Tuesday, March 16, 2010

Had tooth pulled- do I have to get an implant or bridge?

I had a molar pulled while I was pregnant- well it was really a stump of yuckiness as it was a root canal/crown that broke apart. So now I have a missing tooth there- do I have to get an implant or bridge? What will happen if I just leave the empty space there?

Had tooth pulled- do I have to get an implant or bridge?
Hi!


Well, it depends onto the exact situation. First, you didn't mention if it was a last molar or not. That is really important for a bridge construction. And there are several other factors that are noted.


As a patient of mine always ask me "what would you do if you were into that situation", I would totally either get an Implantat or get a bridge. The "do-nothing" politic is the worse - because soon the surrounding the extracted tooth teeth would start moving towards the gap, the teeth from the other arch would start growing, making the situation really bad for prosthodontics recovery. Anyways, in progression, your teeth would begin to take forces that aren't towards their long axin. That with time will cause mobility of the surrounding teeth - and you will start losing them. So don't just WAIT!!!


Make an appointment and discuss the both solutions with your treating doctor. If your other teeth are intact (no caries, no obturation) then I would suggest you to think over the implantats - well, for those you will need to maintain a really great oral hygine, but they will also prevent the alveolar bone loss and you wouldnt have to get two more teeth preparated for a bridge construction. But that of course depends on the exact situation in your mouth.


In the end, do nothing - that's a really bad choice. And if it was in my mouth, I would have really tried with implantats first and go for a consultation with a dentist.


Take care,


Raia
Reply:No, you don't have to, but you run the risk of your teeth shifting and ending up with spaces in between your teeth.
Reply:a bridge would be best.


if you leave it empty your teeth will migrate over and fill in the space and then you will have gaps in the front where ppl will be able to see and it wont look very nice.
Reply:Nothing will happen your gums will heal over where the tooth used to be and life will go on a bridge or implant is not necessary.
Reply:You don't have to, but a bridge or an implant would stop them from shifting
Reply:Worst case scenario might be that your teeth will shift, and leave a gap, or go the other way and overlap or crowd. Chances are, though, you'll never miss it. If you're really concerned, check with your dentist.
Reply:I wouldn't replace it unless it shows when you smile. Other wise you don't need to do anything.
Reply:your teeth could shift and the tooth that is directly on top of it will eventually start falling down a little because it has nothing to hit when you are biting. its best to get a bridge but you can wait a little while.
Reply:I have lost my molar too, and I have done nothing, to replace it. The molars are what do all the work, when we chew, so it will feel different, but you might want to thank about an implant, as long as you have good bone up there. I have a bridge, and I hate it, as the piece that fits on the roof of my mouth is too big, and I can not eat or drink with it in.



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