Options for Replacing Old Dentures: What to Do When Your Teeth Fail - Dentistry

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When it comes to replacing old dentures, especially when the underlying natural teeth have failed, there are several options to consider. The situation you described, where your front teeth are supported by old dentures and the natural teeth have broken down, is not uncommon. Here’s a comprehensive overview of your options and some additional considerations.


Options for Replacing Old Dentures
1. Complete Replacement of Dentures: If the existing dentures are over ten years old and the supporting teeth are no longer viable, it may be time to consider a complete replacement. New dentures can be custom-made to fit your mouth more comfortably and effectively, improving both aesthetics and functionality. Modern materials and techniques can provide a more natural look and feel compared to older dentures.

2. Implant-Supported Dentures: If you have sufficient bone density in your jaw, dental implants can be a great option. Implants are titanium posts surgically placed into the jawbone, which serve as anchors for the dentures. This option provides better stability and prevents bone loss, which often occurs when teeth are missing. Implant-supported dentures can significantly enhance your chewing ability and overall comfort.

3. Partial Dentures: If some of your natural teeth are still healthy, partial dentures can be an option. These are removable appliances that fill in the gaps left by missing teeth. They can be designed to clasp onto your remaining teeth for support, which may help preserve the integrity of your natural teeth.

4. Bridgework: If you have adjacent healthy teeth, a dental bridge could be a solution. This involves placing crowns on the neighboring teeth and using them to support a false tooth (or teeth) in between. However, this option requires the alteration of the adjacent teeth, which may not be ideal if those teeth are healthy.

5. Resin-Bonded Bridges: Also known as Maryland bridges, these are less invasive than traditional bridges. They involve a false tooth with metal wings that are bonded to the back of the adjacent teeth. This option preserves more of your natural tooth structure but may not be suitable for all cases.


Considerations
- Bone Health: One of the most crucial factors in determining the best option for you is the health of your jawbone. If bone loss has occurred due to missing teeth, bone grafting may be necessary before implants can be placed.

- Cost and Affordability: Dental implants and bridges can be more expensive than traditional dentures. It’s important to discuss your financial situation with your dentist, as they may offer payment plans or financing options.

- Maintenance and Care: Regardless of the option you choose, maintaining good oral hygiene is essential. Regular dental check-ups and cleanings will help prolong the life of your dentures or implants.

- Consultation with a Dental Professional: It’s crucial to have a thorough evaluation by a dentist who can assess your specific situation. They can provide personalized recommendations based on your oral health, budget, and preferences.


Conclusion
In summary, while the loss of natural teeth can be distressing, there are multiple avenues for replacement and restoration. From complete dentures to implant-supported options, the best choice will depend on your individual circumstances, including the condition of your jawbone, remaining teeth, and financial considerations. Consulting with a dental professional will provide you with the guidance needed to make an informed decision that best suits your needs. Remember, preserving your remaining natural teeth is always a priority, and your dentist can help you explore all available options to achieve a functional and aesthetically pleasing result.