Getting dentures is less likely to lead to cavities compared to natural teeth, as dentures are not susceptible to decay. However, it is important to maintain good oral hygiene and regular dental check-ups to ensure the health of the gums and the fit of the dentures. Whether to get dentures is a decision that should be made in consultation with a dentist, considering individual circumstances and oral health needs?
I would like to ask the doctor, because some of my front teeth have cavities that are black, some have demineralization spots, and some have surfaces that are not very smooth.
Would you recommend grinding down the original teeth to make dentures? Besides aesthetics, will dentures be less prone to cavities? (I am mainly concerned about the possibility of needing root canal treatment if cavities become too deep.) Or would you advise against grinding down the original teeth and instead wait until they are really beyond saving before getting dentures? (This consideration is not based on cost.)
Mr. Chen, 20~29 year old female. Ask Date: 2022/11/04
Dr. Lin Jiayong reply Dentistry
Hello: If the current extent of tooth decay is minimal and has not yet compromised the structure or function of the tooth, it is recommended to simply remove the decay without sacrificing healthy tooth structure for the purpose of creating dentures.
Artificial dentures cannot compare to natural teeth.
Reply Date: 2022/11/04
More Info
When considering whether to get dentures to prevent cavities, it's essential to weigh the pros and cons of preserving your natural teeth versus opting for artificial replacements. While dentures can provide a solution for missing teeth and improve aesthetics, they do not inherently prevent cavities in the remaining natural teeth. In fact, the decision to remove natural teeth should be approached with caution, as preserving your natural dentition is generally preferable whenever possible.
Firstly, let's address the condition of your teeth. If you have cavities or demineralization (the "black" spots and rough surfaces you mentioned), it's crucial to consult with a dentist who can evaluate the extent of the damage. Early-stage cavities can often be treated with fillings or fluoride treatments, which can help remineralize the enamel and prevent further decay. If the cavities are more advanced, your dentist may recommend root canal treatment or crowns to save the tooth.
Regarding the idea of grinding down your natural teeth to make room for dentures, this is typically not advisable unless absolutely necessary. The primary goal of dental care is to maintain as much of your natural tooth structure as possible. Natural teeth provide essential functions, including proper chewing, speaking, and maintaining the structure of your jawbone. Removing healthy tooth structure can lead to complications, including increased risk of further decay, sensitivity, and changes in bite alignment.
Dentures, while they can improve appearance and function for those who have lost teeth, come with their own set of challenges. They require proper care and maintenance, and they can sometimes lead to issues such as gum irritation, difficulty eating certain foods, and the need for adjustments over time. Moreover, dentures do not prevent cavities in the remaining natural teeth; in fact, if you have existing cavities, they could worsen if not treated properly.
If your primary concern is preventing further cavities, it would be more beneficial to focus on improving your oral hygiene practices. This includes brushing your teeth at least twice a day with fluoride toothpaste, flossing daily to remove food particles and plaque from between your teeth, and visiting your dentist regularly for check-ups and cleanings. Your dentist can provide personalized advice based on your specific dental health needs.
In summary, while dentures can be a solution for missing teeth, they are not a preventive measure against cavities. It's generally best to preserve your natural teeth whenever possible. If you have concerns about cavities or the condition of your teeth, consult with a dental professional who can guide you through the best treatment options tailored to your situation. Prioritizing preventive care and maintaining good oral hygiene will help you keep your natural teeth healthy and functional for as long as possible.
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