Today most of dentist do not advise for tooth extraction after complain of pain . They try to save it by doing fillings or Root canal treatment. When all the efforts fails to save a tooth, they needed to be extracted.
Now what can be done after removal of tooth?
Our teeth are design to work together to help chewing, speaking and smiling. When teeth are missing it is difficult to do these things in a proper way. That’s why we need replacement of our missing tooth before something goes wrong due to missing tooth. Ask your dentist which treatment option is best suited for your missing tooth.
There are some options to get your missing tooth replaced.
1. DENTAL IMPLANTS
2. DENTAL BRIDGES
3. PARTIAL DENTURE
4. DO NOTHING
1. DENTAL IMPLANTS :
Dental Implants are latest treatment options for a missing tooth. Implants can be used for replacement of single tooth or multiple tooth or to support full set of denture or partial denture. Implants are made of titanium, they are screw like post which are pleased inside your jawbone upper or lower, surgically. They act as an anchor for the replacement of missing tooth. Over these implants an artificial tooth is placed which fulfills the need of missing tooth.
Although the implants are more stable, secure and long lasting treatment for a missing tooth but there are some restrictions for the placement of implant. Not everyone it is a good candidate for implant. Patient should have good health overall. Patient should have good amount of supporting bone for the implant, as the implants are embedded in the bone only. Patient should be committed for a good oral hygiene on the daily basis and regular dental check up for the maintenance of implant. Life of the implant depends mostly on the oral hygiene maintained after the placement of tooth. Most of the times, implants fails due to poor oral hygiene. There are some contraindications
written below for implant placement:
- Immune disorders (leukemia),
- Chewing tobacco
- Disorders of coagulation (anticoagulants, liver cirrhosis, thrombocytopenia, tendency to hemorrhage),
- Rheumatoid disease (steroid medication),
- Unstable endocrine disorders,
- Chemotherapy (i.e. bisphosphonates) and radiotherapy within the last 5 years,
- Pregnancy and patients under 16 years old (incomplete development of bones.
HOW IMPLANTS ARE DONE?
As we said before, implants are screw like structures which are embedded surgically inside your jaw bone in the reason of missing tooth.
The process of implant placement depends on the situation of bone and patients health and oral hygiene status. Your dentist only I can tell you the exact procedure which you are going to two face according to which type of implant and surgery he plans for you. Generally there are three basic steps which are followed universally for the placement of dental implants.
1. Placement of implant: This is the first step for the implant placement. It takes hardly 30 to 45 minutes for the placement of implant surgically inside the jaw bone. Your dentist will give you the anaesthesia then he will place the implant inside the bone and will suture it. You may feel mild to moderate pain during the implant surgery. Later, there may some swelling and tenderness for few days. Your dentist will prescribe you some medication to take Care after the surgery. And he will instruct you for soft diet for few days after surgery. Follow the instructions strictly, given by your dentist immediately after the placement of implant.
2. HEALING PROCESS : In this phase bone surrounding the implant grows around and inside the implants and gets compacted. The life of dental implants depends upon the relation between implant and the surrounding bone. As much as compacted bone surrounds the implants and hold it longer the life of the implant can be expected. Depending upon the patient’s health this process can take 2 to 6 month.
3. TEETH PLACEMENT : When the the bone gets compacted around the implants. The dentist will give you small anaesthesia around the implant and will cut open the implant screw and replace an abutment there. Then and he will make an impression of your mouth with implant abutment and will send it it to lab so that a final prosthesis or tooth can be fabricated over the the apartment. Few days later when the cap or the prosthesis is ready your dentist well schedule II appointment for the placement of tooth or prosthesis. As soon as you get the replacement it of tooth, you can enjoy your meal and looks.
Advantages of implants :
- Implants are more similar to a natural tooth.
- Nearby tooth don’t needed to be damaged for the replacement of missing tooth
- Longer shelf life
- Implants may prevent bone loss due to loss of natural tooth
- One or two to visit implants are also available.
