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Single tooth replacement

Replacing One Tooth

Replacing a single tooth can be achieved with a conventional bridge or an implant retained crown.

Single Tooth replacementThe conventional fixed partial denture (fixed bridge) requires that your dentist drills down two or more adjacent teeth to create space for the crowns of the prosthetic teeth.

Placing a bridge on natural teeth increases the functional forces that are placed upon them and makes the use of floss between the teeth more difficult. Conventional bridges may need to be replaced if the supporting teeth develop cavities or periodontal disease. In a certain percentage of instances while preparing the adjacent teeth for crowns (i.e. drilling down a tooth), the preparatory procedure will cause the nerve of the tooth to die and require root canal treatment to eliminate infection of the nerve.

An implant single-tooth restoration avoids the need to restore the adjacent teeth and also replaces the support that is lost with the missing tooth. This allows normal flossing as if the replacement implant were a natural tooth. An implant is placed in the position of the missing tooth. When the implant is stable and ready for loading, an abutment can be attached to the implant that will connect the final crown to the implant. An impression is made to record the contours of the abutment or the position of the implant top. The crown is then fabricated and fixed in place using cement or screws. An implant crown is not susceptible to cavities but may develop complications if oral hygiene is not maintained. The implant restoration should be routinely evaluated in time intervals that are determined by the conditions of the remaining natural teeth and the implant.

There are 4 Steps to replacing a single tooth…

Step 1

Single Tooth Replacement Step 1

  • A consultation and thorough dental examination is performed by Dr Longbottom.
  • X-rays and an impressions are taken of your dental situation.

Step 2

  • Single Tooth Implant Step 2The dental implant is installed in the jawbone. No healthy teeth are affected or damaged. With other replacement solutions, adjacent teeth might need to be ground down to support a bridge.
  • Depending upon your situation, the final procedure for step 2 can be one of the following:
    • A temporary abutment and a temporary crown is placed immediately.
    • The dental implant is covered by soft tissue and an enamel retained crown or a temporary partial denture is placed during healing.
    • A permanent abutment and final crown is placed immediately.

Step 3

Single Tooth Implant Step 3Depending upon your individual situation, the next step can include one of the following:
  • The temporary abutment is replaced by a permanent abutment. An impression is taken and a temporary crown is put in place.
  • The dental implant is revealed through a second surgery and an abutment is placed. A temporary crown is put in place. After a healing period, an impression for the final crown restoration is made. The temporary crown is put back in place.

Step 4

  • Single Tooth Implant Step 4A new crown, carefully created to look just like your natural tooth, is permanently placed over the abutment. The new tooth is now complete and it is virtually impossible to see the difference between the existing teeth and the new tooth.
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