Can You Get Fixed Dentures with Missing Upper Molars? - Dentistry

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When it comes to the possibility of getting fixed dentures (also known as fixed dental prostheses) for missing upper molars, there are several factors to consider. In your case, you mentioned that you are missing the second premolar, first molar, and second molar on the upper right side, while still having the wisdom tooth present.
Understanding Fixed Dentures:
Fixed dentures are typically used to replace missing teeth and are anchored to the remaining natural teeth or dental implants. They provide a more permanent solution compared to removable dentures and can significantly improve function and aesthetics.

Assessment of Your Situation:
1. Bone Structure: The first thing that a dentist or prosthodontist will evaluate is the condition of the bone where the missing teeth were located. Adequate bone density and volume are crucial for supporting fixed dentures. If there has been significant bone loss due to the missing teeth, you may need bone grafting procedures before fixed dentures can be placed.

2. Adjacent Teeth: The health and stability of the adjacent teeth are also critical. If the teeth next to the gaps are healthy and can support a bridge, then fixed dentures may be a viable option. However, if these teeth are compromised, additional treatments may be necessary.

3. Wisdom Tooth Consideration: The presence of the wisdom tooth can be beneficial if it is healthy and positioned correctly. It can potentially serve as an anchor for a bridge. However, if the wisdom tooth is impacted or poses a risk for future dental issues, it may need to be extracted.

4. Treatment Options:
- Dental Bridge: If the adjacent teeth are healthy, a dental bridge can be placed. This involves preparing the adjacent teeth for crowns, which will support the bridge that fills the gap of the missing molars.

- Implants: If the bone structure allows, dental implants can be placed in the areas of the missing molars. Implants are titanium posts surgically inserted into the jawbone, which act as artificial roots for crowns or bridges.

- Combination Approach: In some cases, a combination of implants and bridges may be used, especially if there is not enough bone for implants alone.

5. Consultation with Specialists: Given the complexity of your situation, it may be beneficial to consult with a prosthodontist or an oral surgeon. They can provide a comprehensive evaluation and discuss the best treatment options tailored to your specific needs.

Conclusion:
In summary, it is possible to get fixed dentures even with missing upper molars, but the success of the treatment will depend on several factors, including the health of the surrounding teeth, the condition of the jawbone, and the overall oral health. A thorough examination by a dental professional is essential to determine the best course of action. If you are concerned about the potential for further complications or the need for additional procedures, discussing these with your dentist will help you make an informed decision about your dental care.