Can a tooth be added to an existing denture?

If you already wear a partial denture and lose another natural tooth, it may be possible to add a replacement tooth to it. This is different from repairing a denture tooth that has broken off. In either case, the dentist needs to check your mouth and the denture before recommending a repair, an addition or a new appliance.

When might an addition be suitable?

A partial denture replaces some missing teeth; a complete denture replaces all the teeth in one jaw. An addition can sometimes adapt a partial denture after further tooth loss, so that you do not need a completely new one straight away.

Whether this is practical depends on the denture’s material, design, condition and fit, as well as the remaining teeth and gums. Not every acrylic, metal-framed or flexible denture can be altered in the same way. A badly fitting or damaged appliance may need a different solution.

A missing tooth can affect chewing, speech or appearance, but it does not inevitably cause digestive problems or the loss of other teeth. The dentist can discuss whether replacing the gap would help you and what alternatives are suitable.

What happens at the appointment?

Bring your denture with you, including any broken pieces. The dentist checks the cause of the tooth loss or damage and assesses the fit, bite and supporting tissues. An impression or other record may be needed so that a dental laboratory can carry out the work.

If an extraction is planned, ask when the addition can be made and how long you may be without your denture. Healing changes the shape of the gums, so later adjustments or a replacement may be needed. There is no single timetable that suits every repair.

Once the altered denture is ready, its fit and bite need checking. Tell the dentist about soreness, looseness or difficulty eating. Do not try to reshape it or attach a tooth with household glue.

How much does adding a tooth cost?

Our listed fee for adding a tooth to an existing denture is £120 per tooth. This service is listed without a guarantee on our denture fee page. Ask the practice to explain what this means for your proposed treatment.

The addition fee is not a quote for every part of your care. An examination, extraction, other repairs or later alterations may be needed; ask for a written estimate that sets out what is included. Suitability must be checked before a price can be confirmed for your treatment.

If you are considering instalments, see the practice’s current finance information and ask about eligibility and terms. Availability should not be assumed from the size of the bill.

Looking after the altered denture

Follow the cleaning and storage instructions for its particular material. Clean it daily, handle it carefully and avoid hot water or unapproved cleaning products. Remove it overnight unless your dentist has told you otherwise, for example during a particular stage of care.

Keep brushing your remaining natural teeth with fluoride toothpaste and clean your gums and tongue gently. Attend reviews so that the dentist can check the mouth as well as the denture. The NHS denture guide gives further care advice.

If your denture has broken or another tooth needs replacing, contact the practice to arrange an assessment.