Replacing Loose Lower Front Teeth with a Removable Denture
A 65-year-old retired patient with severe mobility of his lower front two teeth, caused by advanced bone loss, underwent extraction and replacement with a removable denture by Dr. Roshny Medasani at True White Dental, Kondapur. The mobile teeth, which had made eating and speaking difficult, were removed and replaced after a healing period, restoring both function and appearance.
PATIENT PROFILE
| Field | Details |
| Name | Ashoke |
| Age | 65 years |
| Gender | Male |
| Occupation | Retired |
| Chief Complaint | Loose lower front two teeth causing difficulty while eating and speaking, worsening with age |
| Finding | Severe mobility of lower front teeth due to bone loss |
| Previous Treatments | None |
| Date of Treatment | September 2026 |
| Outcome | Excellent |
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Case published with patient consent.
THE PROBLEM
Ashoke’s lower front teeth had been getting looser for some time. What started as mild mobility had, over the years, progressed to the point where eating and speaking comfortably had become a real struggle.
He came in with two lower front teeth that had become increasingly mobile with age. A clinical check-up, X-rays, intraoral photographs, and a periodontal evaluation were carried out to assess the extent of the problem. Findings confirmed Stage 4 localised periodontitis, with severe bone loss around the affected teeth that had made them unsalvageable. Ashoke was clear about what he wanted: the loose teeth removed and replaced with something functional.
Before
CONSULTATION AND TREATMENT PLAN
“With Stage 4 periodontitis and this much bone loss, trying to save teeth like these usually isn’t realistic. The more honest conversation is about what replaces them, extraction, healing, and then a replacement option that suits the patient’s needs and expectations.” — Dr. Roshny Medasani, dental clinic in Kondapur
Assessment findings
- Severe mobility of the lower front two teeth on clinical examination
- Stage 4 localised periodontitis confirmed with significant bone loss on X-ray
- Teeth deemed unsalvageable given the extent of attachment loss
- Patient goal confirmed: extraction of the mobile teeth and replacement with a suitable option
Why extraction and a removable denture
Once bone support has been lost to this degree, keeping the teeth in place is rarely a stable long-term option, and it can delay a proper fix while the discomfort continues. All replacement options were discussed with Ashoke, including fixed alternatives, and he chose a removable denture after weighing the options against his needs and preferences.
The extraction itself addressed the immediate mobility and discomfort. Allowing the site to heal before taking impressions meant the denture could be fitted to settled gum tissue, giving a more stable, comfortable result than fitting one too early.
Assessment findings
- Severe mobility of the lower front two teeth on clinical examination
- Stage 4 localised periodontitis confirmed with significant bone loss on X-ray
- Teeth deemed unsalvageable given the extent of attachment loss
- Patient goal confirmed: extraction of the mobile teeth and replacement with a suitable option
Why extraction and a removable denture
Once bone support has been lost to this degree, keeping the teeth in place is rarely a stable long-term option, and it can delay a proper fix while the discomfort continues. All replacement options were discussed with Ashoke, including fixed alternatives, and he chose a removable denture after weighing the options against his needs and preferences.
The extraction itself addressed the immediate mobility and discomfort. Allowing the site to heal before taking impressions meant the denture could be fitted to settled gum tissue, giving a more stable, comfortable result than fitting one too early.
Procedure
Procedure:
Extraction of Mobile Teeth with Removable Denture Replacement
Teeth Treated:
Lower front two teeth
Dentist:
Dr. Roshny Medasani
Complications:
None
Extraction visit, followed by a denture-fitting visit after healing
Anaesthesia:
Local anaesthesia for extraction
Technique:
Tooth extraction, healing period, denture fabrication and delivery
PROCEDURE DETAILS
Stage 4 localised periodontitis diagnosed, with the affected teeth confirmed as unsalvageable.
Replacement options discussed with Ashoke, who chose a removable denture.
Mobile lower front teeth extracted under local anaesthesia.
Measurements and impressions taken for the removable denture once healing was complete.
Denture fabricated and delivered, with fit and bite checked at delivery.
Denture care instructions reviewed with Ashoke before he left.
POST TREATMENT CARE AND RECOVERY
Healing after extraction took about two weeks before the denture stage began. Once delivered, the denture required a short adjustment period along with specific daily care.
