Lower front tooth implant possible?

Question

My lower front tooth went through a root canal. In the event that it needs to be pulled, can I get a dental implant? My teeth are aligned and not crowded. I am smaller female. I read that lower front tooth implants are difficult to do.

Helen Carmenate, DDS · Answer

If your lower front tooth, which has undergone a root canal, needs to be extracted, it is indeed possible to replace it with a dental implant. Dental implants are a common solution for replacing missing teeth and can be used in various parts of the mouth, including the lower front area. However, there are specific challenges and considerations to take into account:
Size and Position of the Tooth: The lower front teeth are smaller and have less space for implant placement. This requires precision and skill from the dental surgeon.
Bone Density and Volume: Successful implantation depends on sufficient bone density and volume to support the implant. If the bone in the area is not adequate, procedures like bone grafting may be necessary.
Aesthetic Considerations: The front teeth are highly visible, so achieving a natural look is crucial. This includes matching the color and shape of the surrounding teeth.
Risk of Nerve Damage: There's a risk of nerve damage in the lower jaw during implant surgery. Your dentist or oral surgeon will evaluate this risk before proceeding.
Healing and Osseointegration: After placing the implant, a period of healing is required for osseointegration, where the implant integrates with the jawbone. This process can take several months.
Prosthetic Options: The prosthetic tooth (crown) placed on the implant must be carefully crafted to fit with your bite and align with your other teeth.
It's important to have a thorough consultation with a dental specialist, such as a prosthodontist or oral surgeon, who can assess your specific situation. They will consider factors like your overall oral health, the condition of neighboring teeth, and your bone structure to determine if an implant is the right choice for you.
In cases where an implant may not be feasible or the best option, other alternatives like a dental bridge or a partial denture can be considered. Each option has its own set of advantages and considerations, and the best choice will depend on your individual circumstances and dental health.

Santiago Lopez, DDS · Answer

Hello there!, almost any tooth can be replaced with an implant if there is sufficient bone around the area around the tooth to replace. I know lower anterior teeth are tricky to replace with implants, but there is plenty of implant selection, as far as sizes and diameters, that make the task doable. So don't worry, if you need and implant to replace a small tooth, just make sure you do it right away to preserve the bone around the space.

Kerem Turgut Atasoy, DDS, PhD · Answer

Hello. In case of extraction of the relevant tooth, if your bone tissue and soft tissues in the area have sufficient quantity and quality, the relevant area can be rehabilitated with dental implant treatment. One of the reasons why implant treatments in this region are called difficult is due to the thin bone structure and the close proximity of the roots between neighboring teeth. However, these treatments can be successfully performed with narrow diameter and reinforced implants specially produced for this situation.The key point here is, experience of the doctor in terms of evaluating tissues properly. I recommend a 3D CT to see the current situation of bone.

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