Do Cavities in Dentures or Braces Require New Appliances? - Dentistry

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If there are cavities in dentures or braces, will removing them for treatment require the fabrication of new dentures or braces?

Lai, 10~19 year old female. Ask Date: 2008/01/28

Dr. Zeng Guanghui reply Dentistry


Hello, sir: Thank you for your inquiry.
I would like to respond to your question and provide the following advice: In fact, if the dentures and crowns are fixed and have been bonded to the teeth with permanent adhesive, it will be necessary to destroy the crown by cutting it open in order to remove it.
This is essential for addressing the cavities in the tooth itself, which will require the fabrication of new dentures or crowns.
Lastly, I wish you peace and happiness!

Reply Date: 2008/01/28

More Info


Cavities in dentures or braces can indeed be a concern, but the approach to managing them differs significantly based on the type of appliance involved. Let's break down the situation for both dentures and braces.


Dentures
When it comes to dentures, if there are cavities or areas of decay, it is essential to assess the extent of the damage. Dentures are typically made from acrylic or a combination of materials, and they do not develop cavities in the same way that natural teeth do. However, they can become stained, worn, or develop cracks over time. If a denture has a crack or a significant area of wear, it may need to be repaired or replaced.

1. Repair vs. Replacement: If the damage is minor, a dental professional might be able to repair the denture. This could involve relining or adding material to the affected area. However, if the denture is significantly worn or damaged, it may be more beneficial to create a new set.

2. Hygiene and Maintenance: It’s crucial to maintain proper oral hygiene with dentures to prevent further issues. Regular cleaning and periodic check-ups with a dentist can help prolong the life of the dentures and prevent complications.


Braces
Braces, on the other hand, are designed to correct dental alignment and are typically made from metal, ceramic, or plastic brackets attached to the teeth with wires. Cavities can develop on the teeth that are being treated with braces, often due to plaque accumulation around the brackets.

1. Cavity Treatment: If a cavity is detected on a tooth with braces, the dentist or orthodontist will usually treat the cavity without needing to remove the braces. This treatment typically involves cleaning out the decay and filling the cavity. The braces can remain in place during this process, allowing for continuity in the orthodontic treatment.

2. Monitoring and Maintenance: Patients with braces need to be diligent about oral hygiene, as braces can make it more challenging to clean teeth effectively. Regular visits to the orthodontist and dentist are essential for monitoring the health of the teeth and addressing any cavities promptly.


Conclusion
In summary, whether cavities in dentures or braces require new appliances depends on the specific circumstances. For dentures, minor repairs may suffice, while significant damage might necessitate a new set. For braces, cavities can often be treated without removing the braces, allowing for continued orthodontic treatment.
It is always advisable to consult with a dental professional who can provide a thorough examination and recommend the best course of action based on the individual’s specific situation. Regular dental check-ups and good oral hygiene practices are key to preventing cavities and ensuring the longevity of both dentures and braces.

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