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Crowns, Bridges, Dentures, Implants

Change in gumline while wearing dentures

09/17/2008

Question:

I have had dentures and bridges some 40 yrs. A while back I had new uppers and lowers put in with implants. This was satisfactory until 2 yrs ago, and this new dentist created new upper and lowers. He has been adjusting and fixing these appliances since then - there has been much trouble. They now seem comfortable. I have noticed that my upper left gumline has changed - instead of a straight gumline it curves up quite a bit. I asked my doctor if it was result of improper fit of dentures and he said it was just normal bone loss. I dont quite believe him. I am also on fosomax and wonder if it is the problem. I have no dental insurance so this has been quite expensive. What is your opinion? Also, should I get a second opinion on the work that has been done in my mouth and how would I go about it? Thanks

Answer:

Your gumline changes throughout your life, so some changes are normal. If you believe what you are seeing is not normal, I suggest calling a prosthodontist's office (denture, crown, implant specialist) to get a second opinion. I would also bring any x-rays your dentists may have along to save some of the consultation fees. Taking Fosamax orally (pill form) has not been shown the dramatically affect the appearance of the gumline.

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Response by:

Julie A Holloway, DDS, MS, FACP Julie A Holloway, DDS, MS, FACP
Associate Professor of Restorative and Prosthetic Dentistry
College of Dentistry
The Ohio State University