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Single Tooth Replacement

  • A missing tooth and an empty space can be physically and emotionally, a very trying experience. It causes immediate aesthetic displeasure. Also leaving a gap unattended can have unwanted results such as shifting of remaining teeth, misalignment and periodontal disease.
  • The primary goal of implantation of a missing tooth is to restore the lost tooth back with better strength
  • Advantages of having implant in single tooth missing area
    • Getting implant is like getting back old strong tooth
    • No need to grind adjacent natural teeth
    • Double the strength than old natural tooth
    • No food accumulation
    • Tooth colour/shade is of patients choice

Types of single tooth replacement:

  • Single stage:
      • Either a single piece implant or a two piece implant can be used and teeth also can be given immediately

     

  • Two stage:
    • Two stage implant is used where only is placed first and left it in bone for 3 months(in case of lower jaw tooth) and 6 months in case of upper jaw tooth.
    • After healing period of 3-6 months later, crown (tooth/cap)is given as second stage

Evaluation before surgery

  • Physical inspection may include:
    • Evaluation of the space available
    • Evaluation of surrounding tissue for any local infection
    • Evaluation of presence of sufficient bone to get implant
  • Imaging studies may include:
    • Dental small x ray (Intra oral radiograph)
    • Full mouth x ray/OPG(Orthopantamograph)

Dental implant vs. a bridge

 

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Bridge Implant
Need to grind adjacent teeth No grinding of adjascent teeth
Food lodgment can happen below the bridge No food lodgment below the implant
Foul odour may occur over years No foul smell any time
Need to change over short period No need to change for long period
Strength of adjacent teeth is reduced/compromised over a period Strength of adjescent teeth do not affect by implant
Not as strong as natural teeth Stronger than natural teeth
Good esthetics Excellent esthetics
Takes support from adjacent teeth Takes support from its own titanium root
  • Dr. Sudhakara Reddy places dental implant in single tooth replacement cases less than 15 minutes time either single stage or two stages depends on the situation and patients need.

 

                       Authored By DR. SUDHAKARA REDDY - Implantologist, Bangalore 

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