What could be used to replace my partial denture?

Question

I wear a partial denture for 3 missing teeth on my right side of mouth 1 canine and 1st premolar and 1st Molar . the only teeth i have on my right side is 2nd Pre Molar and 2nd molar which are heavily filled . ive been advised i can have dental implants but need a bone graft which im not keen on the idea . my own dentist has said he will not do a dental bridge as would destroy surrounding teeth eventually . what about Mary bridge would that work?

Scott Young, DDS · Answer

Without question,  the best option for you is to pursue dental implants even if it requires some bone grafting.  You should be happy that your dentist is looking  after your best interest in recommending that you follow this path.  That being said,  after the options are given to you the choice is ultimately yours as to how you want to proceed.  Good luck.

Sarah Thompson, DMD · Answer

If you were my patient, I would recommend an implant only in the position of the 1st molar.  I would also recommend placing a 4-unit bridge that spans from your 2nd premolar to your lateral incisor.  Here is why I would do this:I would not place a single 6-unit bridge that spans from 2nd molar to lateral incisor because a 6-unit bridge would not be structurally sound enough and would likely fail in the next several years, causing you to possibly break your 2nd molar, 2nd premolar or lateral incisor.  However, a 4-unit bridge would be very strong and secure, if used to span 2nd premolar to lateral incisor.  Also, this 4-unit bridge would look a lot better, cosmetically, than two implants placed at the canine and the 1st premolar position.  Not only would the 4-unit bridge look great and function great, but it would likely save you from having to get bone-grafts in those areas, as well.  I would recommend placing the single implant in place of your 1st molar, because molar teeth need the strongest foundation and can ruin your other teeth when bone is lost in this area.  Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMD

William N. Sullivan, DDS · Answer

Typically, when patients are faced with replacing lost teeth, they have 3 choices to pick from.  Plastic removable teeth, partial dentures, can be fabricated to cover the area.  Although the least expensive option, it tends to be the least popular because it needs to be removed, it's bulky in the mouth, and prone to fracturing.  The second option available would be a porcelain cementable bridge.  This has the advantage of being cemented into place, however, they are tricky to cleanse, and I agree with your dentist,  that it unnecessarily destroys the tooth structure of the surrounding teeth.  Dental implants should be your first consideration to solve your problem.  They don't require surrounding teeth to be shaved down, they are not susceptible to decay, and are secured firmly in place.  They act and feel like natural teeth.

Albert Kurpis, DDS · Answer

Before you decide not to have implants, have a 3 D cone beam scan of the area.  You may find that you can avoid the bone graft by using long, smaller diameter implants. As far as fixed bridges are concerned, if you use a top lab and not a cheap discount lab, the work should have an excellent fit and not destroy the teeth that they are connected to. After 40 years of performing thousands of fixed bridges, I have rarely seen one fail unless the patient was non compliant with home care or regularly scheduled  hygiene visits.

Lance Timmerman, DMD, MAGD - Account Suspended · Answer

The choice is yours, not your dentist, on doing a bridge or not.  As long as you are aware of the risks, it is your right to have what you want, but it may cost more.  Having said that, the best option is the bone graft and implants.  These procedures are very successful and the longest lasting option you have (which means MUCH cheaper in the long run).

What could be used to replace my partial denture?

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