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:
 

Our previous article focused on dental implants replacing several teeth. This case demonstrates the replacement of one missing tooth at the back, a molar tooth. This is a very common situation. You may ask: 'why do I need to replace a tooth at the back of my mouth. It is not visible and I don't really miss it.' 

However, there are a number of reasons why you should replace missing molar teeth:

1. Molar teeth are designed for chewing food. If you have a missing tooth especially a missing molar, then the force of chewing is placed upon other teeth. This can lead to further damage. 

2. Replacing the missing molar will prevent the opposite tooth from moving in a vertical direction; this is called over eruption and can cause significant problems with the bite. 

3. Replacing the tooth will prevent the adjacent teeth from drifting and tilting. 

4. Dental implants prevent further bone loss. This will prevent a sunken look in the future years. 

5. Self-esteem is dramatically improved with a full set of teeth.

Below is a case of a missing molar tooth, expertly replaced by Dr Nissit Patel: