Denture Damage: Causes and Solutions for Seniors - Dentistry

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A denture has a hole and has come loose?


In December 2012, my grandfather (currently 80 years old) had 10 lower fixed dentures placed.
He has primarily been eating soft foods.
In mid-July 2015, he discovered cavities and some of the dentures had fallen out.
I would like to know why cavities might occur.
If the cavities are considered abnormal, can we request the original dental clinic to redo them for free?

Miss Shi, 20~29 year old female. Ask Date: 2015/07/20

Dr. Zhang Xiangyuan reply Dentistry


Dear online friend,
The lower jaw fixed dentures have developed holes and have fallen off.
It is recommended that you consult a dentist to examine the supporting teeth and the dentures themselves for any abnormalities, and to determine if further treatment or intervention is necessary.
As for the fabrication of dentures, it is considered an out-of-pocket expense, so it is advisable to discuss the associated costs with your treating dentist.
Thank you for your inquiry.

Reply Date: 2015/07/20

More Info


Denture damage, particularly in seniors, can be a significant concern, especially when it comes to fixed dentures, which are designed to last for many years. In your grandfather's case, the appearance of holes and the detachment of the denture after less than three years of use raises several important points regarding the causes of such damage and potential solutions.


Causes of Denture Damage
1. Material Wear and Tear: Fixed dentures are typically made from materials like acrylic or porcelain. Over time, even with soft food diets, these materials can wear down due to normal chewing forces. If the denture was not properly fitted or if there was excessive force applied during chewing, it could lead to cracks or holes.

2. Poor Oral Hygiene: If the dentures are not cleaned properly, plaque and tartar can build up, leading to deterioration of the materials. This can also cause gum irritation, which may affect the stability of the denture.

3. Underlying Bone Loss: As people age, they may experience bone loss in the jaw, which can affect how well the dentures fit. A poor fit can lead to uneven pressure on the denture, causing it to crack or break.

4. Manufacturing Defects: Occasionally, there may be defects in the materials used to create the dentures. If the denture was not made to the highest standards, it could be more susceptible to damage.

5. Dietary Factors: Even though your grandfather is on a soft food diet, certain foods can still be abrasive or can exert pressure on the dentures, leading to damage. For example, foods that are sticky or hard can cause stress on the denture structure.


Solutions for Denture Damage
1. Consultation with a Dentist: The first step is to take your grandfather to the dentist who originally fitted the dentures. They can assess the damage and determine whether it can be repaired or if a new denture is necessary.

2. Repair Options: If the damage is minor, the dentist may be able to repair the denture. This could involve filling in the holes or reattaching any parts that have come loose.

3. Replacement: If the damage is extensive or if the denture has reached the end of its lifespan, a replacement may be necessary. Given that the denture is less than three years old, it is reasonable to discuss warranty options or potential compensation with the dental office.

4. Preventive Measures: To prevent future damage, it is essential to maintain good oral hygiene. This includes regular cleaning of the dentures and routine dental check-ups to ensure proper fit and function.

5. Dietary Adjustments: While soft foods are generally easier on dentures, it may be beneficial to avoid particularly sticky or hard foods that could exert undue pressure on the denture.


Warranty and Replacement Considerations
Regarding your question about whether your grandfather can request a free replacement, this largely depends on the dental practice's policies and the warranty provided at the time of denture fitting. Many dental offices offer warranties on their work, especially if the damage occurs within a certain timeframe. It is advisable to review any documentation provided during the initial fitting and to discuss the situation openly with the dentist. If the damage is deemed to be due to a manufacturing defect or improper fitting, the dentist may agree to replace the denture at no additional cost.

In conclusion, while denture damage can be concerning, understanding the causes and exploring solutions can help manage the situation effectively. Regular dental visits and maintaining good oral hygiene are crucial for the longevity of dentures, especially for seniors.

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