Q. I have had a partial denture for 20years but my upper teeth have got progressivly worse, my left central incisor has twisted and has receeded the gum quite considerably and is very loose,and has left a large gap between the other central incisor, the next 3 teeth on left upper are missing, the final 3 molars have gum recession also and dont look good. The right central incisor is chipped with slight gum recession, the lateral and canine on the upper right seem to be slightly longer and have slight gum recession, the next 2 molar seem ok, mising the 1st molar and 2nd molar seems ok. Also my teeth do have gaps Would it be better to just have them all pulled and a denture fitted as about half are already missing or need to be pulled. . I am 40yo, your suggestions please.