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Tooth Replacemet options

  • 02-07-2011 2:51am
    #1
    moceri
    Registered Users, Registered Users 2 Posts: 456 ✭✭


    At 46 YO, my UR Incisor had become loose and after a year of trying to manage the underlying Gum disease, my dentist this week advises it's removal. This seemed a snap recommendation, as all along he had been talking in terms of splinting it for support and but was holding back, ostensibly for the tooth to tighten up which despite my efforts never happened.

    Anyway its going.

    As a replacement, I must work within the constraints of my budget. Presently an Implant seems unlikely (€€€€'s) and my dentist says the bone structure underneath is good. I am happy with a partial denture but am concerned about how this will impact future bone loss in the palate. Is this likely to be minimal as I have natural teeth in good condition either side?
    I am reluctant to get a bridge as it will unnecessarily sacrifice 2 adjacent healthy teeth. A Maryland Bridge is out of favour as they become detached easily. Are there any Treatment alternates, or at least any views on acrylic Denture V's Base alloy Denture in terms of impact on bone loss. Does Jaw Bone behave like other bone, loosing density when its workload (tooth) is removed ? How can this be minimised for the denture wearer?


Comments

  • #2
    btkm8unsl0w5r4
    Closed Accounts Posts: 9,535 ✭✭✭btkm8unsl0w5r4


    "A Maryland Bridge is out of favour as they become detached easily"

    No they dont, a properly designed, prepared and constructed resin bonded bridge can be a very good long term (7-15 year) solution and it avoids a denture. Some dentists don't know how to make good ones and go around saying they don't work and fall off, I can tell you I have seen properly made one 20 years later. It aint what you do its the way that you do it.

    Bone loss is inevitable when a tooth is removed, put a denture on top of the site and the loss is accelerated. You can pack the extraction socket with graft but the best way to avoid bone loss is to place an implant in the site.


  • #3
    work
    Registered Users, Registered Users 2 Posts: 661 ✭✭✭work


    Fitzgeme is on the money as usual. A maryland bridge can last as Fitz says however it is certainly not for everyone, for many reasons, especially if the teeth meet in an unfavourable way.
    An implant is probably the best option but if you have lost (will loose) the tooth due to gum disease there is often insufficient bone to "simply" place an implant.
    Good luck


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