Caring for the Denture
- Remove and clean the denture after every meal
- Remove the denture at night and store it safely in water
- Clean with room-temperature water and a gentle soap; avoid abrasive pastes or brushes
- Denture cleaning tablets can be used for routine maintenance
Everyday Care
- Maintain oral hygiene around any remaining natural teeth and gum tissue
- Handle the denture carefully when removing and inserting it to avoid damage
- Avoid very hard or sticky foods that could dislodge or damage the denture
For patients wanting a closer look at daily denture maintenance, our guide on what proper denture care actually involves covers the habits that protect fit and comfort over time.
What to expect over time
| Timeframe | What happens |
| Extraction to healing | Extraction site heals over roughly two weeks before denture measurements are taken. |
| Denture delivery | Denture fitted and adjusted for comfortable chewing and speech. |
| Months to years | Function and aesthetics maintained with regular cleaning and care. |
| Long term | Denture may require relining if it becomes loose as the gum tissue changes over time. |
When to call the clinic
Contact the clinic if the denture feels loose, causes sore spots, or becomes difficult to wear comfortably. Regular follow-ups help monitor fit and allow for relining if needed.
RESULTS
| Outcome | Result |
|---|---|
| Mobility Issue | Resolved with extraction of the affected teeth |
| Replacement | Removable denture delivered and functioning well |
| Function | Improved ability to chew and speak comfortably |
| Appearance | Better aesthetics with the gap replaced |
| Result Quality | Significant improvement in daily function and nutrition |
| Patient Rating | Excellent |
| Complications | None |
| Treatment Time | Extraction visit plus denture delivery after a two-week healing period |
For another example of restorative treatment at True White Dental, see the case study on closing a front tooth gap with composite bonding.
After
PATIENT FEEDBACK
Shared right after denture delivery. His own words.
Ashoke • Verified Patient • True White Dental
★ ★ ★ ★ ★ September 2026
“Happy that I can smile and eat properly again. Comfortable with the denture.”
Procedure: Extraction and Removable Denture Replacement • Stage 4 Localised Periodontitis • True White Dental • September 2026
WHY CHOOSE TRUE WHITE DENTAL
True White Dental in Kondapur is led by Dr. Roshny Medasani, a cosmetic dentist who approaches every case, including advanced periodontal cases like Ashoke’s, by walking patients through every available option before deciding on a plan. For Ashoke, that meant a clear conversation about replacement options, a healing period respected before any work began, and a denture built to his needs once his gums had settled. Every plan is explained in plain language before anything begins, so patients know what they are choosing and why.
Frequently Asked Questions (FAQs)
Q1. What happens when teeth become loose due to bone loss?
When bone loss is severe, as in Stage 4 periodontitis, the tooth may no longer be salvageable. Extraction followed by a suitable replacement, such as a denture, is often the most practical way to restore comfort and function, as was the case for this patient at True White Dental in Kondapur.
Q2. How long after extraction can a denture be fitted?
The extraction site needs time to heal before a denture is made. In this case, measurements were taken about two weeks after extraction, once the site had settled.
Q3. How should a removable denture be cared for?
Dentures should be removed and cleaned after every meal, removed at night and stored in water, and cleaned with room-temperature water and a gentle soap. Abrasive brushes or pastes should be avoided, and denture cleaning tablets can be used.
Q4. Will a removable denture need adjustment over time?
Yes. As the gum tissue changes over time, a denture can become loose and may need relining. Regular follow-ups help catch this early.
Q5. Why choose Dr. Roshny Medasani at True White Dental for denture treatment in Kondapur?
Dr. Roshny Medasani discusses all replacement options with patients before deciding on a plan, so the choice fits their needs and comfort. Patients at True White Dental in Kondapur are guided through each stage, from extraction to healing to the final fitting.
Disclaimer: This case study is for general information only and reflects one patient’s outcome. Results vary from person to person. It is not a substitute for a professional dental consultation. Please book an assessment to discuss your own treatment.
External references
- American Dental Association — Dentures | MouthHealthy (ADA)
- National Library of Medicine — Complete Denture Prosthodontics: A Review of Literature | PubMed, NCBI
