Ask Dr. Dara: Do you need to replace the missing back tooth?

    By Dr. Dara Gashparova, Advanced Dentistry Alhambra

    Q: I had a molar removed. Do I need to replace it since it is in the back, and no one really sees it? 

    A: Yes. Unless it is your third molar or so-called wisdom tooth. Although the missing tooth may not be highly visible, you must replace it.    

    When a tooth is lost, ignoring the space it leaves can cause additional tooth loss or injury that may worsen with time.

    When a tooth is missing, the remaining teeth in the jaw shift in an attempt to fill in the gap left by a missing tooth.  The adjacent teeth tilt towards the empty space and the opposing tooth grows longer. Once shifted, those teeth no longer work properly and efficiently. The resulting crooked teeth can cause serious bite and joint problems. 

    C:\Users\Dr. Dara\Desktop\teeth shift 1.jpg

    Teeth lean on each other for support.  Each tooth is supported by those around it. A missing tooth breaks the chain of support and weakens the overall structure of the mouth, causing overload and eventual loosening of the adjacent teeth.

    Due to the shifting of the teeth, cleaning in the area is more difficult, leading to an increase in accumulation of food and tartar, which in turn leads to the development of tooth decay and gum disease. 

    What are the options for tooth replacement?

    1. Dental implants: Implants are titanium “tooth roots” that are planted in the bone. 

    Implants allow us to fill the gap without involving the adjacent teeth. Dental implants are an optimal solution because they not only look and feel like but also function similarly to natural teeth. 

    C:\Users\dara\Desktop\Dental Implant.jpg
    1. A bridge is custom-made from porcelain. It consists of three crowns splint together to fit over the two adjacent teeth and at the same time replace the missing tooth in the middle. The size of the adjacent teeth must be reduced.  
    http://www.757dental.com/media/dental_bridge.jpg

    In conclusion: Tooth replacement not only improves your smile and tooth function, but also protects your remaining teeth from damage.

    If you are missing one or more teeth, it is vital to see your dentist and discuss which option works better for you.

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