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Posts for tag: missing teeth

By Advance Family Dental Care
October 30, 2020
Category: Dental Procedures
Tags: missing teeth  
3WaysWeCanImproveaSmileAffectedbyUnformedTeeth

On the way to adulthood, permanent teeth steadily erupt until, if all goes normally, you have a full set of teeth. Sometimes, though, one or more teeth may fail to form. This not only can affect your dental health, but it could also diminish your smile.

For example, if the lateral incisors on either side of the central incisors (the two teeth front and center) don't develop, it could create a smile that's “not quite right.” But we can vastly improve such a smile in one of three unique ways.

The first is to fill the resulting gap through canine substitution. This is an orthodontic method in which we use braces to move the pointed canine teeth, which normally position on the other side of the missing laterals, closer to the central incisors. This choice is determined by the size of the canine teeth. If they are slim in width, they can be re-shaped to make them appear more like a lateral incisor, and the gums possibly reshaped as well around them through cosmetic surgery.

We can also install a dental bridge, an appliance that fills the missing lateral space with prosthetic teeth. A traditional bridge requires the teeth on either side of the gap to be reduced in size, which becomes a permanent alteration to accommodate these crowns. This is a disadvantage in a young person.  We can also use a “bonded bridge” which uses adhesives to attach extended pieces (or “wings”) of dental material from either side of the prosthetic tooth to one or more supporting teeth.  These wings are behind the permanent teeth.  Though not as durable as a traditional bridge, it does avoid altering the support teeth.

Finally, we can replace the missing teeth with dental implants. In this method, we install titanium metal posts into the jawbone at the missing tooth locations and then attach a life-like crown to each one. Implants may be more costly than other restorative methods and can take several months to complete. But they are life-like, highly durable, and don't require any alteration to other teeth. A disadvantage is that you should wait until at least 19 years of age to consider this option.  What many people do is use a temporary solution until the proper age to do a dental implant.

Each of these methods have their advantages and disadvantages, which should be thoroughly reviewed in consultation with your dentist. And each may also require other dental work, such as initial orthodontics to open adequate space for a restoration. But any of these methods for correcting a missing lateral tooth can be effective and help restore both a healthier mouth and a more attractive smile.

If you would like more information on treating congenital dental defects, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “When Permanent Teeth Don't Grow.”

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By Advance Family Dental Care
March 29, 2020
Category: Dental Procedures
ABirds-EyeViewofToothReplacement

Imagine not having your upper teeth for talking and eating, not to mention your appearance, and you’ll have some idea of what Beauty the bald eagle experienced after losing the top of her beak to a hunter’s bullet in northern Idaho. She couldn’t groom or feed herself and could barely drink water, relying instead on the conservation group that had taken her under their wing for assistance. But the magnificent raptor was eventually made whole and able once again to eat, drink and preen unaided. It took a visionary mechanical engineer and a very skillful dentist who designed and attached the first-of-its-kind bald eagle “dental” prosthetic — dubbed the “bionic beak.”

Prosthetic Teeth for Humans

Fortunately, the field of human prosthetic dentistry (or prosthodontics) is much more advanced than it is for our avian friends. We have several options for replacing missing teeth (as well as parts of missing teeth) that restore aesthetic appearance and functionality while potentially preventing other problems such as the drifting out of alignment or loss of remaining teeth.

Bridges. As the name suggests, these custom-made devices span the area that is missing a tooth/teeth. Fixed (not removable) bridges are made up of an artificial tooth/teeth fused between two crowns that fit over your existing teeth or dental implants (see below) on either side of the gap. There are removable bridges, but they are considered temporary fixes.

Dentures. These are custom-made removable replacements for missing teeth. Partial dentures offer a removable alternative to fixed bridges and are used when some teeth are missing in an upper or lower arch (jaw). Full dentures are used when all teeth are missing in an arch. Replacement teeth are embedded in an acrylic base that fits over your gums and mimics their color.

Dental Implants. These are the closest thing to having your own tooth/teeth back. An implant is a small titanium post that is placed in the jawbone beneath the gum to serve the same purpose as a tooth root. Once the bone joins to the implant (a process called osseo-integration), a lifelike crown is attached to it.

We would be glad to discuss which option would be right for you.

