No one likes to smile and show the “space” of a missing
tooth. Missing teeth are an embarrassment as well as can affect a person’s health and quality of life. Some of the problems associated with missing teeth include difficulty eating, speech problems, and can cause the adjacent teeth to move and ultimately be lost! Let’s look at the pros and cons of the 3 most common solutions.
The three most common ways to replace missing teeth:
1. With a dental implant2. With a fixed, non-removable bridge
3. With a removable partial denture or complete denture.
Implants are by far the strongest option with the most longevity. They are the “standard of care” for replacing teeth today. Implants are titanium “false roots” that are surgically placed into the bone. After approximately 3 to 4 months of healing, an attachment called an abutment is screwed into the top of the implant and a crown is placed over the attachment. Dental Implants usually will last you your lifetime, which cannot be said about any other treatment option, so although they are the most expensive on the “top” side, you will only be paying for them once!
Fixed Bridges are the second most popular option. This procedure involves the trimming down the adjacent teeth, sending a mold of the teeth to a dental laboratory to make the bridge, and the cementation of the bridge about 3 weeks later. A bridge is a less expensive option to a dental implant and used to be the “standard of care”. They are still commonly used, especially when the cost of a dental implant restricts its use. The downsides of this option are the trimming down of the healthy teeth on each side of the missing tooth, the possible future complications that could arise, such as the need for root canals, and the fact that the average lifespan of a bridge is 7 to 15 years (not your lifetime).
Finally the Partial or Full Denture option, which is the least expensive and also the least desired. Partials and Dentures are removable appliances used to replace missing teeth. They usually do not fit tight and tend to move when eating and can impair your speech. Partials and Dentures have an unnatural feel so it takes time to adjust to them if ever. Also, a partial has wire clasps that clip around the remaining teeth that can damage those teeth and looks unsightly. However, if you think you may want implants in the future, you could temporarily wear a partial until the time is right for you to do something more permanent and more comfortable.
Whether you choose an implant, a bridge or a partial denture will depend on many factors. You and your dentist can discuss the benefits and limitations of each of these options before deciding what is best for you.
