Replace Multiple Missing TeethUpper Front

Missing Teeth

The following are important considerations in restoring multiple missing teeth:

  • What led to the tooth loss?
  • Is there a deficiency of supporting bone and soft tissue?
  • There is an obvious aesthetic problem due to missing teeth
  • Functional problem
  • Risk of hyper-eruption of opposing teeth
  • Risk of drifting of neighboring teeth
  • Risk of cavities and progressing bone loss around remaining teeth

Treatment Options

Fixed Partial Denture

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

Removable Partial Denture

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

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