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Medical Forum / General / Dentistry / July 2006

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Upper denture question

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Sdores - 07 Jul 2006 21:08 GMT
I just found that my upper denture, behind the front teeth, has holes coming
through.  Right now they are small.  Does this mean I need to replace the
denture or would a new inside, I forget the term sorry, be appropriate?  I
am going to make an appt hopefully next week to have it repaired and get
some dental work done that I had to wait on due to steroid use for my
crohn's and other medical stuff I had done.  Thanks in advance, UM MOM Susan
Steven Bornfeld - 07 Jul 2006 22:00 GMT
> I just found that my upper denture, behind the front teeth, has holes coming
> through.  Right now they are small.  Does this mean I need to replace the
> denture or would a new inside, I forget the term sorry, be appropriate?  I
> am going to make an appt hopefully next week to have it repaired and get
> some dental work done that I had to wait on due to steroid use for my
> crohn's and other medical stuff I had done.  Thanks in advance, UM MOM Susan

    It should be an easy matter to repair it, even chairside.

Steve
Sdores - 07 Jul 2006 22:10 GMT
Thanks, I was hoping this was the case.  UM MOM Susan

>> I just found that my upper denture, behind the front teeth, has holes
>> coming through.  Right now they are small.  Does this mean I need to
[quoted text clipped - 7 lines]
>
> Steve
Joel344 - 07 Jul 2006 23:10 GMT
Can be repaired, but you need sales resistance.
The dentist may try to "sell" you a new plate that
may or may not fit as well as the old one ...

--
Joel34
Sdores - 08 Jul 2006 10:43 GMT
Thanks Joel, my dentist is pretty good about not pushing things unneeded.
I do need a new lower bridge and work on a few teeth prior to that.  Thanks,
UM MOM Susan

> Can be repaired, but you need sales resistance.
> The dentist may try to "sell" you a new plate that
> may or may not fit as well as the old one ....
Bill - 08 Jul 2006 22:45 GMT
> Thanks Joel, my dentist is pretty good about not pushing things unneeded.
> I do need a new lower bridge and work on a few teeth prior to that.  Thanks,
> UM MOM Susan
_____________________

This may depend on the cause of those "holes."

If they are caused by wear, that MAY (or maybe not) mean that the lower
teeth have been occluding so long and so hard that some spots are now
worn all the way through the denture base.

If that is the case, then your vertical dimension of occlusion may be
decreased from what it was when the upper denture was new.

If (and this is a very big IF, as I can't see your occlusion on the
net) your centric occlusion now involves actual contact between the
incisal edges of the lower teeth and the upper palatal soft tissue,
then any repair that adds thickness to the worn holes would cause
premature occlusal contacts at the thickened-repair locations.

That could throw off the rest of your occlusion.

A reline can often be done instead of a new denture. A reline often can
retain the current occlusal pattern by increasing the vertical
dimension evenly over the whole denture. Such a reline fills any holes
caused by wear.

Of course, if the holes are NOT caused by occlusal wear, and if your
current closed-centric bite does NOT have contact through those holes
of the lower teeth and the upper palate, then my discussion here simply
doesn't apply!

(It would be so much easier if patients could be examined by Internet
magic!)

Best regards,
- dentaldoc
Sdores - 08 Jul 2006 23:57 GMT
The small holes are where my lower teeth are impacting the denture.  What I
want to do is realign this one until a new denture can be made since this
one is over 10 years old now and very thin all over.  So I think you are
right.  Would a reline give me time to use this denture until new one is
made?  I need to be able to eat.  Thanks, UM MOM Susan

>> Thanks Joel, my dentist is pretty good about not pushing things unneeded.
>> I do need a new lower bridge and work on a few teeth prior to that.
[quoted text clipped - 34 lines]
> Best regards,
> - dentaldoc
 
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