I only have two teeth left on my upper arch. The bottom arch is still there with almost all the teeth. I’ve been wearing a partial, but it is uncomfortable. I don’t eat with it in because I get along fine with just my front two teeth, with the exception of meat. I’ll put it in for a good steak, but not much else unless I’m going to socialize. I’m trying to decide if it is better to keep these two teeth or just remove them and get complete dentures on the upper arch. My dentist said whichever I want is fine. That’s not helpful. Do you have an opinion?
There is a huge caveat to everything I’m about to say here. I have not examined you or seen any x-rays. I’m just giving the best advice I can based on what you’ve shared. Because you are eating without your partial there is additional stress being put on those two front teeth that are left on your upper arch. This will eventually cause these teeth to fail.
While I almost always recommend keeping healthy teeth whenever possible, this will be an exception. I think you’ll be happier with a complete dentures on the top arch. If at all possible, I suggest you get implant-supported dentures. Even the best fitting dentures reduce your chewing capacity and will move around. If you get them supported by dental implants, this will completely secure them.
This will also help with your bone resorption. When your teeth were removed, your body began resorbing the minerals in your bone. This is because there are no longer any tooth roots to retain so your body feels the bone is no longer necessary. After ten or so years, you will lose a significant amount of bone. This is less urgent on the upper teeth than the lower, where you would have to deal with facial collapse, however it is still an issue.
You will also find that the teeth in dentures are much easier on your bottom teeth than your natural teeth are so that will preserve them longer.
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