<s>[INST] I am a 35 yr old female with chronic refractory ITP. I ve been on steroids for 2+ yrs straight (various intermittent steroid therapies for 14 yrs, and Rituxin and IVIG.) I began having dental problems around the time I was diagnosed in 98- I ve spent thousands of hours and dollars on dental work, but in last 2 yrs I ve lost most of my teeth, the few left are in bad shape. I can t afford much as i only have SSI. Is the ITP affecting my teeth or is the dental decay exasperating my ITP? AND HOW CAN I GET DENTURES AFFORDABLY??? [/INST] Thanks for your query, I have gone through your query, the ITP can cause gum problems like periodontitis which makes the teeth week and mobile. The Chat Doctor.  ITP can cause severe bleeding from gums. After consulting your oral physician get a radiograph done like OPG and check the level of supporting bone in the remaining teeth. If its fine then you can get denture done preserving those teeth. Otherwise you have to get all the teeth removed and get complete denture done. it's better to get teeth removed and go for complete denture. I hope my answer will help you. Take care. </s>