Dr. Noah's Dentistry Blog

Questions About Dentistry Answered

Archives for May 2019

Will My Face Really Collapse if I Get Dentures?

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I’ve had massive problems with my teeth. So much that they’re all coming out. I’m new in my career and don’t have a lot of money. Because of that, I want to get dentures. My dentist wants me to get dental implants and said because I’m in my 30s getting dentures would cause my face to collapse. Is that true or is he trying to scare me into the more expensive procedure?

Marcus

Dear Marcus,

dentures and dental implant side by side

I don’t know how your dentist explained this to you. I’m sorry you have had so much trouble with your teeth. What your dentist is calling facial collapse, is a term used to describe the shrinking of your jawbone.

This happens after your teeth are removed. Your body recognizes there are no longer teeth roots there. As a result, in an effort to be efficient, it takes the minerals from your jawbone and redistributes them elsewhere to areas it perceives they’ll be more useful. As your dentist mentioned, this has unfortunate repercussions.

How Dental Implants Prevent Facial Collapse

As you can see from the image on the top right, dental implants place a prosthetic root in your jawbone to replace the root you lost when your tooth was extracted. This signals to your body that there are still teeth there and your jawbone remains intact.

So, here’s is what I’m going to recommend to you. First, try to save all the teeth you can. Natural teeth are always worth fighting for. You can get dental implants for the ones which can’t be saved.

If you are unable to save any teeth, it would be too much money for you to do a one-to-one ratio of teeth to implants. Instead, you’d get something called implant overdentures. This places four to six dental implants and then you can anchor a denture to them.

This gives you the protection of dental implants without needing one for each tooth.

This blog is brought to you by Glenpool Dentist Dr. Ryan Noah.

Are Orthodontics Required to Replace Crowns?

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I have had two crowns on my front teeth for a while. They are starting to show their age and really need to be replaced. For some reasons, my dentist is insisting that I do orthodontics first before he’ll replace my dental crowns. It’s not that I don’t want straight teeth, but I just can’t afford them. Is this just a preference thing or will I face this with every dentist?

Miranda

Dear Miranda,

A dentist and patient
It is unfair to patients when a dentist insists on the ideal treatment, regardless of circumstances

I have to admit that it annoys me when dentists behave this way. Yes, having straight teeth is the ideal, but if you cannot afford orthodontic work, then you can’t afford it.

Obviously, you can have dental crowns placed when your teeth aren’t straight or you wouldn’t have any now. This is a preference issue on the part of your dentist.

In all honesty, I’m going to suggest you find another dentist. Look for one who is willing to work within the budget of his patients. You could do an internet search for an “affordable dentist” in your area.

Benefits of an Affordable Dentist

If you find an affordable dentist, they’ll be willing to work within your budget. They’re also willing to stage treatments, so you don’t have to do everything at once. Additionally, they will often have payment plans. Some of them have in-house plans and some of them work through Care Credit.

Getting a Crown on Your Front Teeth

One thing you want to be careful of, regardless of where you go to get your crowns done, is that they only give you all-porcelain crowns on your front teeth.

A metal-based crown will not look right on front teeth. They will be too opaque. They will also develop a gray line on the gumline.

If You Ever Decide to Get Orthodontics

When you do decide you are able to get orthodontics (and that should be completely up to you) you no longer have to get metal wires and brackets. These days, you have the option of “invisible braces”.

Invisalign is the most popular brand which utilizes clear aligners. These gently guide your teeth into their correct position.

I hope this helps you. This blog is brought to you by Tulsa Dentist Dr. Ryan Noah.