When patients wish to have some fixed solution, we normally recommend implants with single crowns or dental bridges. In both cases the new teeth will look nice and natural, and functionally both solutions have a long-lasting result.

Dental implants are normally preferred

  • when only one tooth is missing and the teeth on the two sides of the gap are healthy. In this case the implant solution allows the missing tooth to be replaced individually; the new implant crown will perfectly fit in the gap with ideal contact points with the neighbouring teeth.
  • when last back teeth are missing only implants can be used to replace them because having a dental bridge requires the support of pillar teeth on both sides.
  • when all upper and/or lower teeth are missing all-on-6 and all-on-4 techniques are often recommended. This means having a full-arch bridge anchored on 4 or 6 implants. With this solution optimal chewing force and function is restored; the chewing strength of implant-based crowns and bridges is the same as natural teeth’s, while with dentures chewing is much less efficient.

Why back teeth are so important

  • When there is a gap the teeth will tend to occupy the empty space. They would either move sideways leaving bigger gaps between the remaining teeth or lean in and therefore they would not provide optimal chewing surface.
  • The opposing teeth (in case of a lower tooth they are the upper ones on the same side) will not get any counterforce, therefore they would slowly start to move downwards. Any missing tooth in the long term will weaken the opposing one as well and eventually these will also erode.
  • In case there are missing teeth on one side, chewing will not be balanced. If we chew only on one side for a longer period of time, the joint will be overloaded on this side and get weaker on the other. This imbalance can cause several irreversible processes in the temporomandibular joint: the joint will get painful, give a strange noise when chewing and get easily dislocated.
  • In case there are several missing molars only the front teeth are left for chewing. However as the shape of the front teeth shows, they were designed for biting and not for chewing. If we use the front teeth for chewing for a long period of time these teeth will be overloaded, which they will not be able to resist: they will get weaker, get broken or start to move.

There are various ways available to replace missing back teeth: dentures, implant-based crowns or bridges.

We offer free consultations and treatment plans to make the process easier and help you to find the optimal solution.

More information, appointment for free consultation:

info@dentartlondon.co.uk
0208 741 5185, 0742 1984 508