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Single tooth replacement

If tooth #7 has to be extracted, what are the alternatives to single-tooth replacement, aside from dental implants which is very costly.
Poster
  • Female | 67 years old

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Featured Answer

1 UpVoted this answer
Implants are cheaper in the long run. And look better too!
Christopher A. McConnell
1 UpVoted this answer
I'd suggest a Maryland type bonded bridge in the space. It requires a little preparation of the teeth adjacent to the space and then a false tooth is glued in between. When they are properly done, longevity of these bridges in our office is 10-15 years. It also leaves options for further treatment (such as an implant) open for the future.

Good luck with that - it's tough to lose a front tooth.
Rick Liftig
A bridge can be done but that means filing down you adjacent teeth. Cost of a bridge could equal or exceed an implant. A flipper (temporary denture) is the least costly way to go but you have to remove it at night and they are not meant for eating.

There is something called a 'snap on smile' devise but those are expensive. In the end the implant is the best way to go. When the implant is placed you still have about 6 months to save up for the implant crown.

Peter Merai DDS, FAGD
In the short term a bonded Maryland type bridge will be the least costly. The can be designed to be quite retentive. The down side is if you have a very tight bite in the front they will break more. Esthetics can sometimes be a concern because of the metal backing especially behind the two adjacent teeth. Implants are costly initially but provide more options for esthetics, don't involve other teeth and once they have integrated they almost never fail.
Timothy Agapas
A tooth implant is your best option. It is the most expensive option for a reason. It will look the nicest, and will last the longest amount of time of the other options. Alternatively, a dental bridge can be made. The up side is that it is cemented to the adjacent teeth, so it cannot be removed. The down side is that some damage has to be done to the neighboring teeth, which may have no issues with them at all. Also, hygiene wise, a bridge is more difficult to keep clean. Finally, a partial, or removable denture is a good option. The down side is that it is removable, and often not very esthetic at all. Good luck!
Rather than a traditional Maryland Bridge, you can also have a similar type restoration bonded to one adjacent tooth. Dr. Markus Blatz at UPENN has been doing research on this technique utilizing Zirconia and Porcelain, and they have found less debonding (the most common complication of this restoration) when performed in this manner.
First a complete comprehensive oral evaluation,Periodontal evaluation,X rays,Bite analysis and a Comprehensive Diagnosis and treatment plan should be done first.

Alternative Options

1.-Single endosseous implant,single subperiosteal implant.

2.- Permanent 3 unit Bridge.

3.-Maryland Bridge.

4.-Removable partial denture.

Cuauhtémoc Borja DDS
Cuauhtemoc Borja
An implant is the most cost effective long term solution to your issue. On paper and at the bottom line it might seem very expensive but in correlation it is the most cost effective. A bridge would work very well but still there is some cost involved with doing a bridge. If the adjacent teeth are health, cutting on these other wise healthy teeth to place a bridge can cause trauma to those teeth in the long run. It could result in the need for a root canal down the road.

Other option would be a partial denture, or a partial flipper. But this could do more damage to the surrounding tissue and surrounding teeth long term. Also with a partial you have to take it in and out of your mouth and maintenance can be a burden. I would suggest finding what treatment option is going to work best for you, and which one will work best for you financially. Discuss this with the office you have visited and see if there is a way financially to have either done. You can always visit a dental school or community health clinic to see if the cost is different but the difference here is you will be waiting for a while to have treatment done.
1) conventional bridge - places crowns on the teeth on either side of #7 to support a fake tooth to replace #7. It is 1 piece that looks like 3 teeth. Cost is probably similar to a single implant

2) bonded/Maryland bridge - fake tooth #7 is supported by bonding extensions to the back of the adjacent teeth. Can only be placed if there is adequate space and longevity is questionable in some cases.

3) removable appliance such as a flipper or partial denture

An implant is often the most preferable option. It will likely look better and although the upfront cost may be higher, it typically is cheaper in the long run due to its permanence and longevity.
Options for replacing a front tooth missing starts with: A complete evaluation, necessary x-rays, bite analysis, your dental health and cosmetic dentistry consideration.

After:

Have a fixed temporary done, in which the dentist must bond the fake tooth to the other teeth or have a removable temporary such as flipper.Of course fixed temporary is much better!

For replacing the front tooth permanently you have few options, depending on your budget, the bone availability and orientation of the adjacent teeth, and certainly your cosmetic dentistry concerns:

1- Resin bonded retainer or Maryland bridge which can all be done, either with metal in the back or in white porcelain

2- Dental implant or tooth implant, depending on root proximity of the adjacent teeth and the level of bone available, that can take anywhere from 4 months to 8 months depending on availability of the bone.

3- Dental bridge, in which if not enough bone or root proximity, it would be your next choice

4-removable fixed partial, which is a removable prosthesis