Is Doing Nothing Your Only Solution for a Missing Tooth?
Fortunately, there are several options to replace a missing tooth. A tooth can be lost (or pulled) for many different reasons including, disease, accident, making room for other teeth, or removal of wisdom teeth. It can be embarrassing to have a missing tooth; besides the esthetic appearance, missing teeth can have health consequences too.
Here are the five most common ways to replace a missing tooth.
Do Nothing to Replace Teeth
Although this is an option, it is not a solution. Not replacing a missing tooth can cause the other teeth in the area to shift out of place to fill the gap which can affect your mouth in several ways. Missing teeth cause the bone to melt away, which will change the structural integrity of your mouth and may weaken the other teeth in the bone loss area.
If your teeth shift to try to fill the gap, it can sometimes create a difficult area to clean, which can lead to decay and will almost certainly change your bite.
Removable partial bridges or dentures
These are designed to replace one or more missing teeth in the same arch (upper or lower). Normally, they have some sort of acrylic base, which can be strengthened with a metal base. Frequently these appliances will have metal clasps that fit over existing teeth, holding it firmly in place. They are very effective at filling in the gaps left by your missing teeth, restoring your missing teeth can improve your speech and your ability to eat more comfortably.
It is a relatively quick procedure and non-invasive. They will not function as well as your natural or fixed teeth replacements (which are detailed below).
Removable complete dentures
These replacements involve a full arch and sit on the top of the gums. They will significantly improve your appearance by providing the proper support for the muscles in your cheeks and lips. Dentures are usually affordable and the treatment is fast. They can also help with your speech and to eat more comfortably.
Dentures must be removed at night to clean them and rest the gums. Care must be used when eating with dentures because hard or sticky foods can damage them. They can become ill-fitting and denture adhesives do not offer a long-term solution.
Tooth-supported fixed bridge
This type of restoration is permanently cemented into place. Most commonly, two adjoining teeth on either side of the gap are fitted with crowns and the replacement tooth is inserted in between them. It feels and functions just like your natural teeth. The treatment takes a relatively short time, usually two to three weeks.
Maintenance is easier as the fixed bridge can be brushed and flossed; however, care must be taken to thoroughly clean under the bridge where food can become trapped. You can also still experience bone loss with this type of bridge as there is no direct stimulation to the bone under the bridge.
Dental Implants
Implants are designed to replace a natural tooth root and are surgically inserted into the jawbone. After the surgery, a restoration (a replacement crown, bridge, or denture) is fitted on top of the implant.
They are considered to be highly successful procedures, are durable, and permanent. Implants are the only tooth loss replacement which can prevent accelerated bone loss because they closely mimic your own teeth. They feel natural and comfortable, providing the best aesthetics. It takes longer and requires more dental visits when compared to the other options.
Your dentist can discuss all the benefits and disadvantages of each procedure so you can make an informed decision about your oral health options.