Dealing with Damaged Dentures: Repair Options and Material Concerns - Dentistry

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Dentures


Hello, doctor.
I have three dental crowns on my front teeth, and the crown on the right front tooth (which has a natural tooth underneath) has had its outer layer chipped off after hitting a cup, revealing the silver tooth inside.
Now the crown is half white and half silver.
I have a few questions for you:
1.
Aside from remaking the crown, are there any other remedial options available for this situation?
2.
The previous crown lasted for ten years without any issues, but after switching to a new dentist, the new crown lasted only about 2-3 years.
A few months ago, it suddenly fell off, and after reattaching it at the clinic, it has now chipped again due to a light tap against a cup.
Could this be due to inferior crown material or possibly the dentist's technique?
Thank you for your response!

tacoallen, 20~29 year old female. Ask Date: 2008/07/21

Dr. Cao Guoqing reply Dentistry


1.
There is no remedy other than remaking the dentures.
2.
The phenomenon of chipping is likely due to deficiencies in the fabrication process by the dental technician, but it should be understood that porcelain is a very brittle material.

Reply Date: 2008/07/21

More Info


Dealing with damaged dentures can be a frustrating experience, especially when they are essential for daily functions like eating and speaking. In your case, where a denture has suffered damage due to an impact, there are several considerations and options to explore before deciding on a complete replacement.

1. Repair Options: Depending on the extent of the damage, there may be options for repair rather than complete replacement. If the outer layer of the denture has chipped or cracked but the underlying structure is intact, a dental professional can often repair it using dental acrylic or composite materials. This process typically involves cleaning the damaged area, applying a bonding agent, and then reshaping and polishing the surface to restore its appearance. However, if the damage is extensive or if the denture has structural weaknesses, a full replacement may be necessary.

2. Material Concerns: The longevity and durability of dentures can be significantly influenced by the materials used in their construction. If your previous dentures lasted a decade without issues, but the newer ones have had multiple problems in just a few years, it raises questions about the materials or the craftsmanship involved in their creation. Dentures made from high-quality acrylic or porcelain tend to be more durable than those made from lower-quality materials. Additionally, the technique used by the dental technician can also impact the final product. If the denture was not properly fitted or if the materials used were subpar, it could lead to issues like chipping or breaking more easily.

3. Technical Expertise: The skill and experience of the dental professional who constructs the dentures play a crucial role in their performance. If you have concerns about the quality of the work done, it may be worth seeking a second opinion from another dentist or prosthodontist. They can evaluate the current dentures and provide insights into whether they were made correctly and if the materials used are appropriate for your needs.

4. Preventive Measures: To minimize the risk of future damage, consider discussing with your dentist about the possibility of using a more robust material for your dentures. Additionally, if you have habits that may contribute to denture damage, such as grinding your teeth or using your teeth to open packages, addressing these habits can help prolong the life of your dentures.

5. Cost Considerations: If repair is possible, it is generally less expensive than a full replacement. However, the cost can vary based on the extent of the damage and the materials used for the repair. It’s advisable to consult with your dentist about the potential costs involved in both repair and replacement options.

In conclusion, while a complete replacement of your dentures may be the most straightforward solution, exploring repair options and discussing material quality with your dental provider can lead to a more satisfactory outcome. It’s essential to maintain open communication with your dentist about your concerns and preferences to ensure that you receive the best care tailored to your needs.

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