Is The Dental Implant The Best Solution To Replace Missing Teeth?

Do we have to replace immediately a lost tooth? What can cause a missing tooth? How we can replace it? Is the dental implant the best solution? What is the difference between the dental implant and the dental bridge?

 

Damaging effects of a missing tooth

There is a deception all around the world in connection with replacing a missing tooth. Most of people think if a tooth is missing, but it is not a visible one, it is not urgent to visit a dentist. The most obvious effect of missing teeth is aesthetic. After the eyes what we see on each other? The smile and the teeth. Living with missing tooth can cause depression for a while, mainly it goes hand in hand with foul breath. The people feel that their environment is avoiding them, and it is unfortunately sometimes can be true.

Beside the aesthetic problems one or more missing tooth can cause also functional problems. We can feel damaging effects in short and long term too.

We have to talk about the chewing surface like one unit. It means we have the upper and lower chewing’s surface instead of we have x pieces of tooth. These surfaces have to be proper because of their integrity.  The correct chewing capacity is given by the chewing’s surfaces from both side which is necessary to have the right quality of life.  The aesthetic is another important question – our missing tooth is visible or not?

With losing a tooth, the continuity of the chewing surface breaks therefore we should think in units, and it is good to replace it as soon as possible.

Our teeth and their pairs

„The teeth are looking for their pairs”- this is a dentist’s joke. It means if a tooth is missing, the pair of the lost tooth at the opposite side is going to remove its place and maybe it would dislocate as well. The bone is going to rarefy and decrease after a while. The adjacent teeth are going to lean into the gap, towards to the direction of the missing tooth. If the adjacent tooth going to lean onto the front, a domino effect will start again. The leaned tooth cause a gap and on the opposite side, it can be a problem later. The more time we wait replacing a missing tooth, the more difficult the implantation can get. Is these cases usually bone grafting and sinus lift are necessary.

The degree of the tooth next to the gap can also change, it means the chewing changes, it won’t be axial anymore, it can result the dislocation of the tooth. If it falls out after a while, the opposite tooth will also fall out. Because of the missing tooth, we cannot chew only on the other side. The chewing joint can be overworked.

Domino effect

This is a long process, it doesn’t build up overnight. Through the overload and the shift of the power system, the joints of the jawbone can be infected. These types of infection’s healing period takes a long time. The joints of the jawbone are twin joints, and the two ends of the bone there are two joints, and if there is a problem on one side, the problem will affect the other side too. On the other hand, we can’t pulp food small enough, what can cause stomach and bowels problems. By the way our teeth have an important role regarding articulation, in this case an impediment in speech can develop too.

Avoiding domino effect, we should replace even one missing tooth. This is a basic role.

Finally, a missing tooth can cause the followings:

  • The healthy teeth will move to the direction of the gap
  • They lean over their roots won’t be stable enough anymore
  • The power of the chewing decreases
  • The gum will be infected
  • Each bit will cause pain, eating will be distressful, we won’t chew the meals enough and it will affect our digestion
  • A tooth has an important role regarding the articulation, so some speech defect can develop too
  • The loadability of the jawbone decreases, it will be thinner and become weaker
  • The joint of the jawbone will be infected
  • The muscles of the face and the neck will be deformed
  • This deformation affects to our backbone and across it to our whole body
  • Our posture, walk and the position of the organs will also change

 

If you want to avoid these issues, you should replace your missing tooth as soon as possible. There are more solutions to replace it, the best known are the dental bridge and the most reliable stable one is the dental implant.

 

What is a dental implant?

 

A dental implant is an artificial root which is screwed into the jawbone to replace a missing tooth and consists of 3 different elements:

  • The implant itself which is fixed into the jawbone
  • The pillar which is between the implant and the dental crown
  • The dental crown to replace the visible part of the missing tooth

The implant is made of a hard metal called titanium. This material is fully compatible, which means no allergic reaction is expected and it has the feature to be linked to the living bone in a natural way.

The dental implant is the best solution to replace one or more teeth as it’s esthetical, comfortable and has the functionality of an original tooth. It also provides a reliable and safe solution long term.

 

Advantages of a dental implant

 

  1. Esthetical

A dental implant feels completely like a natural tooth and helps to get rid of fixation.

  1. Comfortable

Removable denture-related pain and general inconvenience are eliminated. Missing teeth are replaced in a fixed way avoiding the risk of losing or shifting the removable denture.

  1. Functional

An implant gives you back the original/full chewing functionality helping in digestion of meal as well. Comparing to a denture (prostheses), an implant frees up the gum (not covered) and it also makes feeling possible again.

  1. Safe

  • Made of a biologically compatible material called titanium therefore no allergic reaction should be expected.
  • Provides a good hygiene as no dental deposit and decayed tooth can be grown/developed.
  • Stops the bone from being lost and keeps the face in its original shape.
  • Long term solution (more than 10 years) while the conventional bridge has to be replaced in an average of 8 years.
  • On a long term, it is cheaper than the conventional crown and bridge.
  • Its reliability is well known for more than 35 years, the success rate is over 98%.

 

Treatments steps on placing dental implants

 

Inserting a dental implant consists of 3 steps and requires 2 trips to Hungary.

