Dear Sir/Madam!
I am 56 years old and, because of periodontal disease, I am already almost without teeth. My previous dentist made both partial dentures for me, but for almost two years they have been causing me considerable problems. I wear the upper one all the time, but it makes me gag; I cannot wear the lower one at all because the tooth to which it is attached is mobile and hurts terribly when I put the denture in my mouth. To make matters worse, I crushed the upper denture when it fell out of my pocket and I closed the car door on it.
What do you advise? How should I have my unattractive teeth restored, how much does a new denture cost, can part of it be paid through health insurance and what would the remaining amount be? Thank you very much for your answer. Oh, and one more thing: how long would I have to wait to book an examination and begin dealing with my oral catastrophe?

Dear Sir/Madam!

The problem you have described is a constant occurrence in all dental practices. I assume the denture is well made and that the real problem is poor anatomical conditions in the upper and lower jaw (extensive bone resorption has resulted in insufficient height of the bony ridge on which the dentures could successfully remain stable in the mouth). Our proposal is as follows:
-an upper denture without palatal coverage, thereby reducing the gag reflex. To make it we would need at least two implants (preferably four) and a new denture. Price: 750 X 2 = EUR 1500 + denture (insurance) = EUR 1500.
-lower denture: removal of the painful tooth and fabrication of a complete denture on two implants. Price: 750 x 2 + denture (insurance) = EUR 1500.
We offer a five-year guarantee on implants (if you do not smoke). The dentures will be stable and the upper one will no longer trigger the gag reflex because it will not cover the hard palate.

Have a nice day!