Medical Forum / General / Dentistry / August 2006
Help! Should I Opt for Upper Denture?
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Quito Quito - 25 Feb 2004 04:49 GMT Dear Dentists, Denture Wearers and Other Readers:
I am 44 and have not quite visited a dentist until two weeks ago. I had tried to ignore the minor pains and even a number of loose teeth.
According to the X-ray, my dentist decided that I should remove all of UPPER teeth and use an upper denture. He said that I can consider implanting some upper teeth later. He also said that I can keep my lower teeth except for 2 or 3 which need to be extracted.
I feel pretty scared about the idea of extracting all upper teeth and using a denture and all the subsequent inconveniences and frustrations I can foresee. I feel that I am too young for a denture and it is like the end of my life.
According to my dentist, I have lost a lot of bone, and also I can keep two (2) of upper teeth, but it is not efficient from an engineering point of view to keep just two. I myself, however, feel that eleven (11) of my upper teeth are still reasonably firm and I can eat with reasonable comfort, though I can feel with my finger that some of them are slightly loose.
The dentist said that if I choose to keep the upper teeth as they are now, the periodontal disease will continue to cause bone loss, and it will be difficult to make a denture in the future.
Here are my questions:
(1) Is there any possibility, or technique, for me to reinstate my upper teeth?
(2) If (1) is not possible, can I keep my upper teeth for some time while somehow stop further bone loss, so that I can postpone the use of a denture?
(3) What is the long-term (2 years and up) average cost of maintaining a denture?
(4) Is it technically feasible to replace EVERY single tooth with an implant? In other words, can we use implanting to entirely replace dentures?
Thank you for reading and replying.
Sincerely, Roland
WB - 25 Feb 2004 05:22 GMT >Here are my questions: > >(1) Is there any possibility, or technique, for me to reinstate my >upper teeth? Depends, but there are some advanced periodontal treatments available but I have no way of knowing if you are a candidate for this.
>(2) If (1) is not possible, can I keep my upper teeth for some time >while somehow stop further bone loss, so that I can postpone the use >of a denture? Not sure, would need to see x-rays first.
>(3) What is the long-term (2 years and up) average cost of maintaining >a denture? Relatively low, relines costs vary by geographical area.
>(4) Is it technically feasible to replace EVERY single tooth with an >implant? In other words, can we use implanting to entirely replace >dentures? Have seen x-rays of this. Expensive.
>Thank you for reading and replying. > >Sincerely, >Roland Am not sure of the severity of your periodontal condition. but, I think that a consultation with a periodontist (gum specialist) would be well worth your while.
WB
--
"I can dance on the head of a pin as well" -Yoshimo
Joel M. Eichen D.D.S. - 25 Feb 2004 12:53 GMT >Dear Dentists, Denture Wearers and Other Readers: > [quoted text clipped - 3 lines] >According to the X-ray, my dentist decided that I should remove all of >UPPER teeth and use an upper denture. REPLY
You are too young for dentures!
>He said that I can consider >implanting some upper teeth later. He also said that I can keep my [quoted text clipped - 4 lines] >I can foresee. I feel that I am too young for a denture and it is like >the end of my life. See?
>According to my dentist, I have lost a lot of bone, and also I can >keep two (2) of upper teeth, but it is not efficient from an [quoted text clipped - 27 lines] >Sincerely, >Roland
 Signature Joel M. Eichen, . Philadelphia PA
DISCLAIMER FOLLOWS:
*********
Dental health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the SciMedDentistry gang or any other official agency either actual or fictitious or Steve Mancuso.
Advice on the treatment or care of an individual patient should be obtained through consultation with a dentist who has examined that patient or is familiar with that patient's dental history.
STANDARD DISCLAIMER
Quito Quito - 26 Feb 2004 02:04 GMT Thank you for your reply. So what are my possible options?
> REPLY > > You are too young for dentures! Joel M. Eichen D.D.S. - 26 Feb 2004 12:34 GMT My plan"
Restore the restorable ......... dream the dreamable dream.
(Don Quixote)
Begin at the beginning ....etc.
>Thank you for your reply. So what are my possible options? > >> REPLY >> >> You are too young for dentures!
 Signature Joel M. Eichen, . Philadelphia PA
DISCLAIMER FOLLOWS:
*********
Dental health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the SciMedDentistry gang or any other official agency either actual or fictitious or Steve Mancuso.
Advice on the treatment or care of an individual patient should be obtained through consultation with a dentist who has examined that patient or is familiar with that patient's dental history.
