Implants Versus Dentures

By: Dr. Elizabeth Eggert

Thanks to modern dentistry, loss of a tooth – or many teeth – doesn’t have to be permanent. With a small investment of time, money and skilled expertise, it’s possible to replace teeth with implants or dentures.

When our patients are facing the loss of one or more teeth, they come to us for counseling on the best path forward. We consider it part of our customer care to walk them through the options and make sure they understand the pros and cons of each option. Dr. Elizabeth and Dr. Jeff love helping our patients understand the best choice for their individual circumstances. Here’s a quick summary as a starting point.

Implants: The Pros

The best part about implants: They feel and behave like your original teeth. You care for them in a similar way, so you likely don’t need to embrace any fresh routines or invite any new bottles or tubes into your bathroom cabinet. They will prevent neighboring teeth from migrating, so they preserve your bite. Because they are anchored in the bone, they help preserve bone mass in the jaw, Once they are established, they nearly take care of themselves. The feel of chewing, the nuances of speaking, the sensation when you run your tongue along the inside of your mouth – these will all feel completely familiar. Implants are built to last a lifetime, and they almost always do.

Implants: The Cons

Dental implants can take awhile from start to finish. Typically, it’s about six months between initial surgery and final placement of the abutment and crown. There is usually some healing time of the implant which will continue to leave you toothless for awhile. If, however, the missing tooth is in the front of the mouth, we can place a temporary tooth for cosmetic reasons. Depending on your situation, implants may cost more than other options.

Dentures: The Pros

Dentures can be crafted and placed in a shorter time period than implants. They don’t usually require surgery, but sometimes bone recontouring can be necessary to get the denture to fit just right. The initial cost of dentures is lower than most implant replacement options; however, they may need to be replaced as the shape of the jaw, mouth and adjacent teeth change over time, so in the long run may end up costing more.

Dentures: The Cons

Dentures will never feel like your natural teeth. They must be removed for cleaning, and because they can trap food, cleaning is extra important. Denture wearers may have to forgo some of their old eating habits such as corn on the cob. Because they don’t help preserve bone mass in the jaw, denture wearers are likely to experience ongoing jaw bone deterioration, which may prevent them from being a candidate for implants at a later time. Subsequent bone loss may contribute to a sunken appearance of the lower cheeks.

We hope this summary helps you understand your options. We look forward to evaluating your personal situation, and helping you embark on the tooth restoration program that fits your needs. Call us today at 651-482-8412 for your exam and consultation!

Teeth Replacement Options

By Dr. Elizabeth Eggert

Choosing the right tooth replacement method should start with an exam and a dialogue with your dentists, Dr. Elizabeth and Dr. Jeff. They are happy to take the time you need to understand the variables of your available options, including dental health, overall health, how long it will last, how long it will take, and financial impact. We want to help you choose the treatment that makes the most sense for your situation and bring you the greatest satisfaction.

Replacing Teeth with Dental Implants

Dental implants consist of three components. A titanium post is fixed into the bone where a tooth was. The jaw bone grows back around the implant, holding it firmly. When the implant has integrated with the bone, an abutment is fitted on the implant, and then a crown is attached to the abutment.

Implants help keep adjacent teeth and your entire mouth more resilient to deterioration. When a tooth is lost, a few things begin to take place that may not be easily evident to the eye, but can have significant negative consequences for both health and appearance. Tooth roots not only help hold teeth in place, they are also essential in maintaining health in the adjacent gums and supporting bones.

Thus, tooth loss can cause bone loss in the jawbone. This is a problem because it can interfere with the integrity of the roots and stability of nearby teeth. This bone loss is also responsible for the “sunken” appearance of the lower cheeks which we see in people who have lost back teeth. Because this bone loss is gradual, it causes people who wear dentures to find that their dentures are increasingly hard to fit and keep in place, over time.

With an implant, bite function is fully restored to as good as new. Neighboring teeth are prevented from shifting. The jaw bone is much more stable and stays where it belongs. Additionally, implants look and feel like your own teeth, and you care for them just the same as your regular teeth. Plus, the longevity is unmatched, with them lasting many years.

The comfort, function and appearance of a dental implant explain why they have become so popular.

Replacing Teeth with All-on-4® Dental Implants

All-on-4® Dental Implants are a relatively new dental reconstruction. In a way, they are a hybrid of implants and a bridge. With this technique, four (or more) implants are placed in the jawbone and an entire arch of reconstructed upper or lower teeth are affixed to the four (or more) imlants. This is a more comfortable, stable and long-lasting option than traditional dentures. Plus, they look and feel just like “real” teeth.

