Reality Check: Should You Save or Replace Those Teeth?

Due to fear or other reasons, some people do not undergo dental check-ups on a regular basis and may go for many years without doing so. Despite their aversion, most are eventually driven to see a dentist, either through unbearable pain or through concern over unsightly teeth or lack of dental hygiene. They may have an idea of the treatment they would like, but it is the dentist’s responsibility to assess their oral situation and respond honestly with the best course of treatment.

Reality Check

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Treatment for Children and Younger Adults

With young children there is the option of removing milk teeth and then teaching them the benefits of good oral health for the permanent teeth.

With teenagers and younger adults very effective orthodontic treatment can be carried out at NHS or private clinics to correct misaligned teeth. Teenagers tend to be super-conscious about their appearance, and a set of shiny braces will do nothing to enhance their confidence. Invisible braces can now be fitted at leading orthodontic clinics throughout the country.

For example, invisible braces in Cardiff can form part of the treatment at Cathedral Dental Clinic ( This includes the use of a series of invisible braces that are custom-made and refitted on a bi-weekly basis. Most often, for younger people, a plan can be made to retain the natural teeth unless they are irreversibly lost through accident or severe decay.

Treatment for Older Adults

Older adults may avoid dental treatment for decades, as they no longer have parents making the appointments for them. In such cases, dental decay may be far advanced by the time the dentist is able to make an assessment for treatment. The best option may involve the removal of all teeth and the use of dentures. The thought of dentures is repugnant to many and will usually be resisted by a patient. However, if the patient’s teeth have deteriorated to a point where dentures are recommended, there is usually little that a dentist can do in the long term to save them. Superficial treatment may be possible in the short term, but commonly it only delays the inevitability of the removal of the patient’s natural teeth.

In such cases, it is important to listen to your dentist’s advice, as they are interested in your long-term oral health.