I only have two upper teeth left and most of my bottom teeth. I can eat most things unless it is meat. If I have that or I am going out with friends to socialize, I wear my upper partial dentures. I don’t really like them and I find it difficult to talk when they are in. Plus, they are quite bulky. I’ve had one dentist tell me I would be happier in complete dentures. I decided to get a second opinion because I have always heard it is better to save as many teeth as possible. The other dentist said it won’t matter either way. So, is there a reason not to do this?

Kelly

Dear Kelly,

Bear in mind that I haven’t examined you. I’m going strictly off of the information given above. It would be much better if I had x-rays to look at. But, here is some general information.

In most cases, it is better to retain as many teeth as possible. However, your situation is a bit unique. You are relying on those two remaining teeth for most of your chewing. That is going to put additional stress on those remaining teeth.

Most of the time when dentists are concerned with removable dentures, it is the lower dentures that are the most concerning. This is because of the dangers of facial collapse. When you lose your teeth, your body begins resorbing the minerals in your jawbone to use elsewhere in your body. It does this in an effort to be as efficient as possible with your body’s resources.

On your lower jaw, this will eventually make it impossible for you to keep your dentures in because they are retained by resting on that jawbone. Once it is gone, there is nothing for them to rest on. Your upper dentures are held in by suction, which makes it less of an issue.

I think you would be better served with an upper denture. The appliance will look more attractive, be more comfortable, and you’ll find it easier to chew than what you’re experiencing with the partial.

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