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Hi, Im 47. I have upper and lower dentures. Upper arch

 
Dr.Fazeli Niaki's Avatar
  • Answered by:Dr.Fazeli Niaki
  • Dentist - Prosthodontist
  • Positive Feedback: 96.0 %
  • Accepted Answers: 69
Verified Expert
in Dental

Customer Question

Hi,

I'm 47. I have upper and lower dentures. Upper arch has no bone left and I'm using fixodent adhesive. Works just fine. Recently they removed teeth from the bottom arch. They were going to put 4 implants there, but couldn't, because my blood pressure went high up to the sky. They sent me home and told me to come back when blood pressure problem is taken care off. It was 3 weeks ago, and since then I tried fixodent on the lower arch too. It doesn't work any worse or different than on upper arch, and now I started having second thoughts about spending all those money for implants. I just think that I will not gain any bite power because upper one doesn't have any implants anyways. My biggest concern is that I will loose all the bone on the lower arch and that will make changes to my face. Please tell me that I'm right or wrong, or if there is anything else what I'm not aware of.

 

Optional Information:
Person's Gender: Male
Person's Age: 47

Submitted: 327 days and 22 hours ago.
Category: Dental
Value: $15
Status: CLOSED

Accepted Answer

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Expert:  Dr.Fazeli Niaki replied327 days and 21 hours ago.


Dr.Fazeli Niaki :

Thank you for your question. I'll do my best to answer it for you.
I as a prosthodontist and Implantologist highly recommend you to choose dental implant to decrease and stop the bone resorption.
There is no reason anyone can not get implants because of bone loss today. There are several techniques for bone grafting including Platelet Rich Plasma (uses growth factors for your own blood), rhBMP (bone morphogenic protein), harvesting a patients own natural bone and using other cadaveric bone and bone substitutes. There are also implant placement techniques, such as the All-On-Four which avoids the need for bone grafting if one so chooses. With CT Scans and computer guided implant placement this is a possibility It all depends on what type of prosthesis you want in the end. I can honestly say that in my hands there is no reason for someone not to be able to have dental implants placed.
The time of dentures as the only type of treatment for odontelous jaw has finished long time ago. Modern Implantology has various techniques that can provide you with fixed implant supported restorations even with extensive bone loss of the alveolar ridge. Most current up-to-date combination of surgical and restorative techniques have strong scientific bias and they can offer different types of treatment for patients with medium to severe bone loss of maxillary bone and pneumatized sinuses. The type of final restoration is planned usually by a prosthetic dentist, who can treatment plan the case, discuss with the surgeon details about sites for the implants. There are basically 2 types of immediate restorations that are placed after extraction of the teeth with hopeless prognosis - with pink acrylic or porcelain or without.
I recommend you lightweight, strong, biocompatible and made from titanium implants with conventional dentures for upper and lower jaw. you should follow your dentist order for BP decrease and continue implantation to have normal occlusion, many patients who have selected dental implants describe a quality of life that is much more comfortable and secure than the lifestyle endured by those with removable dentures. Dentures often make a person feel and look older than they are, cause embarrassment in social situations when they slip and click, and restrict the everyday pleasure of eating comfortably.
i hope you will get well real soon with your new implants.
If you have any more questions, I will be pleased to answer them.



Customer :

That's not what I was asking about.

Dr.Fazeli Niaki :

as I told I recommend you to have lower jaw implant, no matter the antagonist has the denture your bite will be improved and it will prevent more bone loss in the lower jaw as your main concern. If you will have the maxilla implant, It will be the best in your case but even if you will have just mandibular implant it can prevent bone resorption and deformity of face in long term. By tthe way if in this stage you resist to do so in some month the bone resorption will completely destroy your alveolar bone.
If you have any more questions, I will be pleased to answer them.

Expert TypeDentist - Prosthodontist
Category: Dental
Pos. Feedback: 96.0 %
Accepts: 69
Answered: 6/25/2012

Experience: Doctor of Dental Medicine, MClin Dent Prosthodontics

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