STANDARD DISCLAIMER
Guess Who - 27 Feb 2004 03:04 GMT Yeah, but the dentures would be A HELL OF A LOT CHEAPER, unless you really wanna put a 2nd mortgage on your house. I opted for dentures (both upper and lower), and have saved exactly 7 of my teeth. The 7 that were saved cost twice as much as pulling the rest and both temporary and permanent upper and lower dentures. The most I was willing to go through was root canals and crowns, and some fillings. The extractions were no problem at all.
If you can afford it, or your insurance will cover the bulk of it, then save what you can. I couldn't afford it, and didn't want to go through all the extremely delicate and costly procedures involved with gum therapy, bone reconstruction, etc to save teeth that have given me grief for over 30 years.
I DON'T regret my decision. I have adapted to the dentures and can basically eat whatever I want now. Well, I CAN'T bite into an apple ever again! But I don't like apples anyway.
> My plan" > [quoted text clipped - 34 lines] > > STANDARD DISCLAIMER Roy Brown - 27 Feb 2004 04:45 GMT Yes dentures are cheaper, but......
You are talking partial dentures if you have 7 teeth remaining. The original poster was talking full denture.
Full dentures are like an empty boat in the lake, floating around in what ever direction a force moves it. Partial dentures are like a boat tied up to a dock. It still moves around a bit, but is pretty much held in place.
Big difference. And 30 years from now when your gums have shrunk down some more, there will be even less to hold them in place.
All I do is dentures. I always regret having a patient lose that last tooth holding their denture in place. When that happens I'm looking at a year of so or complaints about loose dentures until the patient adapts to a full denture. -- Roy DotSeaEh is .ca
| Yeah, but the dentures would be A HELL OF A LOT CHEAPER, unless you really | wanna put a 2nd mortgage on your house. I opted for dentures (both upper [quoted text clipped - 13 lines] | basically eat whatever I want now. Well, I CAN'T bite into an apple ever | again! But I don't like apples anyway. Joel M. Eichen D.D.S. - 27 Feb 2004 14:00 GMT >Yeah, but the dentures would be A HELL OF A LOT CHEAPER, unless you really >wanna put a 2nd mortgage on your house. REPLY
For some folks dentures are great .... "better than my old teeth, Doc."
For others its a nightmare. Who knows before the job is done? No one.
JOEL
> I opted for dentures (both upper >and lower), and have saved exactly 7 of my teeth. The 7 that were saved [quoted text clipped - 54 lines] >> >> STANDARD DISCLAIMER
 Signature Joel M. Eichen, . Philadelphia PA
DISCLAIMER FOLLOWS:
*********
Dental health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the SciMedDentistry gang or any other official agency either actual or fictitious or Steve Mancuso.
Advice on the treatment or care of an individual patient should be obtained through consultation with a dentist who has examined that patient or is familiar with that patient's dental history.
STANDARD DISCLAIMER
Quito Quito - 27 Feb 2004 20:23 GMT Joel, although your advice is more emotional than technical, I do feel greatly encouraged. Oftentimes, we do need to tread on the cruelty of reality with a Quixotic spirit? Are you a young dentist with such a spirit, by the way?
> My plan" > [quoted text clipped - 3 lines] > > Begin at the beginning ....etc. Joel M. Eichen D.D.S. - 27 Feb 2004 20:49 GMT Exactly! Dentistry IS more emotional than technical.
TECHNICALLY, its quite simple!
JOEL
>Joel, although your advice is more emotional than technical, I do feel >greatly encouraged. Oftentimes, we do need to tread on the cruelty of [quoted text clipped - 8 lines] >> >> Begin at the beginning ....etc.
 Signature Joel M. Eichen, . Philadelphia PA
DISCLAIMER FOLLOWS:
*********
Dental health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the SciMedDentistry gang or any other official agency either actual or fictitious or Steve Mancuso.
Advice on the treatment or care of an individual patient should be obtained through consultation with a dentist who has examined that patient or is familiar with that patient's dental history.
STANDARD DISCLAIMER
Joel M. Eichen D.D.S. - 27 Feb 2004 20:50 GMT Yup I am a young .......... -at heart dentist!
Univ. of Pennsylvania Dentistry class of '64.
>Joel, although your advice is more emotional than technical, I do feel >greatly encouraged. Oftentimes, we do need to tread on the cruelty of [quoted text clipped - 8 lines] >> >> Begin at the beginning ....etc.
 Signature Joel M. Eichen, . Philadelphia PA
DISCLAIMER FOLLOWS:
*********
Dental health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the SciMedDentistry gang or any other official agency either actual or fictitious or Steve Mancuso.
Advice on the treatment or care of an individual patient should be obtained through consultation with a dentist who has examined that patient or is familiar with that patient's dental history.
