Facing Tooth Loss: Severe Cavities and Dental Solutions

I am running out of teeth?

Hello, yesterday I went to the dentist, and the doctor said that my molars are severely decayed and need to be extracted.
Almost all of my back molars are in this condition, and I can't even get dentures! He also mentioned that the front teeth cannot withstand the chewing forces, and I will eventually be left without any teeth, not even a single decorative tooth.
I feel like crying! I haven't seen a dentist in a long time, so I was somewhat mentally prepared for the possibility of cavities, but is there really no way out of this? Am I really going to be left without teeth in the future? I hope you can help me with this.
Best wishes, a worried and scared girl.

kiki, 20~29 year old female. Ask Date: 2000/10/26

Dr. Wu Jinjun reply Dentistry

Hi! Don't worry, there are definitely options! Your situation may not be ideal, but it’s not as dire as that doctor suggested.
Dental medicine has advanced significantly, and there are many new treatment methods available to help us preserve teeth or create suitable dentures.
You still have plenty of options for treatment.

First, I recommend that you seek out another teaching hospital and have a dentist take a full-mouth X-ray to assess the length of the roots of the decayed teeth.
This will help determine if there’s a chance to extrude the teeth through orthodontic treatment or if a periodontist can perform a "crown lengthening procedure" to preserve those molars and allow for the placement of fixed dentures.

If it turns out that the teeth cannot be saved and need to be extracted, that’s okay too.
Thanks to modern technological advancements, you can replace those damaged molars with "dental implants," which will allow for normal chewing and occlusion, and the front teeth will remain intact.

So, don’t worry! Take good care of your remaining teeth by brushing properly, and find a good dentist.
Your life can still be vibrant!

Reply Date: 2000/10/26

More Info

Hello! I understand that you're feeling anxious and upset about your dental situation, and it's completely normal to feel this way when faced with the possibility of tooth loss. Let's break down your concerns and explore the options available to you.

Firstly, it's important to understand that severe cavities, especially in the molars, can lead to significant dental issues. When a cavity progresses to the point where it compromises the structural integrity of the tooth, extraction may be necessary. This is often the case when the decay has reached the pulp of the tooth, causing pain and infection. If your dentist has recommended extraction, it is likely because they believe that the tooth cannot be saved through restorative procedures like fillings or crowns.

Regarding your concern about not being able to get dentures or implants, it's essential to clarify that while some situations may limit your options, there are usually alternatives available. If your molars are extracted, you may still have options for replacing them, such as partial dentures or dental implants, depending on your overall oral health, bone density, and financial considerations. Dental implants, for instance, require sufficient bone structure to support the implant, but if bone loss has occurred, there are procedures like bone grafting that can help restore the area for implant placement.

It's also crucial to address the underlying issues that led to your current dental state. Poor oral hygiene, a diet high in sugar, and lack of regular dental check-ups can contribute to cavities and tooth loss. Moving forward, establishing a consistent oral hygiene routine is vital. This includes brushing your teeth at least twice a day with fluoride toothpaste, flossing daily, and visiting your dentist regularly for cleanings and check-ups. These practices can help prevent further decay and maintain the health of your remaining teeth.

If you're worried about the strength of your front teeth being unable to handle chewing forces, it's worth discussing this with your dentist. They can evaluate your bite and may recommend treatments to strengthen your remaining teeth or adjust your bite to distribute chewing forces more evenly. In some cases, orthodontic treatment may be necessary to align your teeth properly.

Lastly, I encourage you to communicate openly with your dentist about your fears and concerns. They can provide you with a comprehensive treatment plan tailored to your needs and help you understand the steps you can take to preserve your dental health. Remember, it's never too late to seek help, and taking proactive steps now can significantly improve your situation.

In conclusion, while the news about your teeth may seem dire, there are often solutions available. With proper care and treatment, you can work towards maintaining your dental health and preventing further tooth loss. Don't hesitate to reach out for support, whether from your dentist or dental professionals, as they can guide you through this challenging time. Take care, and remember that you're not alone in this journey.

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