About dentures?
I apologize for the inconvenience, but I would like to ask about my front tooth, which has had a dental crown for over 8 years.
Now, my gums appear dark, and I can even see the black metal at the junction between the gums and the crown.
I would like to replace it, but I'm unsure if the dark gums will improve after the replacement.
If I need to replace it, what material would you recommend to minimize the risk of darkening? What is the price range for that? Thank you!
mandy, 20~29 year old female. Ask Date: 2009/09/08
Dr. Yang Zhiren reply Dentistry
Hello: 1.
Replacing dentures can improve this condition.
2.
You can use all-ceramic crowns or porcelain-fused-to-metal crowns; all-ceramic crowns are priced higher, approximately between 10,000 to 20,000 NTD.
Dr.
Yang Zhiren, Director of Dentistry at Hsinchu Hospital, Department of Health, Executive Yuan.
Reply Date: 2009/09/08
More Info
When it comes to addressing concerns about dentures, particularly regarding the appearance of gums and the choice of materials, there are several important factors to consider. Your situation, where you have a metal-based denture that has been in place for over eight years, is not uncommon. The black appearance of your gums, especially around the junction of the denture and the gum line, is often due to the metal framework of the denture showing through the gum tissue. This can be exacerbated by gum recession or changes in the health of the gum tissue over time.
Understanding the Issue
1. Gum Health: The dark appearance of your gums could indicate several issues, including gum recession or irritation caused by the metal in the denture. It's essential to have a dental professional evaluate the health of your gums to determine if there are underlying issues that need to be addressed before replacing the denture.
2. Material Choices: When considering a replacement for your denture, you have several material options:
- Full Metal Dentures: These are durable but can lead to the dark appearance you are experiencing.
- Porcelain or Ceramic Dentures: These materials can provide a more natural appearance and are less likely to cause the darkening of the gums. They mimic the translucency of natural teeth and can be color-matched to your existing teeth.
- Acrylic Dentures: These are often used for temporary solutions but can also be used for permanent dentures. They are lighter than metal and can be made to match the color of your gums and teeth.
3. Cost Considerations: The price of dentures can vary widely based on the materials used and the complexity of the case. Generally, acrylic dentures are less expensive than porcelain or ceramic options. However, investing in higher-quality materials may provide better aesthetics and comfort in the long run. Prices can range from a few hundred to several thousand dollars, depending on the type of denture and the dental practice.
Recommendations
1. Consultation with Your Dentist: Before making any decisions, it’s crucial to consult with your dentist. They can assess your gum health and recommend the best course of action. They may suggest treatments to improve gum health before proceeding with a new denture.
2. Material Selection: If aesthetics and gum health are your primary concerns, consider opting for porcelain or ceramic dentures. These materials not only look more natural but also reduce the risk of gum discoloration.
3. Long-term Care: After getting new dentures, maintaining good oral hygiene is vital. Regular dental check-ups and cleanings will help monitor gum health and ensure that your dentures fit properly, reducing the risk of irritation and discoloration.
4. Follow-up: After the new dentures are placed, keep an eye on your gum health. If you notice any changes or issues, contact your dentist promptly.
In summary, replacing your denture with a material that minimizes the risk of gum discoloration is a wise choice. Porcelain or ceramic options are generally recommended for their aesthetic qualities and compatibility with gum tissue. Always consult with your dental professional to ensure that your choice aligns with your overall oral health needs.
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