Hi, I am

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Hi,

I am 44 years old and until Feb 2012 still had two baby teeth. One became very wobbly so my dentist took both out and had a denture made ready for me to wear straight away. He then referred me to hospital in order for the two impacted canines that never errupted to be removed from my gum, in order for bridging or implants to be done.

I had the surgery last Wednesday 30.05.12. The surgeon informed me that they had to remove more bone than anticipated on the right side of my mouth. Which I understand could mean an implant was not feasible without taking bone from my hip or chin. My main concern is that part of my gum on my second tooth (3/3 teeth were removed) is missing revealing part of the root and asthetically it looks wrong. Can this be rectified? Also when i went to put the denture back in yesterday for the first time, it doesn’t fit as soon as I talk it falls out!

I am due to have my follow up appt on 25.06.2012. Should I request a sooner follow up in light of the gum issue?

Any advise would be appreciated, on the whole issue including whether to go for bridging or implants.

Many Thanks

Maria

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Asked on 05/06/2012 12:00 am
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Private answer

The shrinkage of the gum around the tooth is a consequence of the surgery to remove the canine teeth. It is irreversible but some techniques are available to try and correct this.They have a variable success rate over the long term but it should be discussed as you are scheduled for more surgery which will also have an impact.

If you need some bone grafting (there are lots of sources other than chin - so do ask)then at the time the bone graft is done then this would be the first time to try and deal with the recession - often with a particular soft tissue graft or flap design. It could also be done when the implants are placed - each case is different.
I would let everything calm down and then have a plan discussed and in place ahead of the next surgery so the surgeon knows what they are dealing with.
Mention your concerns when you attend for the follow up so they can begin to consider what can be done and what is involved as you will have to weigh up the potential benefit with success rates/additional time/cost/surgery etc.

Regarding the denture - they often do move but should be stable enough. Maybe with a little denture adhesive - i would book an appointment (can be before 25 june) to see if your general dentist can take a look and improve matters.

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 06/06/2012 12:00 am
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A fixative may help to secure the denture in the short term but please discuss this with your dentist

In the medium term it should be possible to modify the denture to allow it to accommodate to the changes that have taken place following surgery but as your mouth will still be healing this is best left for as long as possible to reduce the need for repeated modifications which may involve sending the denture back to the technician who made it

As for the gum appearance this is likely to change during the healing phase and I am sure your implant surgeon will have a solution for you

The contour of the gum will depend on the underlying bone support and gum health

There are many types of bone (and soft tissue) grafting procedures possible either using your own bone or artificial alternatives and I would hope that an acceptable result will be possible in the long term but you will need to be patient

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 06/06/2012 12:00 am
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