MISSING TOOTH/TEETH

In general; for the replacement of a missing tooth/teeth, dentistry can offer three main options. These are:

1. Replacement by some form of removable prosthesis ie partial denture
2. Replacement by some form of fixed bridge work
3. Replacement by implants (fixed or removable or a combination of the two)

Full or Partial Dentures:

These are removal prosthetics done for replacement of missing tooth or teeth. There are two main types of partial dentures; all plastic (with or without retention arms) which are considered as temporary, or ones with a precise metal framework, which are for more long-term use.

Fixed Bridgework:

Fixed options, whereby the missing artificial teeth are fabricated to join to multiple crowns for retention are done to mimic real teeth. Bridges can be made of a variety of materials. The success of any bridgework depends on gum and bone health in the area.

Implants:

Implants are nothing more than artificial root forms which are often made of Titanium. They are only replacing roots, so they can be used to hold crowns as well as full and partial dentures. Once Implants integrate or heal, they almost become part of the jaw bone, so removal can be very difficult.

Not all three options are available for all situations. Some of the factors to be considered are:

1. Gum health in the area. Is there gum disease or bone loss in the area?
2. Are there teeth on either side of the space and are they mobile?
3. Are teeth on either side of the space in good shape? Are there sufficient tooth structures left?
4. Are you prone to decay?
5. Location of certain vital structures i.e. ss the maxillary sinus low? Is the mandibular inferior alveolar nerve high up in the mandible?
6. Any medical conditions like Diabetes, Dry mouth, etc.
7. Any medications i.e. Biphosphonates, Fosamax, etc.?
8. Do you smoke?
9. Do you gag easily?
10. Is there sufficient bone in 3-D?
11. What is the quality of the bone in the missing tooth/teeth area?