Broken Denture Case: New Partial Denture with Crowns, No Surgery

Summary: This patient had worn a removable denture for many years until it broke. The examination found weak root-treated front teeth, thin gum ridges where teeth had been lost long ago, and uneven tooth shape and colour. Because the patient was used to a removable denture and did not want surgery, the plan used posts and crowns on the remaining teeth and a newly designed partial denture.

The patient’s concern

• A broken removable denture after many years of use
• Some front teeth had root canal treatment and large fillings, making them fragile
• Some front teeth had been extracted long ago, so the gum ridge had become thin
• Uneven tooth shape, colour and alignment

A combined treatment plan without surgery

• Post and core: in the root-treated teeth, to strengthen them from inside
• Crowns: on the remaining front teeth, to improve shape, colour and position and protect weak teeth
• Removable partial denture: a new framework designed to replace the missing teeth efficiently

Treatment steps

1. Impressions to plan and design the crowns and denture
2. Tooth preparation, posts and fitting of the designed crowns
3. Delivery of the new partial denture, adjusted for fit and comfort

The result

The patient received a natural-looking smile and a better bite, and can eat and smile with confidence again, with a plan that matched their wishes and avoided surgery.

Who is this treatment suitable for?

• People with front teeth that were extracted a long time ago
• People who already wear a removable denture and want a better one
• People who cannot have, or do not want, dental implants or bone grafting

Questions about this treatment

Can a broken denture be repaired, or do I need a new one?

Small breaks can sometimes be repaired. When the denture is old, loose or the teeth around it have changed, a new denture designed around the current mouth usually fits and works better. An examination shows which applies.

Why place crowns before making a new denture?

The denture is designed around the remaining teeth. Strengthening and reshaping those teeth first means the new denture fits the final shape of the mouth.

Is an implant denture an option later?

Yes. If you decide later that you want more stability, an implant overdenture or fixed implant teeth can be considered after an examination and CT scan.

Photos shared with the patient’s permission. Treatment results vary from person to person.