Selection of Removable Dentures
Hello Dr.
Tseng,
I have some questions regarding removable dentures and would like to consult you further.
Thank you for your response.
1.
For the upper lateral incisor and canine teeth that are missing, the root of the incisor (which has undergone root canal treatment) is still present.
You suggested not to extract the root and instead use a "cap" to cover it (NT$2000) before proceeding with the removable denture, which would facilitate future dental implants if needed.
Given the current consideration of using two connected removable dentures, is there a need to place a cover on the root?
2.
You mentioned a type of removable denture that does not have metal clasps.
Are you referring to flexible denture materials? How does its stability compare to those with clasps? If durability and stability are the primary concerns, what material should I choose: resin base (with metal framework), flexible base, etc.? Which one is better?
Thank you,
Tina
Tina, 40~49 year old female. Ask Date: 2013/11/03
Dr. Zeng Guanghui reply Dentistry
Hello:
1.
The upper central incisor root has undergone root canal treatment.
If the medication inside the canal is tightly packed and there is resin or silver in the crown, we are currently considering using two connected removable partial dentures temporarily, without necessarily needing to cover it with a cap.
2.
There is a type of removable partial denture that has a metal clasp, with the upper teeth made of resin, while another type without a metal clasp is made of flexible material.
Both have similar retention, but the latter is more aesthetically pleasing.
Wishing you good health.
Reply Date: 2013/11/03
More Info
Hello Tina,
Thank you for your questions regarding removable dentures. It’s great that you’re seeking clarity on these important aspects of dental care. Let’s address your concerns one by one.
1. Covering the Tooth Root: Your dentist's recommendation to cover the remaining tooth root with a "cap" is a common practice, especially when the root is still viable and has been treated (like in your case, where the nerve has been removed). This approach can help preserve the root for potential future implant placement, as it maintains the bone structure and prevents resorption. If the root is stable and there are no signs of infection, it is generally advisable to keep it and cover it rather than extracting it. This way, you have the option to place an implant later without significant bone loss.
2. Types of Dentures and Materials: When it comes to removable dentures, there are various materials and designs available. The "flexible dentures" you mentioned typically refer to those made from thermoplastic materials, which are designed to be more comfortable and aesthetically pleasing since they can be made without visible metal clasps. These flexible dentures can adapt better to the contours of your gums and are less likely to cause irritation. However, their durability can vary based on the specific material used.
In terms of stability, traditional dentures with metal clasps tend to provide a more secure fit, especially for patients with significant bone loss or those who require more retention. The metal clasps can anchor the denture to the remaining natural teeth, providing additional support. However, some patients prefer the aesthetic appeal of flexible dentures, which do not have visible metal components.
If you are considering durability and stability, it’s essential to weigh the pros and cons of each material:
- Acrylic Resin Dentures: These are common and can be reinforced with a metal framework for added strength. They are relatively affordable and can be adjusted easily.
- Flexible Dentures: Made from materials like nylon, they are more comfortable and less likely to break, but they may not provide the same level of retention as those with metal clasps.
- Metal Framework Dentures: These are typically more durable and provide excellent support, but they are more visible due to the metal components.
Ultimately, the choice of material should be based on your specific dental needs, aesthetic preferences, and budget. It’s crucial to have a detailed discussion with your dentist about the advantages and disadvantages of each option, considering your unique dental situation.
In conclusion, keeping the tooth root with a cover is a sensible approach for future implant options, and when selecting the type of removable denture, consider both the functional and aesthetic aspects of the materials available. Your dentist can help guide you to the best choice based on your oral health and lifestyle.
If you have any further questions or need more clarification, feel free to ask. Best of luck with your dental journey!
Warm regards,
Doctor Q&A Teams
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