if you are missing teeth because of an accident or have had them removed, fixed and removable prostheses not only have the potential to improve your appearance, but they can also improve your chewing and speech. Take a look at some of the fixed and removable prosthetic options that your dentist might recommend to you.

Dental implants

Since it is surgically implanted, a dental implant can offer an appropriate and long-term solution for the replacement of a tooth. The process of getting an implant consists of three stages that can take place over several months. Despite this long period of time, many people choose dental implants because they are the most natural teeth and can last many years or even decades.

Bridges Dental

There are several types of dental bridges, which are the devices that supply the gap where your missing tooth or teeth used to be. Unlike dental implants, which usually do not affect surrounding teeth, bridges often attach to adjacent teeth for support.


If you have more than one missing tooth, your dental health professional can recommend dental prosthetics, which are removable appliances that consist of numerous artificial teeth. Complete dentures mimic the appearance and function of a complete set of teeth, while overlapping or partial dentures will fit over the few remaining teeth. It may take some time to get used to wearing prosthetics, but after a period of adaptation you should start to feel comfortable and natural.

Causes of the lack of a tooth

The problems related to peridodontia, gingivitis and periodontitis especially, can end with the fall of the teeth in extreme cases, since these lose fixation and grip when having the damaged gum and as a consequence they end up falling.

These problems are usually related to poor dental hygiene, so it is always advisable that you perform a professional dental cleaning every 8-10 months as an effective measure of prevention.

Occasionally the dentist may require the removal of a tooth due to a very advanced infection that can not be fixed with fillings and endodontics, to prevent the infection from damaging other adjacent teeth, causing the loss of one or more teeth. .

Another common cause is when you have severe crowding. Sometimes the orthodontist recommends the removal of a premolar, so that the hole left by the tooth can perfectly fit the rest of the mouth.

lost dental patient

Problems derived from the lack of dental pieces
The lack of a tooth can pose a series of problems to the patient, both functional and health as well as aesthetic and psychological. Even in the most extreme cases where the loss of the teeth is total, serious alterations occur in the oral tissues.

Functional problems

The lack of a tooth or even of the whole leads to problems of phonation, that is to say, complications when correctly pronouncing some phonemes or sounds.

Problems at the time of chewing, a denture in poor condition complicates the crushing of food, being often insufficient and forcing the stomach to do part of the work that should make our mouth.

Many times if you have a missing tooth on the side of your mouth, you have to stop chewing on that side, forcing the rest of the teeth and causing more wear in the area.

Your gums also suffer more, since the food is deposited in the hole left by the tooth and when the support is chewed and the force is completely made by the gum, with the consequent wear of it.

Another problem is the loss of bone that occurs in the maxilla when a tooth is lost and not replaced in time by a dental implant.

In addition to having an empty space the adjacent teeth tend to occupy it, moving and causing the appearance of new spaces in the teeth and increasing the risk of caries.

Problems related to aesthetics

They are especially important when the lack of teeth occurs in the area of ​​the smile, sometimes assuming the appearance of complexes in some people.

The bone loss that occurs in the absence of teeth, involves a deformation of the facial features, causing a sag of the lip.

Solution to the lack of dental pieces

Dental implants are the best solution for replacing lost teeth. The dental implant acts as if it were the root of the tooth, fusing itself with the bone of the patient’s maxilla, and thus avoiding the bone loss produced by the fall of the tooth.

If for various reasons you lost one or more teeth, you should know that it is important to replace lost teeth, since everyone has a specific function in chewing.

If the problem is not solved, we will overload the remaining teeth, or these same adjacent pieces could tilt, causing a bad bite.

The dental specialty responsible for this work is the Oral Rehabilitation, which integrally combines the areas of fixed prosthesis, removable prosthesis, operative, occlusion and implantology.

This specialty performs the diagnosis and treatment plan appropriate to the patient who wants to recover their oral health. This specialty also establishes a close relationship with the other disciplines of dentistry.

Depending on the space left by these missing teeth, and whether or not there are teeth adjacent to these spaces, treatments can be proposed to restore these areas, such as bridges, crowns, removable prostheses or even the use of dental implants.

What is a dental crown

A dental crown is a prosthetic treatment that covers the area of ​​a tooth that has been previously prepared (worn) to be able to receive the prosthesis.

In most cases it is done when the tooth has been destroyed for various reasons such as extensive caries, dental fractures which threatens the health of the tooth.

Crowns are prostheses that are fixed. Unlike removable dentures, which can be removed daily, the crowns are cemented over existing teeth, and only a dentist can remove them.

Dental crowns can be made of different types of materials such as metal, metal-porcelain or pure porcelain being the latter those that provide more aesthetics.

What is a dental bridge

A dental bridge is a prosthetic treatment that will replace a missing tooth or teeth by permanently attaching it to adjacent teeth.

Bridges are often used to replace one or more missing teeth, and occupy the space left by them. A bridge is a splinted structure made up of two crowns in the teeth adjacent to the space without teeth, and the artificial crowns or teeth that will replace the lost teeth between them, these artificial teeth are also called pontics

A bridge is made by (abrading) carving the adjacent teeth on which the bridge will be built to replace the missing tooth and worn tooth structure of the pillars.

Dental bridges can be made of different types of materials such as metal, metal-porcelain or pure porcelain, the latter being those that provide more aesthetics but are indicated in specific cases.

A disadvantage of the bridges is the wear (carving) that is done on the teeth adjacent to the edentulous area because in several cases they are intact and would not need any treatment.

A very important recommendation is that the patient who uses a dental bridge must learn an appropriate cleaning technique with special attachments to be able to clean well under the bridge and maintain the health of the adjacent tissues, as well as going to periodic controls indicated by your dentist.


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