Posts for tag: tooth loss
Although your teeth feel as if they’re rigidly set in the jawbone, they’re actually capable of movement. In fact, dynamic tooth movement is an essential mechanism in good dental function — it allows your teeth to adapt to changes brought on by age and other factors.
The periodontal ligament is a key component in this mechanism. This elastic tissue actually holds the teeth to the bone through tiny fibers that attach to the tooth root on one side of the ligament and to the jawbone on the other. The teeth move within the ligament to maintain contact with both adjacent and opposing teeth in response to changes like the normal wear that occurs due to aging.
This is a primary reason why a missing tooth should be replaced by an artificial one as soon as possible. Because of the tendency just described, teeth next to the space left by the missing tooth will begin to move (or drift) into the space at an accelerated rate. The end result is teeth out of their normal position and range, which could seriously disrupt their normal function as well as adversely affect your appearance.
This is especially important for back teeth. Because they’re not easily visible to others when we open our mouths, many people will forgo replacement when they’re lost. But missing back teeth can set off a chain reaction of movement that could eventually hinder jaw function.
The best option for a tooth replacement is a dental implant. Life-like and durable, dental implants encourage bone growth at the implant site and adjacent teeth will respond to it as they would a natural tooth. If an implant isn’t feasible, then a fixed bridge is also a viable replacement option that will prevent drift. As a result, tooth movement should continue normally with no adverse effects on function.
If you’ve lost teeth or are about to undergo tooth extraction, it’s in your other teeth’s best interest to consider a permanent replacement. A new implant or bridge will vastly improve your smile and prevent more serious problems in the future.
If you would like more information on the importance of teeth replacement, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Replacing Back Teeth.”
Why is it important to replace missing teeth with restorations such as dental implants? You might be surprised to find that the damage caused by missing teeth is much greater than the simple gaps left in your smile.
As the years go by, teeth lost early in adulthood cause structural changes in a person's face. By age 45 changes in facial structure are already visible in the form of sunken cheeks. By 60, cheeks and lips lose their support, resulting in an aging look. This process continues and if the teeth are not replaced, much of the structural support of the person's face is lost.
These changes are caused by loss of bone. Although it may seem static, bone is actually living tissue that needs constant stimulation to maintain its form and density. With normal stimulation it is in a constant state of resorption (breaking down) and deposition (building up). Teeth provide the needed stimulation for the bone that surrounds them (called alveolar bone) as they meet each other during biting, chewing, and speech. When the stimulation continues, the bone continues to rebuild itself. Without this stimulation, the bone resorbs, does not build up again, and loses substance.
Without stimulation, alveolar bone loses width, height, and volume. Since your teeth and their surrounding bone support your chin, cheeks, and lips, this has a powerful effect on your appearance. It may also affect your ability to chew and to speak.
As alveolar bone diminishes, the next layer of bone also begins to resorb. This is the bone of the jaw itself. The lower part of the face begins to collapse, and the cheeks become hollow. This effect is especially noticeable for people with no teeth (edentulous).
Usually the first tooth to be lost, due to infection and decay, is a molar (back tooth). In the past, a missing single back tooth was frequently replaced by a fixed partial denture (FPD). A crown is provided for each of the two teeth on the sides of the gap, called abutment teeth, to support a false tooth in the middle. However, if they are not well cared for, the abutment teeth may be the next to succumb to decay.
Today the treatment of choice is an implant. A dental implant is a tooth-root replacement made of titanium, which fuses with the bone — making it very stable. Above the gums it is covered by a crown that looks like a natural tooth. The benefit of the implant is that it continues to provide stimulation to the alveolar bone, preventing bone loss.
Implants are also a good choice in the case of multiple missing teeth. They can be used to support bridges or false teeth (dentures). The results are an improved, younger appearance and better functionality.
Contact us today to schedule an appointment to discuss your questions about missing teeth. You can also learn more by reading the Dear Doctor magazine article “The Hidden Consequences of Losing Teeth.”