Healthy Smile: I’ve Lost 25 Pounds

by Jeffrey Gross, DDS, FAGD of The Healthy Smile

My new acquaintance told me the reason for his weight loss. He proceeded to tell me that he could not eat. He followed this statement with the act of flipping his lower denture out of his mouth. This gentleman was not a massive individual, and the loss of so much weight was impacting his health. We see this unfortunate occurrence when a patient gets a new set of dentures. This inability to eat is especially true for someone who has never worn artificial teeth. I usually recommend an evaluation for dental implant placement. I could not do that in this case.

This man had two lower implants placed in his mouth. Why was he still having a problem? Many years ago, I heard a famous dental consultant say that every dentist should learn to place two lower implants. He went on to explain how easy the procedure was, and it was an excellent service to the patient. The second statement is true. I appreciate the fact that I can take a patient from an unwearable denture to one that stays in place. This function transforms into the ability to chew food.

However, the first part of that statement regarding the ease of placement couldn’t be further from the truth. What is more difficult is the planning of the case. In a patient with no lower teeth, the location of the dental implants is crucial. In the right position, they create a very useful anchor. In the wrong place, they act as a fulcrum. Much like a teeter-totter, the denture rocks backward and forward.

This rocking impacts the ability to chew. That is obvious. It also wears the connections between the denture and implants. As time progresses, this wear will damage the implants. One solution to minimizing wear such as this is to place a third implant. This new implant will eliminate the rock. I always advise my patients to add an implant toward the front center of their mouth to take the rock and movement of the denture out of the picture.

If a third implant is not a possibility, careful placement of two implants is essential. Their position will enhance stability, or if not planned, will create an unusual situation. Their position in the mouth, as well as their position vis-à-vis each other, are equally important. Parallel placement reduces wear and tear on the connections. The result will be the attainment of the goal that the patient and dentist set out to accomplish — a functional and efficient set of teeth.

If you are struggling with denture movement either without the advantage of dental implants or even if you have them, I encourage you to have an evaluation to see if things can improve. There are times where nothing can be done, but often a small adjustment or tweak will make all the difference for you. Call Joyce and let us help you move in a positive direction. Our number is 440-892-1810, and I look forward to hearing from you.

Jeffrey Gross, DDS, FAGD is an Ohio licensed general dentist and is on the staff of Case Western Reserve School of Dental Medicine.

The Healthy Smile, 27239 Wolf Road, Bay Village, OH 44140, 440-892-1810, www.jeffreygrossdds.com