Choosing Between Dental Implants and Traditional Dentures: What You Need to Know - Dentistry

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Choosing dentures for malocclusion?


1.
I had a root canal treatment on a tooth in third grade, and now in my second year of high school, that tooth is loose.
The doctor said it needs to be extracted and suggested that dental implants or traditional dentures have lower risks and can last longer.
2.
My temporomandibular joint (TMJ) sometimes suddenly locks up.
This started after the doctor recommended extracting the tooth, but I have delayed the extraction for nine months and have been chewing only on the right side during this time.
Could this be affecting my condition? Also, my lips have shifted slightly to the left; is this related? Before this issue arose, my lips were not misaligned.
If I have the tooth extracted, will orthodontic treatment help my lips return to normal? Thank you for your response.

Yi Yi, 10~19 year old female. Ask Date: 2015/11/02

Dr. Huang Zhicheng reply Dentistry


Dear Yi Yi,
1.
You are quite young, and if you opt for a traditional dental bridge after tooth extraction, there is a high risk of pulp necrosis in the abutment teeth due to the required grinding.
Dental implants would be a better option.
Of course, you could also wait a few years and consider a traditional dental bridge around the age of 20.
2.
Chewing on one side can easily lead to dislocation of the articular disc within the temporomandibular joint (TMJ), causing clicking sounds on the affected side or difficulty opening the mouth.
When opening, the jaw may deviate toward the affected side.
It is advisable to use both sides for chewing, eat slowly, or consume softer foods to improve the situation.
It is also best to consult a clinical dentist to identify the underlying cause.
Wishing you peace and health.
Sincerely,
Dr.
Huang Chih-Cheng
Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2015/11/02

More Info


Choosing between dental implants and traditional dentures is a significant decision that can impact your oral health and quality of life. Here’s a comprehensive overview to help you navigate this choice, especially considering your current dental situation.


Understanding Your Options
1. Dental Implants:
- What They Are: Dental implants are titanium posts surgically placed into the jawbone, acting as artificial roots for replacement teeth. They are designed to fuse with the bone in a process called osseointegration, providing a stable foundation for crowns, bridges, or dentures.

- Advantages: Implants offer a more permanent solution compared to traditional dentures. They look and function like natural teeth, do not require alteration of adjacent teeth, and help preserve jawbone density, preventing bone loss that often occurs with missing teeth.

- Longevity: With proper care, dental implants can last a lifetime, making them a cost-effective option in the long run despite the higher initial investment.

2. Traditional Dentures:
- What They Are: Traditional dentures are removable appliances that replace missing teeth. They can be complete (replacing all teeth) or partial (replacing some teeth).

- Advantages: Dentures are generally less expensive upfront and can be made relatively quickly. They are a non-invasive option, which is appealing for those who may not be candidates for surgery.

- Disadvantages: Dentures can be less stable than implants, leading to potential discomfort, difficulty in chewing, and the need for periodic adjustments. They may also require the use of adhesives to stay in place.


Your Specific Situation
Given that you are currently in high school and have had a tooth that has undergone root canal treatment, it’s crucial to consider the following:
1. Timing of the Procedure: Since your tooth is loose and your dentist has recommended extraction, it’s essential to act promptly. Delaying the extraction can lead to further complications, including potential infections or misalignment of surrounding teeth.

2. Impact on Jaw and Facial Structure: The prolonged use of one side of your mouth for chewing, as you mentioned, can lead to issues with your temporomandibular joint (TMJ). This can cause discomfort, clicking sounds, and even misalignment of your jaw, which may explain the shifting of your lips. If you continue to chew predominantly on one side, it can exacerbate these issues.

3. Restoration Options: After extraction, if you opt for dental implants, you may need to wait for the site to heal before placement. However, some dentists offer immediate implants, depending on the condition of the bone and surrounding tissues. Traditional dentures can be fitted sooner but may not provide the same level of stability and comfort.

4. Aesthetic Considerations: If your lips have shifted due to dental issues, addressing the underlying problems (like extracting the loose tooth and restoring your bite) can help restore your facial symmetry. After extraction, if you choose implants, they can provide a more natural appearance compared to dentures.


Conclusion
In conclusion, while both dental implants and traditional dentures have their pros and cons, dental implants are generally considered the superior option for long-term oral health and aesthetics, especially for younger patients like yourself. They provide a more stable and natural-feeling solution, which can significantly enhance your quality of life.

However, it’s essential to discuss your specific case with your dentist, who can provide personalized recommendations based on your dental health, lifestyle, and financial considerations. Additionally, addressing any TMJ issues and ensuring proper alignment will be crucial for your overall dental health moving forward.

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