Tooth Extraction – What happens next?

May 9, 2017

Overeruption

What happens when you lose tooth?  Well, it’s not the end of the world, but your teeth all have a reason for being and there are consequences when one is lost.

Firstly the bone around the area is lost because there is no stimulation anymore.  In the above photograph you can see the gum has shrunk away.  This can be mild as above, or extreme as in the photograph below:

3bx

The bone progressively wastes away.  Once the bone is lost it is very hard to replace this missing tooth, as the bone needs to be rebuilt before a dental implant can be utilized.   Also the remaining teeth start to move and shift into the space as shown below:

Overeruption2

2cxMolar move

Drift X2

The extra load can lead to further cracks and splitting of the remaining teeth:

1Fracturetooth1

Eventually the straw on the camels back reaches breaking point and multiple tooth failures occur.  If this also results in bone loss the end result can be catastrophic:

DSC_0030

3nohealth

I am reminded of the old tale – for the want of a nail the shoe was lost, for the want of a shoe the horse was lost, for the want of a horse the battle was lost, for the want of a battle the kingdom was lost.

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Loose Dentures? No worries

June 6, 2011

Over the years I have been grateful to have studied under some great professors regarding denture making because full dentures.  Many newer graduates are seeing fewer cases of full dentures and find it harder to gain experience.  Nevertheless, even well made full dentures are often a nightmare for both dentist and patient.  Bottom dentures especially have little going for them – the jaw atrophies when you loss teeth which leaves no support to bite against, no jawbone left to hold the dentures firm, and the end result is poor diet, discomfort, ulcers and unhappy people.

I have been excited to see mini dental implants as another option for us to help retain full dentures.  Traditionally, full implants were required at great cost, and many patients don’t have enough bone to support these implants, or the money to pay for them.  The mini dental implant is an in between option – aimed at stabalising the denture against loosening or falling out, but still being removable.  I have just finished a case and the patient is thrilled.  he lost his teeth 3 years ago and hasn’t been able to wear a denture since – now he is regained his confidence an smile.