2014年9月18日 « トップへ » 2014年12月12日
2014年10月 2日
I live in Guam. Please tell me about the treatment process.
Q. I have 2 damaged molars. I currently live in Guam and the dentist here recommended that I get implants. But after seeing your website, I would like to look into getting dentures. I am sure my teeth have many other problems as well.
As for my examination, I was told that the upper tooth corresponding to the lower one that I lost has a cavity and that I will need treatment. In regards to having dentures made, should I have the same dentist working on me now make them? If so, can I have a mold taken of my cavity-ridden biting tooth at the same time that I have a mold taken for dentures? If it is better to have the cavity treated first, I will have it done in Guam, but I really would like to have you examine my teeth. Please tell me about the treatment process.
A. So let's talk about whether you should get implants or dentures.
It is possible to have a mold taken for dentures and a crown at the same time. It depends on the time frame in which you will return to Japan but as for tooth extraction or a root canal, it may be better to receive treatment in Guam as there is the possibility of swelling and pain post-treatment.
So you have 2 damaged molars. The key factor for answering this question is whether or not the nerves remain in your 2 front molars which can serve as a foundation. If you still have nerves in these molars than it is possible to treat you with Riegel telescope dentures. However, if you are missing the nerves in these molars then your teeth will be weakened and it will be necessary to increase the number of teeth used as foundations.
Either way, I would be very happy to hear the whole picture and hopefully I would be able to provide you with a helpful explanation. When you get a chance please make an appointment and come in.
Thank you
I am currently living in Indonesia. I am worried because my teeth keep falling out.
Q. I am currently living in Indonesia.
I first got partial dentures at the dental clinic that I go to here. However, the dentist told me that the teeth that have had their nerves removed keep fracturing and eventually I am going to need full dentures. There is no way to stop it so I feel like the only thing left for me to do is to wait for the inevitable.
I know that what is happening is my own fault, but I can't help but feel depressed.
Since I live overseas and I don't have much problem grinding, I don't think that implants are for me. When I asked about dentures with invisible clasps, I was told that they put even more stress on my remaining teeth than conventional dentures. Either way, my teeth have had the nerves removed so there really is nothing to do but wait.
Despite this, I have been searching the internet frantically looking for an alternative option. That is how I came across Dr. Inaba's website.
The teeth in my upper jaw are all missing their nerves. I have 10 left but I am worried that they will fall out one by one.
Actually, when they start to hurt, I just yank them out myself. I would really like to keep the rest of my own teeth so I am finally getting real about dealing with this.
I would like to ask a question. If I have dentures made and my teeth that are missing nerves continue to fall out, can I have you fix my dentures so that I can continue to use them without getting a new set made each time? Also, due to circumstances, I live overseas and only travel to Japan about twice a year. Is it possible to be examined once and then have you set up a treatment plan for me? I will be coming home at the end of this year but I will not have much free time, but if you can set up a treatment plan for me, I can adjust the date of my next trip to match up with my treatment schedule. Thank you
A. So you basically no longer have nerves in your upper teeth and they continue to fracture. This must be an unpleasant situation for you.
In the same way that a living tree is not easy to knock over or fracture when its roots are healthy, and in the same way that a withered tree falls over and fractures easily, the nerves in your teeth protect them from fracturing or falling out due to outside forces. When we design our dentures, we pay special attention to whether the patient's teeth have nerves or not. We choose a design that balances force in a way that puts the least amount of resistance possible on teeth without nerves. It is very dangerous to simply use a bridge supported by teeth on either side as if you are only dealing with tooth loss, or to use partial dentures that hook onto your teeth. This may eventually cause root fractures.
When it comes to implants, if you don't properly consider the balance of force and the design, then you may find yourself repeatedly troubled with problems in your natural teeth. This is especially true in your case where you virtually have no nerves left. Even if you get implants, it is impossible to protect the other teeth. You will need to keep replacing fractured teeth with implants and the treatment process will never end. I think it is best if you use a method where dentures are designed with your nerve-less teeth in mind so that they put as little burden as possible on the remaining teeth and can be easily adjusted should any more fall out.
Q. For example, if I have dentures made and my teeth that are missing nerves continue to fall out, can I have you fix my dentures so that I can continue to use them without getting a new set made each time?
A. I believe I can answer this question. Dentures made using the telescope system developed in Germany can be used to treat your situation. Germans are known for their unique national character of using the same items for many years while making only minor repairs and adjustments. This is also true when it comes to dentures. Their denture technology has more than 120 years of history and is widely acclaimed throughout the world, even though it is still relatively unknown in Japan. I think it is a testimony to your determination that after many experiences looking for treatment you have found our clinic's website.
Q. Also, due to circumstances, I live overseas and only travel to Japan about twice a year. Is it possible to be examined once and then have you set up a treatment plan for me? I would like to be able to adjust the dates of my trips to match up with my treatment schedule.
A. Of course this is no problem. I am always happy to do anything I can even if it only amounts to offering advice. If you can provide me with further information I may be able to provide consultation to some extent through mail. If you don't mind, I would like to know more about the condition of your mouth (for example, how many teeth do you have, etc.). If you only come home to Japan for a short period of time, we may not be able to provide treatment but we would be happy to give advice, explain your current condition, and help you out. So please feel free to contact us.
Thank you for the question and please take care.
