What are my options? 

 

 

There are a few options when replacing missing teeth, and some very important  clinical considerations. Options:

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• Fixed(Cannot be removed by the patient) Vs. Removable (Can be removed by the patient)

• Dentures or Partial Dentures(Removable)

• Bridges On Natural Teeth(Fixed)

• Dental Implants(Fixed or Removable

• Considerations:

• Functions – will it function like natural teeth

• Aesthetics – will it look natural and life like

• Durability – will it last

 

 

As with most decisions, pros and cons exist for each option. The ideal option is a fixed solution that functions and looks like a natural teeth. The most common complaints of pt's that wear dentures are the fit to the underlying soft tissue or gums, disgusting adhesives and the inability to truly taste food. Studies have shown that the denture wearer experiences both a lower quality of life and a lower nutritional state. Additionally, just like with a missing tooth, the denture does not stimulate the underlying bone. Atrophy occurs, altering the shape of the jawbone, which results in a loose fitting denture that must be relined. Like dentures, dental bridges have been utilized for centuries in an effort to restore the function of missing teeth. Unfortunately, the use of a bridge requires the destruction of good teeth in order to suspend the bridge. While sometimes indicated, in most cases a dental implant would provide a more optimal solution while preserving the adjacent teeth. Dental implants have several advantages over dentures and bridges that can contribute to overall health and an improved quality of life. Implants permanently fixate to the jaw, so people who receive them can eat virtually whatever they want. There is no palate cover, so you can enjoy the taste and sensation of the food you eat, and the issues of loose fit and messy adhesives are completely avoided. Advances in dental implant therapy have led to faster and minimally invasive treatment options, so the lengthy, involved procedures of the past can be avoided. With success rates of greater than 97% routinely being reported in the literature, dental implantology has transitioned from a focus on function to a focus on cosmetic results. The primary difference between caregivers today is less related to function, and much more related to the cosmetic outcome – and the standard should be no less than does the replacement teeth look like the originals!