Treatment of tooth loss, consequences of tooth extraction

Consequences of tooth loss

 

Tooth loss can lead to serious health problems beyond just aesthetic concerns. We tend to think that missing teeth are merely a cosmetic issue, especially for rear teeth, as they are not visible. However, the problem is much more complex. The natural anatomical structure of our teeth is designed so that each upper or lower tooth aligns with another tooth, maintaining balanced chewing function.

 

As a result of tooth loss, your remaining natural teeth can also be damaged

  • Teeth can become overloaded and wear down
  • Opposing teeth may emerge from the dental arch
  • Adjacent teeth may tilt into the gap
  • Tilted teeth may experience unfavorable forces, leading to further deterioration of their condition and potentially requiring their removal later on (tooth extraction)
  • Cervical tooth sensitivity may develop
  • The contact between teeth, as called as occlusion, may be disrupted

Damage to the temporomandibular joint

Occlusal (bite) problems -if persistent over an extended period- can lead to the development of temporomandibular joint disorders. The following symptoms may arise:

  • teeth grinding, clenching
  • headache
  • neck pain
  • shoulder pain
  • back pain
  • pain around the ear
  • ear congestion
  • balance disorder

 

Sleep disorder

It is also possible that missing teeth are the underlying cause of your sleep disorders:

  • unable to sleep deeply and restfully
  • unable to achieve deep and restful sleep
  • grinds teeth at night
  • teeth are more sensitive upon waking

It is therefore advisable to replace missing teeth as promptly as possible to avoid potential harmful consequences and complications.

 

What type of tooth loss are we referring to and how can it be treated?

 

Below, we summarize, in order of priority, the available solutions for different types of tooth loss if tooth replacement becomes necessary for you.

 

1. Management of single tooth loss

Missing tooth

A single tooth loss refers to the situation where one tooth is missing in either the anterior or posterior region, while the adjacent teeth remain intact.

The primary recommended solution: If the quality and quantity of the bone in the affected area are suitable for implantation, the first choice is a dental implant. This straightforward routine procedure allows for the replacement of the missing tooth in a short period without damaging the adjacent teeth.

If necessary, bone grafting may precede the implantation if the bone availability is insufficient. The quantity of bone tissue can be assessed using a 3D dental X-ray. A dental crown will be fabricated as the final restoration for the implanted implant, ensuring it meets all aesthetic expectations and blends naturally with your existing teeth.

The second recommended solution: If dental implantation is not feasible for any reason and the missing tooth is not at the end of the row (i.e., there are natural teeth both in front of and behind it), a dental bridge can be considered. The dental bridge can be made of either metal-ceramic or metal-free materials, depending on the material requirements.

The third recommended solution: For tooth loss, a removable denture can also be an option; however, due to the limited extent of the tooth loss in these cases, it is not typically recommended.

2. Multiple adjacent tooth loss

Multiple missing teeth

Among the types of tooth loss, this refers to the situation where multiple adjacent teeth are missing.

The primary recommended solution: If the affected area is suitable for implantation, dental implants should be the first choice. This straightforward routine procedure allows for the replacement of missing teeth in a short period without damaging the adjacent teeth. Bone grafting may be necessary prior to the procedure if the existing bone volume is insufficient.

The number of implants required varies depending on the extent of the tooth loss. For two missing teeth, two implants are needed; however, a consecutive loss of three teeth can often be addressed with just two implants. Final restorations on the implanted prosthetics will be either crowns or bridgework, designed to meet all aesthetic expectations and restore your chewing function.

The second recommended solution: If implantation is not feasible for any reason and the missing teeth are not at the end of the row (i.e., there are natural teeth both in front of and behind the gap), a dental bridge can be considered. The bridge may be made of metal-ceramic or metal-free materials. It is crucial that the supporting teeth (abutments) provide adequate stability. This solution is not recommended for extensive tooth loss.

The third recommended solution: Removable dentures can also address the loss of multiple adjacent teeth; however, they are generally less comfortable compared to the first two solutions.

 

3. Complete edentulous mouth rehabilitation

Locator denture

Complete tooth loss occurs when there are no remaining teeth in either of the two jaws.

The primary recommended solution: If the affected area is suitable for implantation, dental implants are the preferred option. This method allows for the rapid replacement of missing teeth. Depending on the available bone density, bone grafting or sinus lift procedures may be necessary prior to the implantation.

The number of implants required varies depending on the type of dental restoration planned. With a smaller number of implants (typically four per jaw), a fixed denture anchored to the implants can be created. If more than six implants are placed, a fixed dental bridge can be made, offering a solution without compromise, providing the sensation of having regained your natural teeth.

The second recommended solution: Removable prosthetics can provide an alternative for replacing missing teeth without being anchored to implants. In this case, both function and aesthetics are restored by relying on the bone structures covered by the oral mucosa to bear the chewing force, rather than implanted roots. The advantage of this solution is its quick implementation, although its stability does not match that of implant-supported restorations. Premium quality teeth are used in the fabrication of this option.

What can you do to address tooth loss?

 

If you wish to avoid the symptoms and potential permanent damage caused by tooth loss, please schedule a dental consultation by calling 053 930 1323 . This will allow you to meet our team and learn about the solution that best fits your needs. During the consultation, we will provide you with a written dental treatment plan, including a guarantee, answering all your questions. You can find the pricing for different types of dental restorations on our dental fees in Hungary page.

FAQ - Frequently asked questions about tooth loss

How long can I wait to replace missing teeth?

Delaying the treatment of a missing tooth caused by an extraction should be avoided, as the loss of even a single tooth can disrupt the balance of your dentition. The adjacent teeth may tilt, and opposing teeth can shift out of place, issues that could be prevented by timely tooth replacement.

If I have no teeth, can a bridge be made for me?

In cases of edentulism, it is possible to create a bridge replacement with an appropriate number of implanted implants.

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