Replacement of Missing Teeth
In case of failure to replace a missing tooth, you could end up loosing all your teeth. Each tooth has two parts – Crown and Root. Crown is visible in the mouth whereas the root is embedded in the bone. Molars have two or three roots whereas the front teeth are usually single rooted.
Loosing A Tooth :
As shown in the picture extraction of a lower molar has created a space ‘X’ . Upper tooth 6 is now useless because it no longer has a tooth to chew against. Therefore loosing one tooth can result in the loss of two or more teeth.
Back teeth have a lifetime tendency to ERUPT. Only the presence of a tooth to chew against keeps a back tooth from supra-erupting. In the above case the upper 6 has supra-erupted. The resulting unevenness among the upper back teeth has created areas between the teeth that trap debris. Despite the best efforts to brush and floss it is difficult to keep uneven areas clean. Thus gum infection and tooth decay start in these areas. The lower tooth wedges food in the space created in between the upper teeth. This causes the upper 7 to move backwards. As the space further increases infection increases.
Tilt and Drift :
Back teeth have a lifetime tendency to TILT and DRIFT towards the front of the mouth. Thus in the above case the lower 7 is drifting and tilting forward.
Gum Pocket formation and bone loss :
A tilted tooth develops a Gum pocket along its front tooth. Gum pockets are narrow abnormal spaces or clefts that develop between the gums and the tooth root. These pockets trap food debris and bacteria. A gum pocket is a problem as it is very difficult to keep it clean, even with the best brushing and flossing. The debris and bacteria that collect in the pocket lead to worsening of the gum infection. This gum infection finally infects the adjacent bone which softens and slowly begins to disappear. Thus the lower is lost due to gum infection and the upper 6 and 7 eventually lost because of tooth decay and infection.
Failure to replace a single molar tooth may start a chain of events: Supra-eruption, Tilt, Gum pockets, Decay, Bone loss. Over the years this can lead to the loss of all your teeth. Inserting a false tooth today will avoid grief and much greater expense tomorrow.
Crown & Bridges
Sometimes teeth have been so badly damaged by decay or wear that cosmetic fillings are no longer a viable option. Under these circumstances the tooth can be saved and protected by a crown or a cap.
Crowns can also be used on either side of a gap so that a bridge can be constructed to replace one or more missing teeth without the use of implants.
Occasionally, patients who have crowded or malaligned teeth and who are unable to commit themselves to orthodontic treatment can have their problems solved by the use of crowns or veneers which can be used to disguise the appearance of the teeth and provide a beautiful smile for life.
Many of our patients come to see us very unhappy at the appearance of crowns or bridges, fitted by another dentist. Their crown are often of good quality but have failed to please the patient because of simple error – lack of communication between the various people involve in their construction. At Madhav Dental Clinic we pride ourselves in our team approach. We believe that constructing a crown is a combination of technical expertise and artistic flair. From the outset we involve our highly skilled technician in the planning and designing. We encourage as much communication as possible among the patient, technician and dentist to ensure that the final result is exactly as expected.
Often we begin by constructing models of the finished restorations so that the patient is able to see what his or her mouth would look like before any work is started.
We actively encourage friends or family to attend with the patient so that they can contribute to the final result. Thus patients are able to feel relaxed with the knowledge that we will achieve their desired appearance.
Naturally, if the desired appearance is not achievable (which only happen occasionally) we would explain the problems and suggest alternatives.