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Replacing Missing Teeth

There are many reasons why a person might have lost their teeth, from decay to accidental trauma. Sometimes the removal of a tooth unfortunately is the only option.

Here at Berwick Smile Dental Care we not only understand the embarrassment a missing tooth can cause, but also the serious effects a ‘gap’ can have on the remaining teeth. Teeth LOVE to move. If a gap appears that wasn’t there before, it is most likely the surrounding and opposite teeth will try to fill the space.

Why does this happen?

Teeth need an opposing surface to successfully function and chew food. If there is nothing there, the opposing teeth will start to drift or move until there is an equal force-  they might even drift and touch the opposing gums where the extracted teeth once were.   Once this process of drifting and shifting of teeth occurs, the front teeth may have too much stress to bear and will tend to splay or drift forward.  

What else can happen?

If there are multiple teeth extracted in one area there will be very little contact between the remaining teeth making chewing on that side almost impossible. So to compensate the person affected will start to favour the opposite side for chewing, possibly changing their natural bite and causing pain and tension in the jaw.

What are my options?

Many years ago the only option for missing teeth was a denture. And unfortunately dentures really do have a bad reputation for being unsightly, uncomfortable and overall unwearable. It is so common all over the country for patients to spend hundreds of pounds (both at NHS practices and Private practices) on new dentures to only put them in a drawer and never look at them again. But this really doesn’t have to be the case. Here at Berwick Smile Dental Care we not only create comfortable wearable bespoke dentures in either acrylic or chrome but also have other options available to replace missing teeth that are more fixed and more longterm.

Your options are:

Partial Denture

A removable plate with all missing teeth attached. Created in either Acrylic or Chrome. They are easier to clean, however, it also may mean they are more likely to break. Dentures can be used to replace anything from a full arch of missing teeth to just one single missing tooth.

Partial Denture Pros
Cheapest option
Removable making it easier to clean
Least invasive
Could improve facial appearance, making a patients face look younger and fuller if has been withouth teeth for a long time.

Partial Denture Cons
Removable so less stable which often causes insecurity
Not very good for the palate or gums due to pressure and irritation
Food may become trapped beneath plate
Has the least stability and strength
Can cause discomfort and pressure points as it is a foreign object in the mouth
Retention Clasps may be visible.

Fixed Bridge

An excellent option for substituting randomly missing teeth with artificial teeth by closing up gaps between teeth. Here at Berwick Smile Dental Care we have two different fixed bridges available. A Ribbond Bridge or a Conventional Bridge. A resin retained bridge is also called Maryland or adhesive bridge. They are the most conservative type of bridges and basically are ‘sticky’ type bridges, which are bonded (cemented) to the back of the teeth adjacent to the gap by metal wings or bonded fibers (Ribbond). A conventional bridge is a type of bridge, which involves the teeth adjacent to the gap to be prepared for crowns. These crowns act as the retainers for the bridge.

Ribbond Bridge Pros
Fixed in to mouth no need to remove
Cheaper than Conventional
Lasts 5-7 year
Minimum tooth preparation

Ribbond Bridge Cons
Not very strong
Doesn’t last as long as conventional
If anything happens to the adjacent teeth
the patient may lose the whole bridge.
Limited to certain locations in the mouth

Conventional Bridge Pros
Fixed in to mouth no need to remove
Lasts 10-20 years
Stronger than Ribbond
Highly cosmetic

Conventional Bridge Cons
More expensive than Ribbond
Destructive removal of tooth tissue required on adjacent teeth
If anything happens to the adjacent teeth the patient may lose whole bridge.

Dental Implants

Dental implants are the most modern way of replacing missing teeth. They involve the gentle insertion of a new titanium root to replace the natural root of your tooth. On top of this new titanium root we can make a highly cosmetic dental Crown to replace missing teeth.

Dental Implant Pros
Most natural
Best value
Can last many years (95% of implants place last 20 years+)
No preparation required on neighbouring teeth
Fixed, no need to remove providing you with security it will stay in place
The most aesthetic

Dental Implant Cons
Most expensive solution
Primary procedure can be invasive
Longest treatment time

For more detailed information on any of our treatments, or to request an evaluation appointment you can call us now on 01289 305205 or email us directly at info@berwicksmile.co.uk.

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