Replacing Missing Teeth
Whilst in the past, many people expected to lose teeth as they got older, current generations aspire to maintaining their teeth and the surrounding jaw bones well into old age. Missing teeth can affect your bite, speech, eating choices and social confidence. As you rely more on your remaining teeth, you increase the chance they will wear out prematurely, or be damaged or lost. You may also experience headaches and/or jaw pain.
A natural consequence of losing teeth is loss of the bone in the surrounding area – the jaw literally melts away. Generally, people will lose 25% of their supporting jawbone structure within the first year after tooth loss. Dental implants are more easily placed within 12 months after teeth are first extracted because bone replacement becomes more complex as time passes. Your dentist and Periodontist will provide you with options so that you can make the most informed decision concerning tooth replacement.
Tooth Replacement Options
You can select from a number of different options to replace your missing teeth – from temporary to long-lasting solutions.
A good candidate is anyone missing one or more teeth, or who is unhappy with their dentures. Age is not a factor. However, smoking, diseases such as diabetes, and radiation therapy to the area, have been shown to lower the success rate of implant placement. X-rays of your jaw will be taken to evaluate whether they will accommodate implants. Detailed x-rays may also be required to determine if other tests or procedures are needed to place implants properly.
A fixed bridge is a connected set of replacement teeth. For support, it is cemented into position on top of the teeth adjacent to the empty space. The protective outer layer of these teeth is usually removed or ground down prior to attaching the bridge.
A metal partial denture is a removable option that is cast in metal and plastic. It is held in place by wire clips. A removable partial denture can be removed and reinserted when required by the patient.
The most common solution, for people missing all teeth in one or both jaws are complete dentures. Some people adapt well to dentures. Others find them uncomfortable, even intolerable, because of differences in jaw size and shape.
Dental implants are the most comfortable and permanent solution. They form a strong foundation for teeth and keep the jaw healthy and strong. Implants support individual replacement teeth or secure specialized dentures in place. Unlike bridges, no healthy teeth are damaged. Unlike most bridges, implants can last a lifetime. Implant-supported replacement teeth can be attractive, stable, and comfortable for almost any patient.
Why Select Dental Implants Over More Traditional Types Of Restorations?
There are several reasons: A dental bridge can sacrifice the structure of surrounding good teeth to bridge the space of the missing tooth/teeth. In addition, removing a denture or a “partial” at night may be inconvenient, not to mention dentures that slip can be uncomfortable and rather embarrassing.
What are dental implants?
A natural tooth consists of a root and a crown. If you compare natural teeth to implant-supported replacement teeth, you’ll see they have the same basic parts. Both have a crown (the visible part used to chew food). Both have a root that holds the tooth securely under the gum and is anchored into the jaw. The difference is that the implant is made of titanium – the same time-tested material used by surgeons for artificial joints. When you lose a tooth, you lose both the root and the crown. To replace the tooth, the Periodontist first replaces the root with a small dental implant.
Time is allowed for bone to heal and grow around the dental implant. The bone bonds with the titanium, creating a strong foundation for artificial teeth. A support post (abutment) is then placed on the implant and a new replacement tooth (crown) is placed on top of the abutment. In many cases a temporary replacement tooth can be attached to the implant immediately after it is placed. If all of your teeth are missing, a variety of treatment options are available to support the replacement teeth.
Using the most recent advances in dental implant technology, sometimes it is possible to place single stage implants. These implants do not require a second procedure to uncover them but do require a minimum of six weeks of healing time before artificial teeth are placed. There are even situations where the implant can be placed at the same time as the tooth extraction – further minimizing your number of surgical procedures. Nevertheless, often the most conservative, low risk approach is to place the implant and keep it completely covered under the gum during initial healing. We will advise you on the safest way to carry out your implant surgery to reduce risk and optimise the long term success of your treatment.
Dental implant placement is a team effort between the Periodontist and your dentist. The Periodontist performs the actual implant surgery, initial tooth extractions, and bone grafting if necessary. The restorative dentist (your dentist) fits and makes the permanent prosthesis. Your dentist will also make any temporary prosthesis needed during the implant process.
Note: Any surgical or invasive procedure carries risks. Before proceeding, you should seek advice from an appropriately qualified health practitioner.