Sometimes a tooth or teeth may require removal due to advanced decay, trauma, infection or advancing gum disease. When considering the options for replacing a missing tooth or teeth, a classic dental restorative technique is to anchor a fixed bridge to some of the teeth adjacent to the space(s) and use a combination of metal for the core and porcelain for the outer portions so that the bridge looks much like natural teeth and is strong enough for chewing. Once the “bridge” is completed by an experienced dental lab, your dentist will use an adhesive dental cement to bond the bridge in place for years of service.
Today, in some cases a bridge can be created using more recently developed dental materials with superior esthetics and good strength, but without the use of metal. There are specific situations where these newer, non-metal bridges can work out and your dentist can advise you of when and where this technique would be appropriate.
Newer techniques for replacing missing teeth are the use of dental implants, where a titanium fixture about the shape of a natural tooth root is surgically placed inside the jawbone and subsequently restored with a crown (or bridge in cases of multiple lost teeth).
In dentistry today, the use of implants is usually the most optimal choice for replacing a missing tooth or teeth. Bridgework often requires the removal of healthy tooth structure from the supporting teeth which can have adverse long term affects on those teeth. Whereas, implants allow adjacent teeth to be left alone and provide added support, improved chewing function, and easier access for cleaning than a fixed bridge. There are situations, though, where fixed bridgework is the best treatment option.
If you have a missing tooth or teeth, Dr. Emerson can evaluate your individual needs and help you reach an educated decision about the best treatment options for you!