I've reviewed your X-rays and I'm sorry to say that the rest of your upper teeth will have to be removed.
They're in hopeless condition. You need a full upper denture (upper plate).
Oh no! Can't anything be done?
I'm sorry, look at your X-rays.
Can you see the large cavities here and here?
Do you see this gray area around the root of this tooth?
It's obviously infected. Look at these teeth here.
Can you see how little of the bone is left?
That's why most of your teeth are loose.
They'll have to be extracted
But how long would I have to be without my teeth? I'll look terrible.
I can lessen (minimize) your inconvenience by making you an immediate denture.
With this method, the posterior (back) teeth are extracted first.
The gums must heal for at least one month before the denture is begun.
You'll keep your anterior (front) teeth until the denture is made.
The new denture will be inserted on the day that the front teeth are extracted. You won't ever be without your front teeth.
How long will it take? How many appointments will be needed?
I can begin to make your new teeth after the gums have healed from the extraction of the back teeth. That will take at least one month. After that, it will take two weeks to make the denture.
What will you do on the first appointment?
On the first appointment, I'll make plaster models of your jaws. My dental laboratory technician will help me to make your denture on the models. On the second visit, I'll make a record of your bite relations using wax forms like this one.
I'll place your new teeth in the wax form to be sure that they fit with your lower teeth.
On the third visit, I'll extract the remaining front tooth and insert the denture.
And then the treatment is finished?
After that, I have to see you for minor adjustments to insure a good fit and eliminate sore spots.
About six months after the denture is inserted, I'll have to reline or remake it, because the gums will shrink and the denture will become loose.
I think that this will be very expensive. How would you like me to pay my bill?
May I pay my bill over a period of time?
Yes. I'd like you to pay one half of the fee at the beginning of treatment and the remainder of the fee on the day that the denture is inserted.
I understand. However, I just feel worried about wearing a denture.
Don't worry. I know that you're disappointed and apprehensive.
I'll make your new teeth fit as well as possible.
You'll get accustomed (get used) to them in a very short time.
I'll select your new teeth very carefully.
What about the color? Will it look natural?
The shape, size, and color will be ideal for you. They'll be arranged to look like natural teeth. Your denture will not look like artificial.
It will be made to support your cheeks and lips, so that you can keep the natural shape of your face.