I have absolutely horrible teeth. Like the worst. I’ve had 9 months of throwing up with four different pregnancies and then cancer to deal with. My teeth are literally crumbling and dental insurance only covers $1000 per year. I don’t have any significant “extra” money after the necessary bills are paid. I keep hearing dentures are the worst possible thing to get, but I don’t know what else to do. I broke a tooth yesterday while flossing. That’s what I get for trying to take care of my teeth. Will it really be that awful if dentures are all I can afford?

Macy

Dear Macy,

You are in a tough situation. I’ll give you the best advice I can. Dentures are more devastating on the bottom arch than the top, so if you are left having to decide what to save and what not to, save the bottom teeth at much as possible. The reason for that is the bone loss in your jaw.

Once the roots of your teeth are removed your body recognized that and begins to resorb the minerals in your jawbone in order to use them elsewhere throughout your body where they may be more necessary. After ten to twenty years, depending on the speed at which your body does things, you will no longer have enough jawbone to retain your denture. This is a condition dentists call facial collapse.

If it turns out that you do need to lose your bottom teeth as well, see if you can get any dental implants for the bottom arch. These are expensive, but affordable dentists will be more willing to work with you on payments, especially if they know your situation.

There are snap-on dentures (pictured above) which can use as few as two dental implants. This has the benefit of securing your denture to your bottom arch, plus anywhere you have a dental implant, the minerals in your bone will be left alone, thereby protecting that particular area from bone loss.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.