Experiencing Pain After 20 Years with Dentures: What to Do? - Dentistry

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Experiencing pain after wearing dentures for an extended period, such as 20 years, can be concerning and may indicate several underlying issues. It's essential to approach this situation methodically to determine the cause of the pain and the appropriate course of action.

First and foremost, it is crucial to identify the source of the pain. Pain in the area where dentures sit can arise from various factors, including:
1. Changes in Oral Anatomy: Over time, the jawbone can undergo resorption (loss of bone density), which can alter the fit of the dentures. This change can lead to pressure points and discomfort, as the dentures may no longer sit properly on the gums.

2. Denture Wear and Tear: After two decades, dentures can wear down, leading to rough edges or misalignment. This wear can cause irritation to the gums and surrounding tissues, resulting in pain.

3. Gum Health: The health of the gums is paramount. Conditions such as gum disease or infections can develop, leading to inflammation and pain. Regular dental check-ups are essential to monitor gum health, especially for denture wearers.

4. Underlying Dental Issues: There may be other dental issues at play, such as residual teeth that could be causing discomfort or other oral health problems that need addressing.

Given these possibilities, the first step is to schedule an appointment with a dentist who specializes in prosthodontics or denture care. During this visit, the dentist will perform a thorough examination, which may include:
- Visual Inspection: The dentist will check the dentures for signs of wear, cracks, or misalignment.

- Gum Examination: The health of the gums will be assessed to rule out any infections or periodontal disease.

- X-rays: If necessary, X-rays may be taken to evaluate the underlying bone structure and any potential issues that may not be visible during a physical examination.

Once the dentist has identified the cause of the pain, they can recommend an appropriate treatment plan. This plan may include:
- Denture Adjustment: If the dentures are misaligned or causing pressure points, the dentist can adjust them for a better fit.

- Denture Replacement: If the dentures are significantly worn or damaged, a new set may be necessary. Modern dentures can be made with improved materials that offer better comfort and aesthetics.

- Gum Treatment: If gum disease or other oral health issues are present, appropriate treatment will be necessary to address these conditions before any adjustments to the dentures are made.

In some cases, if the pain persists despite adjustments or if there are significant changes in the oral cavity, the dentist may recommend a complete reevaluation of the denture treatment plan. This could involve creating a new set of dentures that better accommodate the current state of the gums and jawbone.

In conclusion, while it may be tempting to assume that the dentures need to be completely redone, it is essential first to identify the root cause of the pain. A thorough examination by a qualified dentist will provide clarity on whether adjustments, repairs, or a complete replacement is necessary. Regular dental check-ups are vital for maintaining oral health, especially for those who wear dentures, to ensure any issues are addressed promptly and effectively.