Replace Multiple Missing TeethUpper Back

Situation: Missing Upper Back Teeth

  • Functional problem: molar teeth are necessary for chewing food
  • Esthetic problem: some people show these teeth when they smile
  • Risk of eruption of opposing teeth
  • Risk of drift of neighboring teeth
  • Increased susceptibility to cavities and further bone loss
  • No support for bite: this may cause muscle and joint problems

Treatment Options

Removable Partial Denture

Advantages:

  • Most economical
  • Tooth and lost bone and gum structure may easily be replaced in one appliance

Disadvantages:

  • Bulk
  • Must be removed nightly
  • Difficulty with speech
  • Altered taste
  • Risk of cavities and bone loss
  • Difficult to chew
Removable Partial Denture

Fixed Partial Denture With Cantilevered Pontic (No Back Support)

Advantages:

  • Fixed and predictable
  • Immediate result
  • Average live span is 5 7 years

Disadvantages:

  • A bridge with no back support has poor strength
  • Need to incorporate more teeth in the bridge
  • Prepared teeth may need root canal treatment
  • After tooth structure has been removed, a tooth is susceptible to cavities
  • There is a risk of progressing bone loss
  • Regular chewing forces cause the bridge to come out

Fixed Partial Denture

Advantages:

  • Fixed and predictable
  • Immediate result
  • Average live span is 5 7 years

Disadvantages:

  • Long span bridge has poor strength
  • Need to incorporate more teeth in the bridge
  • Prepared teeth may need root canal treatment
  • After tooth structure has been removed, a tooth is susceptible to cavities
  • There is a risk of progressing bone loss

Dental Implant Supported Fixed Partial Denture

Advantages:

  • Fixed
  • Excellent function, bite force is 95% of natural dentition
  • Stabilize bone
  • No adjacent tooth preparation is necessary

Disadvantages

  • Longer treatment time to final restoration
  • Need for minor surgery
  • May need site preparation to replace missing bone and soft tissue prior to dental implant placement
Dental Implant  Supported Denture