 

  1. Pre-implantation medical consultation

(First trip takes 4-5 days)

 

The first visit to the Clinic starts with a medical consultation before the implantation itself with our professional dentists who will examine you and carry out an x-ray in order to:

  • Confirm that the patient’s general condition will not inhibit inserting the dental implants.
  • Examine the quality and thickness of the jawbone to confirm that there is no need for osteoplastic (bone replacement) to insert the dental implants.
  • Check the quality of the gum and clean the oral cavity (treat potential inflammation and remove dental deposit) if necessary.

As a result of these examinations the doctor makes a diagnosis and prepares a personal treatment plan. If the patient accepts the proposed treatment plan, the treatment can be started.

 

  1. Insertion of the dental implant and the temporary insertion of the clamp

(Step two on the first visit)

A dental implant insertion is a simple and quick surgery which isn’t any more complicated than a tooth removal. A dental implantation with local anaesthetic takes approx. 15-30 minutes (a general anaesthetic can also be requested by the patient). During this treatment, the doctor lances the gum and drills a hole in the jawbone in order to insert the dental implant. There are 2 options available.

 

Option one: The implant is covered with the gum and it helps the dental implant to be built in an airtight environment. It takes around 3-4 months and a micro surgery is needed to open the gum and free up the implant in order to have the dental cap put on.

 

Option two: The implant is not fully covered, there is no need for a second surgery to free up the head of the implant and a temporary cap can be put on the implant on the same or the following day. This is called an immediate implant and it is possible if the doctor thinks the bone is in a proper shape for this kind of treatment and the patient also accepts the instructions about careful chewing.
This is the final step of this phase of the treatment.

 

  1. Insertion of the pillars, preparation and insertion of the final crown

(Second trip takes 3-5 days)

 

If the implant is covered during the first visit a small surgery is needed and the gum is cut by laser to free up the implant. This step takes only a few minutes and doesn’t cause any pain due to the local anaesthetic. In case the top of the implant is not covered by the gum the doctor can immediately put the pillar and the crown on the implant. The next step is to proof the teeth and based on the result the final crown will be prepared.

During the last visit to the clinic the doctor will put the final crown onto the pillar. It can cause some pain to the gum but it doesn’t last more than a few seconds.

 

Replacement of one tooth

 

Dental implant

A dental implant is the most appropriate solution to avoid the problems mentioned above. The teeth nearby should not be defaced as the crown is inserted onto an artificial root and pillar.

As the implant is built into the bone it stimulates the bone itself in a natural way. Last but not least, the dental implant is the best solution, thanks to modern ceramic crowns, which feel and look like a real tooth.

Dental bridge

Classical dental bridge is a conventional solution to replace a missing tooth. This is a fixed solution, aesthetic, functional and easy to put in. However, a dental bridge has two main disadvantages:

  • The two teeth nearest to the missing one have to be polished to use them as the pillars of the bridge, regardless of whether they are in a good condition or not.
  • Where the missing tooth is the bone will be drawn back after a while.

Replacement of more teeth

 

Partial, removable denture

 A removable bridge could be a conventional solution to replace more than one missing teeth next to each other. This is a partial removable denture made of acrylic resin which rests on the gum and the remaining teeth are supported by a metal hook. The part being reproduced is made of resin, whilst the artificial teeth are made of ceramic.

 

On the other hand, this solution may cause inconveniences:

  • The size and instability could create discomfort.
  • It can limit chewing functions.
  • It has to be cleaned after every meal.

 

Fixed bridge on 2 dental implants

It’s the perfect solution to eliminate all discomfort caused by removable dentures, In addition, the fixed bridge also ensures the aesthetics and functionality of natural teeth. This treatment consists of the implementation of 2 dental implants which are used as pillars of the ceramic crown. This solution avoids the insertion of an implant for every tooth, even if one of them is missing.

Thus, providing stability and resistance, giving back the ability to eat anything you want. The greatest advantage of this procedure is that the jawbone is flexible.

In some cases, when the jawbone is in a very bad shape and cannot be reproduced, the removable dentures may be the best solution.

 

Full set of teeth replacement

 

Removable denture on 2 or 3 dental implants

 

This solution can help to fix the removable denture better and to decrease instability. It can increase the chewing capacity and also helps the recovery of the wound due to the moving denture. This treatment can also help to avoid the bone being disappeared in order to improve the appearance of the teeth on a long term.

In case the full set of teeth are missing, it is possible to avoid using a removable denture that can cause many inconveniences:

  • Less attractive appearance.
  • Non-fixed denture laying on the gum that does not look nice.
  • Continuous pain due to ongoing pressure on the gum

 

Fixed denture on 5-6 dental implants

 

This method means absolute stability and as the implants completely release the pressure from the gum it should hold only the denture itself. The shape of the denture increases the hygiene as you can brush your teeth just like your original ones. The denture can be removed only by a professional dentist.

  • tastes are different due to the covered gum.
  • Less chewing and speaking.
  • Periodical adjustments are needed due to the loss of bone.

Thanks to the modern implantology there is a fix and long term solution for those ones who has lost all their teeth. It is also possible to fix the removable denture on dental implants but there are other solutions too:

 

Fixed dental bridge on 8-12 dental implants

 

All the dental crowns are fixed on separate implants. From an esthetical and comfortability perspective, this solution gives you the most natural feeling like having your original teeth. It helps to avoid all the discomfort feelings that are caused by a denture and also helps to prevent the loss of the bone in your jawbone. However, this is the most expensive solution due to the higher number of dental implants.

 

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