Replacing Teeth with Fixed Bridges

A fixed bridge fills in the gap caused by one or more missing teeth by using surrounding teeth as anchors. A bridge can be a fairly quick way to replace teeth, but since it relies on the neighboring teeth, the integrity of these anchor teeth is reduced. Bridges can also be more difficult to keep clean than other tooth replacement options because food will trap under the “fake” teeth.

Replacing Teeth with Removable Partial Dentures

Partial dentures are able to replace one or more teeth in an arch They consist of replacement teeth attached to a plastic base and often a metal framework, which is supported by the gums and teeth. They are removed for cleaning. They are more comfortable and secure than full dentures, and usually cost less than implants or bridges.

Replacing Teeth with Full Dentures

Full dentures are an entire set of artificial lower and upper teeth, held in place by suction. They are removed for cleaning. When they’re brand new, they may feel awkward and speaking and eating might require practice. Over time, they may stop fitting properly as bone mass degrades.

To learn more about your tooth replacement options, call us at Eggert Family Dentistry, 651-482-8412.

Why It’s Important to Replace Missing Teeth

By: Dr. Elizabeth Eggert

Everyone wants a full set of strong, healthy, functional teeth. They enable us to eat and enjoy a wide variety of food, chew that food to get maximum nutritional benefits from it, and speak clearly. And hey, they also just look good. When you’ve got a full smile of clean healthy teeth, it’s easy to feel confident when you’re talking, eating, and laughing.

Most of us start off with a full set of 32 teeth, and many of us have our wisdom teeth removed during elective surgery, leaving us with 28 teeth to take care of. However, due to a variety of reasons, many of us loose at least one tooth by middle age, and by age 65, one in four people in the U.S. has lost all their teeth.

Causes of Tooth Loss

Tooth loss is caused by many factors.

Injuries such as falls or sports accidents can cause tooth loss. Even without immediate tooth loss, sometimes there’s sufficient trauma to the jaw bone and gums that a tooth sustains hidden damage in the nerve and root, which may take months or years to become obvious or fully abscess.

Periodontal disease may cause tooth loss. With this condition, the architecture supporting the tooth, like the bone, ligament, and gums, is damaged or destroyed. When this occurs, a tooth becomes loose and painful and often can no longer be saved.

Tooth decay results from bacteria converting the starch and sugar that accumulates in your mouth into acids, which damage the protective layer of tooth enamel and cause cavities. Some teeth are inherently prone to increased cavities due to deep grooves which trap food, tight and misaligned places which are hard to clean, or thin tooth enamel.

Excessive wear from clenching or grinding your teeth can also put a lot of stress on the teeth, causing structural damage in the form of cracks or fractures. As strong as teeth are, this structural damage compounds over time and occasionally an abscess will form from bacteria accumulating in the crack or the damage will be so severe there is no longer any way to save the tooth.

Extra acid in the oral environment will attack the hard enamel surface of a tooth. The enamel goes through a chemical process that is like dissolving. With this thin and weak enamel, the tooth is more prone to excessive wear or decay and can be lost as mentioned above. These extra acids can be from food or drink, acid reflux disease (including GERD), or systemic problems in how your body gets air and breathes.

Many Reasons to Replace Missing Teeth

When you lose a tooth, there are many reasons to replace it.

First, there’s your confidence and self-image. If you’ve got a visible gap in your smile, you are likely to smile less. You may be self conscious when you eat or laugh. In some cases, you may have trouble with a few sounds as you speak.

But beyond just your winning smile, there are other concrete and medical reasons why it’s important to replace missing teeth. Each tooth plays a crucial role in your mouth’s function. A missing tooth can shift your bite pressure onto other teeth, and over time, neighboring teeth may migrate into the space the missing tooth once occupied. Missing teeth also invite plaque to build up in hard-to-clean spots, which can encourage gum infections that might lead to further tooth loss. Also, the bone which formerly anchored the tooth will start to deteriorate and diminish, which can jeopardize neighboring teeth.

Eggert Family Dentistry and Tooth Restoration

Deciding whether and how to replace a missing tooth is a personal choice each person should discuss with our dental team. If you have experienced or are anticipating tooth loss, please come in for a consultation. Dr. Elizabeth and Dr. Jeff will be more than happy to explain your options for restoring your beautiful smile, and to help you understand why your tooth was jeopardized and how to improve the conditions for your remaining teeth. Call us today for an appointment, 651-482-8412.