Tooth extraction: what would happen if I do not get an implant or a bridge?

Question

I'm having tooth 14 extracted due to crack below pulpal floor. What would happen if I do not get an implant or bridge? The missing tooth does not show when I smile do not real concerned.

Ira Shapira, DDS · Answer

Your brains will all leak out!No, seriously nothing dramatic will happen.  Studies have shown you lose 50% of chewing ability due to where food moves.  You are more prone to future fractures as other teeth do more work.    There will be bone loss that could be a problem in the future if you want an implant.The periodontial health  on either side of extraction site will improve.  There is an increased risk of TMJ problems, headaches and other problems in the future.You are better off replacing the missing tooth but you can mange fine without. Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMOChair, Alliance of TMD OrganizationsDiplomat, American Academy of Pain ManagementDiplomat, American Board of Dental Sleep MedicineRegent & Fellow, International College of CranioMandibular OrthopedicsBoard Eligible, American Academy of CranioFacial PainDental Section Editor, Sleep & Health Journal

Member, American Equilibration SocietyMember, Academy of Applied Myofunctional Sciences

Rajan Sharma, DDS · Answer

Hi,

The only aspect that would be some what concerning to me is the loss of chewing ability and the potential bone loss. With every tooth that is removed there is a chance of bone resorption. Though seeing it's only one tooth, that still wouldn't be a high concern of mine. Wait to see if there is any extreme discomfort with chewing and if there is consider additional options.

Kourosh Maddahi, DDS · Answer

Hi:There are three main concerns with not replacing a tooth:1.  Teeth start to shift over time which can effect bite2.  The opposing tooth can extrude and effect the bite3.  The side without the missing tooth can be more favored for chewing which increases the wear and tear.Best,Dr. Maddahi

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