Dealing with Dental Implants: What to Do When Natural Teeth Fail - Dentistry

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Natural teeth erupt after dental implants?


After implanting one artificial root on the right side and two artificial roots on the left side of the lower jaw, and before the second surgery, the natural teeth in the front of the lower jaw have erupted.
The doctor has recommended orthodontic treatment.
Currently, you are hesitant and considering pausing further implant procedures to use a removable denture.
What is your opinion?

Meihua, 50~59 year old female. Ask Date: 2021/12/09

Dr. Zeng Guanghui reply Dentistry


To determine the cause of the eruption of the lower anterior teeth, it is necessary to assess whether it is due to periodontal disease or malocclusion.
If it is periodontal disease, periodontal treatment should be undertaken.
If it is due to pre-existing malocclusion, orthodontic treatment should be considered.
It is advisable to discuss and evaluate the subsequent treatment options with your attending physician.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/12/09

More Info


When dealing with dental implants and the failure of natural teeth, it's essential to consider several factors before making a decision. The situation you described, where you have already implanted artificial roots on one side of your jaw and are facing issues with your natural teeth on the other side, is not uncommon. Here are some insights and recommendations based on your circumstances.

Firstly, it’s important to understand the purpose of dental implants. They are designed to replace missing teeth and restore function, aesthetics, and oral health. If you have already begun the process of dental implants, it indicates that you are taking proactive steps to address your dental issues. However, the emergence of problems with your natural teeth can complicate your treatment plan.

In your case, the recommendation from your dentist to consider orthodontic treatment (braces) is worth contemplating. Orthodontics can help align your teeth properly, which may improve your overall bite and potentially alleviate some of the stress on your remaining natural teeth. This is particularly important if you are considering using removable dentures (partial dentures) as a temporary solution. Proper alignment can enhance the fit and comfort of any prosthetic devices you may use.

If you are hesitant to proceed with further dental implants and are considering removable dentures, it’s crucial to weigh the pros and cons. Removable dentures can provide a temporary solution and are generally less invasive than implants. They can help restore function and aesthetics, allowing you to eat and speak more comfortably. However, they may not provide the same level of stability and comfort as fixed implants. Additionally, removable dentures require diligent care and maintenance to prevent issues such as gum irritation or further tooth loss.

Another consideration is the long-term implications of delaying further implant procedures. If you choose to pause your implant treatment, it’s essential to maintain regular dental check-ups to monitor the health of your remaining teeth and gums. This will help prevent any further deterioration that could complicate future treatments.
Moreover, if you decide to go ahead with the orthodontic treatment, it may take some time before you can resume the implant process. This could potentially lead to changes in your jawbone density, which is a critical factor for successful implant placement. If the bone structure changes significantly, it may require additional procedures, such as bone grafting, before implants can be placed.

In summary, your decision should be based on a thorough discussion with your dentist or oral surgeon. They can provide personalized advice considering your dental history, current oral health, and financial situation. If you are leaning towards using removable dentures temporarily, ensure you have a clear plan for maintaining your oral hygiene and regular dental visits. If you choose to pursue orthodontic treatment, be prepared for a longer timeline before you can return to the implant process.

Ultimately, the goal is to achieve a functional and aesthetically pleasing smile while maintaining your overall oral health. Each option has its merits and challenges, and the best course of action will depend on your specific circumstances and preferences.

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