Posts for tag: dental implant
If you know anyone with a dental implant, you may know it can be a long process in getting one. Several weeks or months can pass between removing the old tooth and placing the implant, and then several more weeks before affixing the permanent crown.
But with recent advances in implant technology, some patients don't have to wait as long for a new implant and crown. In fact, one procedure commonly known as "tooth in one day," allows patients to walk in with a problem tooth and out the same day with a new "one."
Not every implant patient, however, can undergo this accelerated procedure. If you're considering implants, the state of your bone health will determine whether or not you can.
Implants need a certain amount of available bone for proper placement. But bone loss, a common consequence of missing teeth or dental disease, can reduce bone volume to less than what's needed to place an implant. The patient may first need to undergo grafting to regenerate the bone or choose another restorative option.
If your supporting bone is sound, your dentist might then proceed with the implant. But you will still have to wait a while for your new crown. The implant needs to integrate with the bone to improve its hold. This integration process can take anywhere from a minimum of six weeks to more commonly twelve weeks. After the attachment is mature, the dentist may need to undo the gum covering before taking impressions for the formation of the new crown.
But it is possible to have a tooth or teeth in a day. For a single tooth, your dentist may be able to immediately attach a crown right after implant surgery if the implant is very stable. Even so, this crown will need to be temporary, slightly shorter than a permanent crown so that it won't make contact with other teeth and put too much pressure on the new implant. After further healing from bone integration, impressions will be taken so that you'll receive your permanent crown shortly.
Immediate crown placement can allow you to have the cosmetic and limited functional benefit of a new tooth right from the start. If multiple implants are placed in one arch in a day, it's possible to have immediate teeth if enough implants are attached together with a temporary restoration.
This is different from a single implant replacing a single tooth and does create confusion for patients when they read about teeth in a day. Regardless, no final tooth crown can be placed at the time of an implant—only a temporary restoration.
If you would like more information on your options for dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Same-Day Tooth Replacement with Dental Implants.”
Congenitally missing teeth or hypodontia is a condition where some of the adult teeth do not develop. Although it can also affect the primary teeth, this is quite rare, unless there is an underlying genetic disorder (see ectodermal dysplasia discussed below).
What teeth are usually affected?
Third molars (wisdom teeth) are the most commonly missing but are not included in the definition of hypodontia. This is because it is considered a variation of normal to have missing wisdom teeth. The other most commonly missing teeth are lower second premolars and the upper lateral incisors.
Genetic disorders causing missing teeth:
Ectodermal dysplasia- This is a term that includes many genetic disorders that affect the hair, nails, skin, glands, and teeth of those born with it. Teeth may be missing, malformed (cone-shaped) and more prone to decay. Those with ectodermal dysplasia have a normal life expectancy, and most do not have developmental delays. Dentists may be one of the first health professionals to suspect ectodermal dysplasia due to the differences in tooth development.
How will I know if I have missing teeth?
Your dental professional will be able to tell if you have any missing teeth. Usually, they will need an x-ray to confirm this. Gaps between your teeth, losing a baby tooth with no adult tooth taking its place or having a baby tooth longer than normal are all signs of having congenitally missing teeth.
I don't have an adult tooth yet, how long will my baby tooth last?
In the case of having no adult tooth to replace a baby tooth, sometimes the baby tooth remains in the mouth longer than it is meant to. There are cases where they can last well into adulthood, depending on the condition of the tooth and how long the roots are. At some point, the baby tooth may need to be extracted, and it is a good idea to have a treatment plan ready for how to fill the space.
Implants- Usually the best option since they act the most like natural teeth and have the best patient satisfaction and comfort. This treatment may need to be delayed until adulthood and after orthodontic treatment, if it is necessary. Implants are relatively easy to care for and keep healthy with good daily oral hygiene.
Bridge- A bridge can be used to fill a space left by a missing tooth. It involves two crowns on either side of the space with an artificial tooth in between. This is a permanent and non-removable solution but requires thorough cleaning under the bridge to maintain tissue and tooth health.
Orthodontics- Sometimes gaps can be closed with orthodontics and do not require having the space filled. Orthodontics may also need to be done in addition to other treatment options.
Dentures- Partial dentures may be an option to replace missing teeth. Sometimes they are used as short-term solutions until a more permanent treatment such as implants can be done. Implant retained dentures may also be an option. These are more secure dentures that are held in place by implants.
Missing teeth can affect many things including the ability to eat, speak and smile properly. You can work with your dental professional to come up with an individualized treatment plan that will work best for you. Call us to schedule your appointment today: 905-286-1569
Supermodel Christie Brinkley has a one-in-a-million smile, but she is just one of millions who have benefited from today's preferred tooth-replacement technique: the dental implant. In a wide-ranging interview, Brinkley told Dear Doctor magazine about a helicopter accident she suffered while back-country skiing.
“I fractured two molars in the back of my mouth and I had to get two dental implants,” Brinkley told the magazine. “I am grateful for the dental implant technology that feels and looks so natural.”
You might think it serves little purpose to replace a missing back tooth that was barely visible in your smile to begin with — especially if you don't spend a lot of time posing for magazine covers. But this is actually not the case. Your molars are extremely important for chewing and even for maintaining a more youthful appearance.
Dentists generally agree that losing posterior (back) teeth can have many consequences for the remaining teeth and their surrounding structures, i.e., bone and gums. If back teeth are missing, the front teeth end up bearing more stress than they were built for. And there are certain things that happen when any tooth is lost, whether front or back, that can affect function and appearance.
For one thing, when a tooth is lost the adjacent teeth tend to drift into the empty space or tip towards it. This can adversely affect your bite. Too much shifting can render a tooth basically useless and also leave it more vulnerable to gum disease.
Another complication is the loss of tooth-supporting bone that inevitably occurs when teeth are lost. When a tooth comes out, the bone under it actually begins to melt away. Since back teeth support the vertical dimension of the face, their loss can cause what's known as “bite collapse” — a reduction in facial height that becomes increasingly noticeable over time and can make you look older.
A dental implant can prevent all of these things, while providing you with a replacement that looks and feels just like the tooth you lost.
If you are interested in learning more about implants, please contact us or schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Christie Brinkley, please see “The Secret Behind Christie Brinkley's Supermodel Smile.” Dear Doctor magazine also has more on “Replacing Back Teeth.”