STANDARD DISCLAIMER
Steven Bornfeld - 25 Feb 2004 14:28 GMT > Dear Dentists, Denture Wearers and Other Readers: > [quoted text clipped - 42 lines] > Sincerely, > Roland I agree with WB. Some points to consider: 1) Taking teeth out is easy. Saving them is harder and more expensive. 2) Someone your age, if your periodontal disease is as advanced as your dentist says, has very aggressive periodontal disease. It is likely that you may lose your teeth anyway, but aggressive, full-tilt periodontal therapy might very well delay the loss of these teeth. There are clear instances that it is not worth it; others where it almost certainly is. Unfortunately, many cases are a judgement call. No one can guarantee long-term retention of teeth. We can only make an informed guess, based upon the patients we have seen in the past. How long you might keep your teeth depends to some extent on your genetics, but also on such factors as your willingness to comply with your periodontist's instructions for meticulous oral hygiene and regular recalls. Many patients don't want to make the decision themselves, but in the final analysis it is theirs to make. 3) It is true that continued retention of severely periodontally involved teeth, if the wrong decision, can lead to loss of alveolar bone. However, the bone is slowly lost anyway, and if your teeth are severely periodontally involved, much of this bone has already been lost. There are ways to augment the bone you have now, depending upon the location and other factors such as your general health. This does increase the expense of an already involved and expensive treatment plan if you're looking to replace a full arch of teeth with implants. 4) Perhaps the most important consideration: most patients do quite well with full upper dentures. Most people don't do so well with full lower dentures. This means from a practical point of view that unless you've got both deep pockets and tolerance for a great deal of treatment, your resources are (IMO) best spent on the retention of your lower teeth now. If you hit the lotto, you can worry about implants on the upper jaw later.
Hope this helps, Steve
Quito Quito - 26 Feb 2004 02:31 GMT Thank you very much, Steve, and WB, for your detailed and informative answers. I have been otherwise in very good health, and I like swimming a lot. I am in southern Virginia. I will discuss with my dentists if they can do those treatments you suggested.
The cost for implanting here is $1400 per tooth. But are there patients who have all upper or lower or both upper and lower teeth implanted? Do they feel comfortable?
> > Dear Dentists, Denture Wearers and Other Readers: > ...... [quoted text clipped - 3 lines] > dentist says, has very aggressive periodontal disease. It is likely > ...... Steven Bornfeld - 26 Feb 2004 15:37 GMT > Thank you very much, Steve, and WB, for your detailed and informative > answers. I have been otherwise in very good health, and I like [quoted text clipped - 4 lines] > patients who have all upper or lower or both upper and lower teeth > implanted? Do they feel comfortable? If they work out they're great. Implants supposedly do not feel identical to normal teeth, as I've heard there is no proprioception from the implant fixtures. I take this to mean that there is not the same feeling of pressure on the implant fixtures when you bite as there would be on natural teeth. But I've never heard from a patient that this is any problem, esp. when compared to the accomodation necessary for dentures. I agree with Roy--retaining a couple of roots for an overdenture can greatly improve comfort and acceptability of dentures. $1400/tooth is a low-average fee for each implant FIXTURE. I rather doubt that it includes the abutment and crown that must be placed on the fixture. Discuss fees with your restorative dentist and make sure that you understand all the fees involved before making your decision.
Good luck, Steve
>>>Dear Dentists, Denture Wearers and Other Readers: >> [quoted text clipped - 4 lines] >>dentist says, has very aggressive periodontal disease. It is likely >>...... Roy Brown - 26 Feb 2004 05:46 GMT I'd agree with WB and Steven, with two possible additions.
Depending on which 2 upper teeth your dentist said you might keep, you might be able to keep those roots and have an overdenture using the roots for attachment. This can be very efficient from an "engineering point of view", I call them natural implants.
For maintenance costs, you should factor in a reline or two in the first year depending on how quickly your bone heals and shrinks. After that a reline for an upper every 2-3 years suits the majority of people. You will need to replace the denture every 5-8 years.
-- Roy DotSeaEh is .ca
| Dear Dentists, Denture Wearers and Other Readers: | [quoted text clipped - 42 lines] | Sincerely, | Roland flygirl79 - 08 Aug 2006 07:17 GMT Hello, I know how you feel trust me. I'm 26 years old and had ALL my teeth pulled, it's so terrible for me. I can't stand looking at myself in the mirror. And poligrip makes me throw up. I can't afford Implants, but I'd rather be dead right now then have these thing.
flygirl79 - 08 Aug 2006 07:17 GMT Hello, I know how you feel trust me. I'm 26 years old and had ALL my teeth pulled, it's so terrible for me. I can't stand looking at myself in the mirror. And poligrip makes me throw up. I can't afford Implants, but I'd rather be dead right now then have these thing.
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