Why should I replace lost teeth?
One reason for this is your appearance. Another reason is that the gap left by a fallen tooth may mean more pressure on both sides of the tooth. The gap can also mean that your ‘bite’ is affected, as the tooth in front of a gap can bend, change the way the upper and lower teeth work together. It can lead to a chunk of food particles in the gap, which causes tooth decay and gum disease.
How is a lost tooth replaced?
It depends on the number of teeth that have fallen out and their location in the mouth. The condition of the remaining teeth in your mouth also affects the decision.
There are three main ways to replace lost teeth. The first is to be replaced with a removable denture (or teeth) – this is called a partial denture. The second is to replace it with a fixed bridge. Bridges are often used when there are few teeth to replace or when the lost teeth are on only one side of the mouth. The third way is to do this by using dental ‘implants. The prosthetic root is placed in the jaw bone, and a crown or bridge is placed over it. See our booklet, ‘Tell Me About Dental Implants.’
What is a partial denture?
It is a plate on which one or more dentures are attached. It can be all plastic or a mixture of metal and plastic. Both types may have clips to hold the denture in place in your mouth. Depending on where they are, some of these clips may be visible when you smile or open your mouth.
What is the difference between metal dentures and partial plastic dentures?
Plastic partial dentures are less expensive. But if they are not prepared very carefully, they can damage the teeth in front of which they are fitted.
Metal partial dentures are often made of an alloy of cobalt and chromium and are pretty strong. Although the base is metal, they contain metallic-colored plastic, and naturally occurring teeth are fixed in them. They are more expensive than plastic dentures.
How can I choose the best type for me?
Metal-based partial dentures provide the best results in most cases.
Can I get the bridge fitted soon after I have had a tooth extraction?
Within six months, for your gums to heal correctly after tooth extraction, you may need to have temporary dentures before the bridge can be fitted.
How do I take care of my denture?
The general rule is: brush, soak and then brush. To avoid dropping your denture, always clean it in a bowl full of water or on a folded towel. Before soaking the dentures, clean them with a brush to remove any trapped bits of food. Use a bubbling denture cleaner to clean stubborn stains and leave your dentures feeling fresh – always follow the manufacturer’s instructions.
Most dentists recommend using toothpaste and a toothbrush with a small to medium-sized end. Ensure you clean the entire surface of the denture, including the one that fits over your gums. It is essential if you use any denture adhesive.
If you find that the stain or crust has settled, let your dental team clean your denture.
Should I have my denture removed at night?
Your dental team may recommend taking out the dentures at night to give your mouth a chance to rest. It is essential to leave it in the water not to spoil, and there are no cracks in it.
What is the alternative to partial dentition?
The main option is a fixed bridge or dental implant. Dental bridges are made by joining the two crowns together by placing crowns on teeth’s either side of the gap and placing dentures in the gap. All this is made in the laboratory, and then the pieces are fastened in place with special glues. The bridge cannot be removed.
Another option is the Chepauk Bridge. It consists of ‘wings’ attached to the back of the supporting teeth and requires minor drilling.
What are bridges made of?
Bridges are often created of porcelain bonded to precious metal. Apart from this, the new bridges are also made entirely of a particular type of solid porcelain.
How much will the bridge cost?
Depending on the type and size and of the bridge you require, the cost will vary. Always obtain a written estimate of the cost and treatment plan before starting any dental treatment. Although the bridge may seem expensive, it can last for many years.
How do I take care of my bridge?
You have to clean your bridge every day to prevent problems like bad breath and gum disease. Apart from this, you have to clean every day under the denture. You will require to use a floss threader or a particular dental thread as a regular toothbrush cannot reach there. Your dentist will tell you how to use them.
Are there other ways to fix dentures?
Using a combination of crowns or partial dentures can keep the retaining clips out of sight. These are highly specialized dentures, so you should ask your dental team about them.
Can I have teeth that are attached to my jawbone?
Yes, by making allegations. This treatment means that you may be able to replace the broken tooth without having to put a crown on other teeth. See our booklet ‘Tell Me About Impositions’ for more details. Remember that taking care of your remaining teeth is just as important as replacing lost teeth.
