Question: I am 47 yrs old and ready to get
dentures. I have had bad teeth since I was young due to poor dental
hygene. I have 3 teeth in the top which 2 are porclein and have on ten
left in the bottom. I also have peradontal gum disease in the middle of
my bottom teeth.
My question is; Would it be better to go ahead and get
both the top and bottom dentures instead of just the top? In the past I
have had my teeth fixed 3 different times, but due to my past drug
abuse (5 yrs clean) even my gums are in bad shape. I am a smoker. And
could I get implants even with my gums in bad shape?
Keep in mind that I am answering your question without ever looking
into your mouth... Since you state that you have periodontal disease,
and you are missing several teeth, I would have to assume that your
bite is not level due to the other teeth drifting and shifting. If you
are going to have both upper and lower dentures, it is always better to
do them at the same time. Otherwise, you make one denture fit against
the shifted and drifted teeth of the other arch.
When you have the
second denture fabricated, it is made to fit against the first
denture. Then you have dentures that are as irregular as the teeth
were. I have yet to have a denture patient who did not want me to make
their new teeth prettier than the ones we were removing.
are always a possibility as long as you have enough jaw bone or if new
bone can be grafted. Of course, the number of implants and the design
of your restorations would have to be determined on an individual basis.