Exploring Alternatives to Dentures for Upper Teeth Loss at 47 - Dentistry

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Upper teeth


Due to periodontal disease, most of my upper teeth are almost unusable.
I have had X-rays taken, and some of the tooth roots are also not viable.
The dentist said that the only option is to get removable dentures.
I would like to ask if this is the only option? After all, I am only 47 years old and would prefer not to wear removable dentures.
Are there any other alternatives? Thank you for your response.

Pei-Wen, 40~49 year old female. Ask Date: 2022/07/22

Dr. Zeng Guanghui reply Dentistry


Hello: If many teeth cannot be used due to periodontal disease and you do not wish to opt for removable dentures, you may consider dental implants to restore chewing function.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/07/22

More Info


At 47, facing the prospect of dentures due to significant tooth loss can be daunting. However, there are several alternatives to consider beyond traditional removable dentures, especially given your concerns about aesthetics and functionality.

1. Dental Implants: One of the most effective alternatives to dentures is dental implants. Implants are titanium posts surgically placed into the jawbone, acting as artificial tooth roots. Once healed, they can support crowns, bridges, or even full arch restorations. Implants offer a permanent solution that mimics the function and appearance of natural teeth. They also help preserve jawbone density, which can be a concern with tooth loss. However, candidates for implants must have sufficient bone density, which may require bone grafting if the jawbone has deteriorated due to periodontal disease.

2. Implant-Supported Dentures: If you are concerned about the stability of traditional dentures, implant-supported dentures might be a suitable option. These dentures are anchored by implants, providing greater stability and comfort compared to conventional dentures. This hybrid approach allows for a more secure fit, reducing the risk of slippage and enhancing chewing efficiency.

3. Fixed Bridges: If there are still healthy teeth present, a fixed bridge may be an option. This involves placing crowns on adjacent healthy teeth and using them to support a false tooth (or teeth) in the gap. However, this method requires the alteration of healthy teeth, which some patients may wish to avoid.

4. All-on-4 or All-on-6 Implants: For patients with significant tooth loss, the All-on-4 or All-on-6 implant technique can provide a full arch of teeth supported by just four or six implants. This method is less invasive than traditional implants and can often be done in a single day, providing immediate results.

5. Bone Grafting: If your jawbone has deteriorated significantly, bone grafting may be necessary to create a solid foundation for implants. This procedure involves adding bone material to the jaw to encourage new bone growth, making it possible to place implants successfully.

6. Periodontal Treatment: Since you mentioned having periodontal disease, addressing this condition is crucial. Effective treatment can sometimes save teeth that might otherwise need to be extracted. This may involve deep cleaning (scaling and root planing), antibiotics, or even surgical interventions to restore gum health.

7. Consultation with a Specialist: It may be beneficial to consult with a prosthodontist or an oral surgeon who specializes in tooth replacement options. They can provide a comprehensive evaluation of your oral health and discuss the best options tailored to your specific situation.

In conclusion, while removable dentures are a common solution for tooth loss, they are not the only option available. Dental implants, implant-supported dentures, and fixed bridges are all viable alternatives that can provide a more permanent and functional solution. It’s essential to discuss these options with your dental care provider to determine the best course of action based on your individual needs and oral health status. Remember, early intervention and treatment can significantly improve outcomes and preserve your quality of life.

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