Disadvantages of dental implants:
- Not good for every patient as they required surgery and good overall health status
- Sometimes implant placement main require more visits and more time rather than other dental treatment for replacement
- Implant treatment cost more then any other available dental treatment for the replacement of missing tooth.
2. DENTAL BRIDGES:
Dental bridges are cheaper than dental implants and most widely used because of economic reasons for missing tooth replacement. This process involves shaping the adjacent tooth by cutting them so that a prosthesis can be made to fit over the adjacent tooth.
Shaping of tooth is done by the dentist in the first appointment under local anaesthesia. After the cutting of adjacent teeth is done, dentist will take an impression of your teeth and will send it to lab . In dental lab a prosthesis is made which covers the adjacent tooth and single or multiple tooth crowns hangs between them . When they are placed over the teeth, they snugly fits over the adjacent tooth with missing cap replacement . You may require some minor changes in bridge for bite balance. If margins are good your dentist will fix them over the adjacent tooth with some cement, so that they become fix and acts like fixed teeth.
Advantages of Dental Bridges :
- Feels and function like natural tooth
- No need to ramove for cleaning
- Economical then implants
- Only slightly differ from natural teeth.
Disadvantages of Dental Bridges:
- Affects adjacent tooth
- Require extra afforts to clean , flossing is must if you have caps or bridges in your mouth
- Adjacent tooth will always require caps even you go for implant after a bridge placement as the tooth is trimmed for bridge, previously
3. Partial Denture:
These are also referred as temporary treatment for missing tooth. But some patients wear them for many years without opting for fixed replacement of missing tooth. They are also very cheaper replacement option for poor people and those who can’t afford implant and don’t want to cut down their adjacent tooth.
This is the simplest process for the replacement of missing tooth. It do not require any invasive or pain full procedure for the replacement. The dentist wil only take a direct impression of your teeth and will send it to lab for denture fabrication. In next sitting he may take a bite registration process and that’s also pain less process. In third sitting he will adjust your Denture and will give it to you.
A partial denture is made of plastic like material. It has to be inserted daily and remove daily to clean the denture and the underlying tissue surface. It may and may not have metal clasps which are visible in mouth in anterior region replacement. They are also annoying as they move all the time in mouth because they are not fixed. They need frequently replacement as they worn off against natural tooth easily. But some patients wear them for years without any difficulty and some can’t.
Advantages of Partial Denture:
- Less expensive than dental implants and dental bridges.
- Easy to replace with newone if worn-out
- Non surgical procedures
- No damages to adjacent teeth
- Patients can remove himself and can wear them.
Disadvantages of Partial Denture:
- Always move inside mouth during eating and talking
- Patient need to wear and remove daily to clean denture
- Clasps if visible gives embarrassing feeling to patients
- Removal and wear partial denture clasps can damage adjacent soft tissue or tooth.
- Easily can break
- Wear off much faster then ceramic caps
4. Do Nothing:
For some patients this is the best treatment options as they don’t want to replace them because they don’t care about loosing of their precious tooth or teeth. They tink it’s waste of money and time for careing about oral health . Well it’s their own will and body.
Advantages of doing nothing:
- Money 💰 is saved
- Time is saved
Disadvantages of doing nothing:
- The tooth adjacent to missing tooth tends to tilt towards missing tooth and opposing tooth tends to drop into the space of missing tooth. Both over the period of time become mobile and compromised.
- Eating and biting from that side is restricted.
- If front tooth is missing , causes uglyness for others .
- As patients stops eating from the site of missing tooth, more plaque and tartar start deposit on that side of tooth because eating also assist in cleaning the tooth surface.
- Bone loss occurs more rapidly in the missing tooth region and limits the placement of denture and Implants for future replacement.
So if you have a missing tooth, please rush to your dentist to find the best option for you before it’s too late to get replacement.
Dr surya Prakash Yadav.