I have a eight tooth bridge on my canines should i have a chrome denture

Q. I currently have a 15 year old eight tooth bridge on the front top – my own front four teeth completely missing with two each side (canine and next) holding it on (with gold pole in each canine tooth. The canine teeth have to come out. I also wear a flange so that my top lip does not sink in and make me look horrid. Would it be best to have implants/implant with denture (would these give enough volume to my top lip) or is it best to have a chrome denture, which sounds good because I understand it can fill my top lip out and very importantly is minimal and does not necessarily cover the palate?

A. There are a number of ways to solve your problem. From your Email it sounds like you have 2 problems – 4 missing teeth ( unfortunately soon to become 6 missing teeth) and loss of support to your upper lip due to lack of bone.

The most likely ways to treat your missing teeth are:

1. A plastic removable denture- this is your cheapest option and will certainly help to replace your missing bone to give you better lip support. It is the most bulky of your options and the least retentive. It can also cause future tooth and gum problems due to it having to have intimate contact with the necks of your remaining teeth.

2. A removable chrome denture – a better option than the above as it can be kept clear of most of your remaining teeth. It uses metal clasps to keep your denture in place that can be visible on a full smile and is removable.

3. A removable chrome denture with precision attachments – instead of clasps some of the remaining upper teeth are crowned and special attachments are made on these crowns to hold the denture in place. Usually aesthetically more pleasing as no clasps visible and more stable. This is also removable.

4. Implants placed in the area where you have missing teeth. These can then either have a bar attached to them which a denture can clip onto – a very stable solution but still removable. Another option would be to have a bridge attached to these implants with some bone grafting to replace the missing bone- a more complex solution and may not be possible depending on how much bone is lost. This would be your only fixed solution.

Hope this helps to clarify your situation.

Dr Julian Caplan – Director on the board of the BACD View My Profile Dr Caplan

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