Can dental implants be combined with dentures?
Hello, I have a missing tooth located next to an existing dental implant.
If I choose not to get an implant for the missing tooth, can the crown on the implant be adjusted to make it smaller, and can two adjacent crowns be combined? Is the existing implant deep enough to support a single crown? A dentist mentioned this, so I would like to hear your opinion.
Xiao Yun, 30~39 year old female. Ask Date: 2016/05/06
Dr. Zeng Guanghui reply Dentistry
If there is a missing tooth next to a dental implant, it is important to have a dentist evaluate whether there is sufficient bone volume to place an additional implant.
It is not advisable to modify the existing implant to support two crowns to fill the gap, as this would result in uneven force distribution on the original implant, potentially compromising its stability.
Reply Date: 2016/05/06
More Info
Combining dental implants and dentures can be a viable solution in certain circumstances, but it requires careful consideration and professional evaluation. In your case, where you have a dental implant adjacent to a missing tooth, it is essential to assess the specific conditions of your oral health and the structural integrity of the existing implant.
Firstly, dental implants are designed to replace missing teeth by providing a strong foundation for artificial teeth. They are surgically placed into the jawbone and can support crowns, bridges, or dentures. On the other hand, dentures are removable prosthetic devices that replace missing teeth and can be either complete or partial, depending on the number of teeth lost.
In your situation, the idea of modifying the existing implant to support additional dentures raises some concerns. While it may seem feasible to adjust the implant to accommodate a denture, this could lead to uneven distribution of forces on the implant. If the implant is not designed to support additional load, it may compromise its stability and longevity. Dental implants require a specific amount of force to maintain their integration with the bone, and adding extra pressure from adjacent dentures could lead to complications such as implant failure or bone loss.
Moreover, the depth and quality of the existing implant are crucial factors. If the implant is well-integrated and has sufficient bone support, it may be able to withstand the forces from a single denture. However, if the implant is already under stress or if there is insufficient bone density, it may not be advisable to add more load. A thorough examination, including X-rays and possibly a 3D scan, would be necessary to evaluate the condition of the implant and surrounding bone.
It is also important to consider the long-term implications of combining implants and dentures. While it may provide a temporary solution, it could lead to complications down the road. For instance, if the denture becomes loose or uncomfortable, it may require adjustments that could further impact the implant. Additionally, maintaining proper oral hygiene becomes more challenging with multiple prosthetic devices, increasing the risk of gum disease and other dental issues.
In summary, while combining dental implants and dentures can be effective in certain cases, it is essential to consult with a qualified dental professional who can assess your specific situation. They will consider factors such as the condition of your existing implant, the quality of your bone structure, and your overall oral health. A personalized treatment plan will ensure that you achieve the best possible outcome while minimizing risks. If the implant is deemed suitable for supporting additional prosthetics, your dentist may recommend a more integrated approach, such as using the implant to anchor a partial denture or a bridge, which could provide a more stable and long-lasting solution.
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