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Your appearance is one reason. Another is that the gap left by a missing tooth can mean greater strain is put on the teeth at either side. A gap can also mean your ‘bite’ is affected, because the teeth next to the space can lean into the gap and alter the way the upper and lower teeth bite together. This can then lead to food getting packed into the gap, which causes both decay and gum disease.
This depends on the number of teeth missing and on where they are in the mouth. The condition of the other teeth also affects the decision.
There are two main ways to replace the missing teeth. The first is with a fixed bridge. The second is with a removable false tooth or teeth – a partial denture. A bridge is usually used where there are fewer teeth to replace, or when the missing teeth are only on one side of the mouth.
Be guided by us, as your dentist. We will know the condition of your remaining teeth and will be able to advise you on your individual situation. In most cases a metal-based partial denture can give the best result.
In many people it can take up to 6 months for the gums to heal properly after an extraction. This means that you may need to have a temporary denture for 6 months before the bridge is fitted.
Bridges are usually made of porcelain bonded to precious metal. Sometimes, there are other non-precious metals used in the base for strength. There are also new bridges made entirely of a special type of strong porcelain.
Costs will vary according to the size and type of bridge you need. We will always give you a written estimate and treatment plan before beginning any dental treatment. Although a bridge may seem expensive it should last many years.
You need to clean your bridge every day, to prevent problems such as bad breath and gum disease. You also have to clean under the false tooth every day. We will show you how to use a bridge needle or special floss, as a normal toothbrush cannot reach.
This is a plate with a number of false teeth on it. It may be all plastic or a mixture of metal and plastic. Both types may have clips (clasps), to help keep the denture in place in the mouth. Depending on where they are, some of these clips may show when you smile or open your mouth.
Plastic partial dentures are less expensive to make. But unless they are designed very carefully they can damage the teeth they fit against. You can also get flexible plastic dentures. These dentures do not need clasps as they are held in place by flexing against your natural teeth.
Metal partial dentures are usually from an alloy of cobalt and chromium and they are much stronger. They are lighter to wear and can be supported by the remaining teeth. Although the base is metal, they have gum-coloured plastic and natural-looking teeth fixed to them. They are more expensive than the plastic ones.
The general rule is: brush, soak, brush. Always clean your dentures over a bowl of water or a folded towel in case you drop them. Brush your dentures before soaking, to help remove any food debris. The use of an effervescent denture cleaner will help remove stubborn stains and leave your denture feeling fresher – always follow the manufacturers’ instructions – then brush the dentures again, as you would your own teeth, being careful not to scrub too hard as this may cause grooves in the surface.
We advise using a small to medium headed toothbrush or denture brush and toothpaste. Make sure you clean all the surfaces of the dentures, including the surface which comes into contact with your gums. This is especially important if you use any kind of denture fixative.
If you notice a buildup of stains or scale, ask us for advice and have your denture cleaned by your dentist or hygienist.
We may recommend removing your dentures at night to give your mouth a chance to rest. If you remove your dentures, it is important to leave them in water to prevent any warping or cracking.
The main alternative is a fixed bridge. This is made by putting crowns on the teeth at either side of the space, and then joining these two crowns together by placing a false tooth in the space.
This is all made in the laboratory and then cemented into place with special adhesives. The bridge cannot be removed for cleaning.