Issues with Dentures
Dr.
Jun-Chi Tseng: I would like to inquire about issues related to dentures.
My upper left incisor had swollen gums and pain, and I did not seek dental care immediately.
Later, I was diagnosed with the need to extract the tooth.
I chose to have a dental bridge, which involves three crowns for one tooth.
The adjacent teeth on both sides of the incisor were also damaged, and the dentist at the clinic recommended four crowns.
I asked if they were all-ceramic crowns, and the dentist confirmed that they were.
The dentist also discussed the price differences and suggested that I might want to consult other clinics.
However, I decided to proceed with the dentures at this clinic.
First, they ground down the teeth and took impressions with soft silicone for both the upper and lower jaws, then made a temporary denture.
I returned at the scheduled time to have the permanent dentures fitted.
I regret not asking the dentist to show me all the dentures beforehand.
While lying in the dental chair, the dentist showed me the front of the denture first, and we adjusted the bite during the trial fitting.
The second fitting involved bonding.
My first question is: I did not ask the dentist on-site about the additional piece that connects to the gums behind the incisor on both the left and right sides.
There is a slight pressure when I touch it with my tongue, which creates a sound of air and saliva.
The right side fits well against the gums without any gaps.
Today is the eleventh day; is this normal?
My second question is: My family noticed that the area behind my incisor is entirely black.
They asked me if I did not have all-ceramic crowns.
I need to go back and ask the dentist if this is a metal crown.
I am very concerned about having to spend more money to redo the dentures.
Thank you.
A-Bao, 40~49 year old female. Ask Date: 2023/11/24
Dr. Zeng Guanghui reply Dentistry
Hello Mr.
A-Bao: The edges of the dentures should be bonded in such a way that they fit snugly against the gums without any gaps.
If there are any gaps, it is recommended to return for an examination.
If there is a black area at the back of the dentures, it is generally a metal-ceramic crown, not a full ceramic crown.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2023/11/24
More Info
When it comes to dental issues, particularly with dentures and crowns, it's crucial to understand the underlying problems and the options available for resolution. Based on your description, it seems you are experiencing several complications related to your dental work, including discomfort, potential misalignment, and concerns about the materials used in your crowns.
Understanding Your Dental Options:
1. Assessing the Current Situation:
It appears that you have had a series of dental procedures, including the placement of crowns and possibly dentures. The discomfort you are experiencing, especially with the upper left incisor, could be due to several factors such as improper fit, gum inflammation, or even issues related to the underlying tooth structure. It's essential to have a thorough examination by a qualified dentist who can assess the fit of your crowns and the health of your gums.
2. Material Concerns:
You mentioned that your family observed black material behind your front teeth, which raises concerns about whether you received metal crowns instead of the promised all-ceramic crowns. Metal crowns can sometimes be used for their durability, but they may not provide the aesthetic appearance that all-ceramic crowns offer. If aesthetics are a priority for you, it is worth discussing this with your dentist. You have the right to know what materials are being used in your dental work, and if there has been a misunderstanding, it should be addressed promptly.
3. Fit and Comfort Issues:
The air and saliva sound you hear when you touch the area with your tongue could indicate that there is a gap between the crown and the gum line. This can lead to food trapping and potential gum disease if not addressed. It’s important to communicate these concerns to your dentist. They may need to adjust the crown or consider remaking it to ensure a proper fit.
4. Seeking a Second Opinion:
If you feel uncertain about the treatment you are receiving, it is perfectly reasonable to seek a second opinion from another dental professional. This can provide you with additional insights and options for your treatment. A different dentist may offer a fresh perspective on your situation and suggest alternative solutions that you may not have considered.
5. Long-Term Care and Maintenance:
After addressing the immediate concerns with your crowns or dentures, it’s vital to maintain good oral hygiene. Regular dental check-ups, proper brushing and flossing, and possibly using an antibacterial mouthwash can help prevent further complications. If you have a history of grinding your teeth (bruxism), discussing a night guard with your dentist could be beneficial to protect your dental work.
6. Financial Considerations:
You mentioned the cost of the crowns and the potential need for replacements. It’s essential to have a clear understanding of the costs involved in your dental care. If you are concerned about the financial aspect, discussing payment plans or insurance coverage with your dental office can help alleviate some of the stress associated with dental expenses.
In conclusion, addressing dental issues, especially with crowns and dentures, requires open communication with your dental provider. Ensure you understand the materials used, the fit of your dental work, and your options for correction. If you feel your concerns are not being adequately addressed, do not hesitate to seek a second opinion. Your oral health is paramount, and you deserve to have a treatment plan that meets your needs and expectations.
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