Dr. Noah's Dentistry Blog

Questions About Dentistry Answered

Dentist Refusing to Give Me Dentures

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I’m very worried. I’ve been in an accident that is causing me to lose most of my teeth. In preparation for that, I went to my dentist to make plans for dentures. He told me it’s imperative I get dental implants. It’s not that I don’t want them, it’s just I can’t afford them. He is absolutely refusing the give me dentures saying that at my age (I’m 23) it would be irresponsible. What should I do? It’s not like it’s any more responsible for me to be without teeth. Can you advise?

Daniel M.

Dear Daniel,

Cu-Sil denture Affordable dental treatment

First, let me express sorrow that your accident has caused you such devastating trouble. I’m sure this has been an extremely distressing situation for you. I also understand that it would be extraordinarily difficult for a 23-year-old just starting out in life to afford a procedure like dental implants. I’ll be honest with you. I don’t think you’re going to get anywhere with him, so you’ll be better served going to a different dentist. However, I am going to explain his concerns and what your options are.

While he’s handled the situation poorly, his concern is valid. At your age, if you were to get dentures and stick with that procedure, you’ll be afflicted with facial collapse before you even hit 40 years of age. While I know you can’t afford full dental implants there are ways to get as much protection for your jawbone as possible.

Affording Care You Can’t Afford

The first thing I’d do is see if there are ANY teeth which can be saved. Even one or two is better than nothing and will preserve some bone. There are dentures which can be made to have holes in them where you still have natural teeth to fit through.

Next, if there are even just a couple of implants you can afford that will help. Your dentist can strategically place them to give you maximum protection. Ask about implant overdentures.

Then, as finances allow, you can add implants your treatment plan.

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

I’m Being Bullied By My Dentist

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I’ve lost several teeth. I don’t have much money, so I thought I’d get a removable partial denture. My dentist insists I get dental implants. He keeps telling me I’ll ruin my life with dentures, but I don’t want to go into debt for a procedure I can’t afford. He won’t shut up about it. Is it really that horrible a decision?

Brooke – Texas

Brooke,

This type of behavior from a dentist really galls me. While dental implants may be the top of the line treatment, it also comes with a top of the line price tag. Not everyone can afford that. And dentists need to understand that.

There is something called phased treatment that affordable dentists are very willing to suggest and provide. You can start off with a removable partial denture. Possibly you could even afford to have it anchored with a mini implant. Then as you have the money you can switch to a full implant. Depending on how many teeth you’ve lost, you may only need one or two.

While his methods are a bit bullish, he likely only has your well-being in mind. Dentures can be uncomfortable and reduce your chewing capacity no matter how well made they are. Then, there is the loss of jaw bone minerals that come from not having a tooth root anymore. With dental implants, the body is tricked into thinking that root is still there and you retain all your minerals.

In your place, I would just tell him this is what you can afford and that’s that. If you’re interested in working toward another treatment, you can tell him that. It may shut him up. But, either way, it’s your mouth, your budget, and your choice.

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