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Replace A Missing Molar With A Dental Implant

{ News - Nothing but the tooth }

Sept 2018
20th
20th of September 2018

Our case of the month for September involves a dental implant to replace a missing molar tooth. Initially, the tooth was lost due to extensive tooth decay that was not treatable. This resulted in a space which affected eating. Although back teeth are not particularly visible, it is important to replace them for a number of reasons:
 

  1. Restore the bite
  2. Prevent movement of the adjacent teeth
  3. Prevent movement of the opposite teeth
  4. Preserve the jaw bone
  5. Aesthetics if visible on smiling


In our case, the missing tooth was on the upper right side:
 

Before dental implant missing tooth 300x200

Missing back tooth, affects the bite and normal function.

In terms of the dental implant treatment, there are a number of steps that we follow:
 

  1. 3-D scan to assess the bone volume. This is vital as we can see how much bone is present, where the important structures are such as the sinus floor in the case of an upper back tooth. We then choose the correct size implant for the missing tooth.
  2. Placing the implant. This is done under sterile conditions, much like in a hospital. The surfaces are covered with sterile drapes, the equipment is covered by sterilized foil/ covers and we wear sterile drapes. Although this may look scary, we want the treatment to be as 'clean' as possible by introducing as little bacteria as possible to the mouth.
  3. Allowing healing. We normally wait 12 weeks after the implant has been placed for osseointegration- integration between the implant and the jaw bone.
  4. 3-D scans are then taken which are sent to the lab. There is no need to take impressions any more!

 

3 D intra oral scan 225x300

3-D intra oral scan- different case.

5. The implant crown is fitted. The missing tooth is replaced.
 

After dental implant 300x200

Implant tooth - natural and function is restored.

If you have one, several or all missing teeth and would like them replaced, contact us today to see how dental implants could change your life. Treatment completed by Dr Nissit Patel using Astra EV dental implant. 

Photographs are the sole property of Dr Patel and cannot be reproduced.


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1. Superior aesthetics

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2. Metal-free / hypoallergenic

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3. Lower plaque accumulation

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4. Corrosion-resistant

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5. Good soft tissue response

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Replacing lower premolar and molar teeth - what is the best solution?

Losing a tooth in the back of your mouth can feel frustrating. The lower premolars and molars—the teeth you use most for chewing—are especially important for eating, speaking, and keeping your smile healthy. When one of these teeth is lost due to decay, gum disease, or injury, it’s natural to wonder what the best replacement option might be.

While removable dentures and bridges may be an option , we generally recommend dental implants for replacing premolars and molars, especially in the lower jaw. Implants are small titanium posts that act like artificial tooth roots. They are placed into the jawbone and topped with a crown that looks and feels like a natural tooth. Below are the main reasons why implants are often considered the gold standard for replacing missing back teeth.
 


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Can I replace a missing tooth without using a titanium dental implant?

A missing tooth or teeth can be a major dental issue for most people with aesthetic and functional problems. This is not a good look at the front of the mouth but even from the side, a large gap can ruin a smile. Teeth are designed for a certain reason , whether that be for biting and tearing food ( front teeth) or chewing ( molars). The loss of even one tooth can impact on everyday eating habits and long term issues with the bite. For example, teeth will slowly move into the space left by an extracted tooth by either drifting in sideways or the opposing tooth moving up or downwards ( over eruption). This can dramatically impact on how one eats and damage the other teeth in the long term. The answer is to the replace the tooth in good time!

Most dental implants are made from titanium which is classified as a biocompatible material. However, reports have suggested that 0.6% of the population may have a hypersensitivity or allergic reaction to titanium and this would not be a suitable material. Increasing, we are hearing that patients would like to avoid any form of metal within the mouth as a personal choice akin to not having amalgam fillings. This is perfectly acceptable and there is an alternative option with zirconia ( zirconium dioxide) implants. These are metal free dental implants that are white in colour and hence are aesthetically pleasing. We use zirconia a lot in dentistry and the material is routinely used for crowns on back teeth and crowns for implants. We have never come across an allergic reaction to zirconia nor seen any form of hypersensitivity. Zirconia is bioinert meaning it does not release any ions like some metals can which reduces the risk of an immune response.
 


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Replacing multiple teeth with dental implants

Teeth can be lost for various reasons such as tooth decay, trauma, failed root canal treatments or periodontal (gum) disease. The loss of teeth can have a significant impact on not only everyday function but aesthetics and general confidence when out and about. Replacing missing teeth is vital as this will restore function ( eating is important!) , improve aesthetics and prevent the adjacent and opposing teeth from moving into undesirable positions. The latter is a particular problem if the teeth are not replaced for a few years as this will make any dental implant treatment far more complicated.