Dentures
I originally had dentures for the last four teeth on the lower right side, but one day they suddenly fell out.
When I visited the dentist, he said it was because the underlying natural teeth had deteriorated, so they had to be extracted.
However, after the extraction, I was informed that I couldn't get dentures again, and the only option left was dental implants, which cost 70,000 NTD each.
I would like to know if there are really no other alternatives? Does this mean I won't be able to use my right side teeth for eating? Additionally, he mentioned that if the tooth isn't painful, there’s no rush to extract it.
Since I have SLE, I am hesitant to have it extracted, but I'm also worried that if I wait too long, the gum tissue might heal and make extraction more difficult later on.
sally, 40~49 year old female. Ask Date: 2007/03/10
Dr. Chu Boqin reply Dentistry
Hello Sally: The root of the lower right denture (which should be a dental crown or bridge) has decay and periodontal issues that require extraction.
Currently, besides making a removable denture, the only option is dental implants.
However, due to financial constraints, implanting a root cannot be considered, and we will only pursue conservative treatment: preserving the existing teeth, performing endodontic therapy, and periodontal treatment, while waiting for a suitable time to proceed with further intervention based on the patient's health condition.
Thank you for your inquiry.
Wishing you good health.
Reply Date: 2007/03/10
More Info
Losing a denture can be a distressing experience, especially when it involves the underlying natural teeth. In your case, it seems that the natural teeth supporting the denture have deteriorated to the point where they can no longer support it, leading to the recommendation for extraction. Here’s a comprehensive approach to your situation, considering both immediate and long-term options.
Immediate Steps After Losing a Denture
1. Consultation with Your Dentist: Since you’ve already seen a dentist, it’s crucial to maintain open communication with them. If you have concerns about the extraction or the condition of your remaining teeth, express these. Your dentist can provide clarity on the necessity of extraction and the condition of your gums and surrounding teeth.
2. Understanding the Extraction: If your dentist suggests that the tooth is not causing pain and does not need to be extracted immediately, it may be beneficial to monitor it. However, if the tooth is severely compromised, delaying extraction could lead to more complications, such as infection or further bone loss.
3. Temporary Solutions: If you are concerned about functionality while waiting for a more permanent solution, ask your dentist about temporary dentures or flippers. These can help you eat and speak more comfortably until a more permanent solution is decided upon.
Long-Term Options
1. Dental Implants: As you mentioned, dental implants are a viable option, albeit costly. They provide a permanent solution that mimics the function of natural teeth. While the initial cost may seem high, consider the long-term benefits, including durability and the prevention of bone loss in the jaw.
2. Partial Dentures: If implants are not feasible due to cost or health concerns, partial dentures may be an alternative. They can replace missing teeth and are generally less expensive than implants. Discuss with your dentist the possibility of getting a partial denture that can fill the gap left by the extracted tooth.
3. Bridgework: Another option could be a dental bridge, which involves anchoring a false tooth to the adjacent healthy teeth. This can be a more affordable solution compared to implants and can restore function and aesthetics.
4. Bone Grafting: If you are considering implants but are concerned about the condition of your jawbone, ask your dentist about bone grafting. This procedure can help build up the bone in the area where the tooth was extracted, making it possible to place an implant later.
Health Considerations
Given your condition of Systemic Lupus Erythematosus (SLE), it’s essential to discuss any dental procedures with your healthcare provider. SLE can affect your immune system and healing process, so your dentist may need to take extra precautions or coordinate with your physician to ensure safe treatment.
Conclusion
While the loss of a denture and the associated natural teeth can be daunting, there are multiple pathways to restore your dental function. It’s important to weigh the pros and cons of each option, considering both your financial situation and health conditions. Regular follow-ups with your dentist will help monitor your oral health and guide you in making informed decisions about your dental care. Always remember that maintaining good oral hygiene and regular dental visits are crucial in preventing further complications.
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