If you have questions about tooth replacement, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Dental Implant Surgery,” and “Crowns & Bridgework.” Beauty the eagle’s story of rehabilitation can be found here: //blog.theanimalrescuesite.com.

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By Advance Family Dental Care
July 11, 2018
Category: Dental Procedures
Tags: missing teeth  
TeenagerswithMissingTeethUsuallyNeedaTemporaryRestoration

Anyone at any age, including older children and teenagers, can lose or be born missing a permanent tooth. And while those missing teeth can be restored, replacing them in patients who haven’t yet reached adulthood can be tricky.

That’s because their dental and facial development isn’t finished. This is especially problematic for dental implants because as the jaws continue to grow, a “non-growing” implant could eventually appear out of alignment with the surrounding natural teeth. That’s why it’s often better to install a temporary restoration until the jaws fully mature in early adulthood. Two great choices are a removable partial denture (RPD) or a bonded (“Maryland”) bridge.

While “dentures” and “teens” don’t seem to go together, an RPD in fact can effectively restore a teen’s lost dental function and appearance. Of the various types of RPDs the one usually recommended for teens has a hard acrylic base colored to resemble the gums, to which we attach prosthetic (“false”) teeth at their appropriate positions on the jaw.

Besides effectiveness, RPDs are easy to clean and maintain. On the downside, though, an RPD can break and—as a removable appliance—become lost. They can also lose their fit due to changes in jaw structure.

The bonded bridge is similar to a traditional fixed bridge. But there’s one big difference: traditional bridges crown the natural teeth on either side of the missing teeth to secure them in place. The supporting teeth must be significantly (and permanently) altered to accommodate the life-like crowns on either end of the bridge.

Instead, a bonded bridge affixes “wings” of dental material extending from the back of the bridge to the back of the natural teeth on either side. While not quite as strong as a regular bridge, the bonded bridge avoids altering any natural teeth.

While a fixed bridge conveniently stays in place, they’re more difficult than an RPD to keep clean. And while less prone to breakage, they aren’t entirely immune to certain stresses from biting and chewing especially in the presence of some poor bites (how the upper and lower teeth come together).

Choosing between the two restorations will depend on these and other factors. But either choice can serve your teen well until they’re able to permanently replace their missing teeth.

If you would like more information on dental restorations for teens, please contact us or schedule an appointment for a consultation.

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By Advance Family Dental Care
March 21, 2014
Category: Oral Health
Tags: missing teeth  
ReplacingMissingBackTeethDeservesaHighPriority

For most people, replacing missing front teeth takes a higher priority over missing back teeth. The reason is obvious: others can see those missing in front, but not necessarily those in the back.

From a functional view, however, you should still consider replacing missing back teeth. Not only will it improve your chewing ability, it may also prevent a chain reaction of negative effects to your remaining teeth.

Teeth are held in place in the jawbone by a membrane called the periodontal ligament. The ligament is a living tissue that allows teeth to move to keep contact with adjacent and opposing teeth as natural wear occurs. When a space is created by a missing tooth, this natural movement accelerates and the teeth may shift beyond normal ranges.

As a result you can encounter excessive mobility of teeth from bite irregularities, uneven tooth wear, bone loss, potential painful problems with the temporo-mandibular joints (connecting the lower jaw to the skull), and a loss in facial height.

There are three basic options for this kind of tooth replacement. The best option is dental implants: these free-standing replacements don't normally affect surrounding teeth, they're easier to clean, and they help support the bite. On the downside, there must be enough remaining bone to support the implant.

The next best option is a fixed bridge. This option only works, however, if there are teeth on either side of the missing tooth space capable of supporting the bridge, and they must be reduced in size by removing the enamel with the dental drill. They also have a tendency to retain plaque, the main cause of gum disease.

That leaves the last, and least favorable, option, a removable partial denture. They may also trap food and be difficult to wear. They can move in the mouth, stressing — and possibly loosening — the remaining teeth that hold them in place. With all its drawbacks, though, if a partial denture is the only solution to missing back teeth, it's a better alternative than doing nothing and risking long-term problems.

If you would like more information on replacement options for back teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Replacing Back Teeth.”

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Naperville, IL Dentist
Advance Family Dental Care
1567 N Aurora Road, Ste 143
Naperville, IL 60563
(630) 358-9899
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