment, allowing the dentist to provide the most appropriate treatment and increasing the likelihood of long-term success.
c.
The position of the extracted tooth can influence the available space for prosthetics.
Traditional dentures are generally categorized into two main types: removable and fixed, each of which has various subcategories.
Additionally, dental implants or orthodontic treatments may be considered as supplementary options.
Regardless of the approach, you should consult with your dentist to analyze the pros and cons of each option before making a decision.
It is also important to consider the dentist's skills and the materials used.
If you would like further information, you are very welcome to visit our dental clinic, and I will be more than happy to assist you.
Best regards.

Reply Date: 2003/08/19

More Info

Understanding periodontal disease and the considerations surrounding dentures is crucial for maintaining oral health, especially when dealing with issues like cavities and gum disease. Based on your situation, let's address your questions and provide some additional insights.

1. White Spots on Teeth: The white spots you are observing on your teeth could be indicative of demineralization, which is often a precursor to cavities. These spots are not necessarily caused by plaque (which is a sticky film of bacteria), but they can be a sign of early decay or enamel erosion. It is essential to have your dentist evaluate these spots to determine the best course of action, which may include fluoride treatments or other preventive measures to strengthen the enamel.

2. Timing of Denture Placement: It is generally advisable to address any periodontal disease before placing dentures. If your periodontal condition is not severe, your dentist may proceed with denture placement after ensuring that the remaining teeth are stable and healthy. However, if there is significant periodontal disease, it is crucial to manage that first. This may involve deep cleaning, scaling, root planing, or even surgical interventions to restore gum health. Once your periodontal condition is under control, you can then proceed with denture placement, ensuring a better fit and function.

3. Options for Denture Placement After Tooth Extraction: After the extraction of teeth, particularly if you have had multiple extractions due to cavities, there are several options for dentures. The choice will depend on the number of remaining teeth, the health of your gums, and your overall dental health. Here are some common options:
- Complete Dentures: If you have lost all your teeth, complete dentures will replace them. These are custom-made to fit your mouth and can be removable or implant-supported.

- Partial Dentures: If you still have some healthy teeth, partial dentures can fill in the gaps left by missing teeth. They are typically removable and can help maintain the alignment of your remaining teeth.

- Implant-Supported Dentures: For a more stable solution, dental implants can be placed in the jawbone to support dentures. This option requires sufficient bone density and may involve additional procedures, such as bone grafting, if the bone has deteriorated due to periodontal disease.

- Immediate Dentures: In some cases, immediate dentures can be placed right after tooth extraction. This allows you to have a functional set of teeth while your gums heal, although adjustments may be necessary as your mouth changes shape during the healing process.

In summary, managing your periodontal disease is essential before proceeding with any denture placement. Regular dental visits, maintaining good oral hygiene, and following your dentist's recommendations will help ensure the best outcomes for your dental health. If you have concerns about the severity of your periodontal disease or the appearance of white spots on your teeth, do not hesitate to discuss these with your dentist. They can provide tailored advice and treatment options to address your specific needs.

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