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Oral Health

Replacing missing teeth: implants, bridges and dentures

Missing teeth may be replaced with implant-supported crowns or bridges, a bridge supported by neighbouring teeth, or a removable denture. No option is best for everyone. The location of missing teeth, oral and bone health, and your daily priorities help determine the choice [1] [2] [3].

Key points

  • Discuss function, cleaning and ongoing maintenance
  • Treatment or healing may be needed before the final replacement
  • Implants and restorations still need care and reviews

Comparing the options

General tooth-replacement options
OptionSupportQuestions to discuss
ImplantA fixture in jawbone supports a restorationSurgical suitability, bone, timing and maintenance
BridgeSupporting teeth or implants, depending on typeSupport health, preparation and cleaning underneath
Removable dentureA design replaces some or all teethStability, adaptation, cleaning and adjustments

This is a starting point for discussion, not a personal recommendation [4] [2] [3].

Planning a replacement

The dentist assesses chewing, gums, remaining teeth and why the tooth was lost. Explain your priorities: eating, speech, appearance, manageable cleaning or avoiding surgery. Ask for written alternatives, treatment stages, temporary options if needed, and an approved cost estimate for your case.

Benefits and limitations

A replacement may improve chewing or appearance but requires adjustment and care. Bridges depend on healthy supports. Dentures may need fit adjustments. Implant surgery requires assessment and sometimes additional procedures. Ask what monitoring or delaying replacement would mean as well [2] [3] [5].

After fitting

Request a demonstration of cleaning and a review plan. Find out whether parts may need replacement over time. Report movement, pain, persistent rubbing or chewing difficulties. Do not repair a broken restoration with household glue or adjust a denture yourself.

Common questions

Does every missing tooth need an implant?

No. Function, alternatives and health are considered first.

Are dentures only temporary?

They may be temporary or a long-term option, depending on the plan.

Can options be combined?

Yes. An implant-supported denture or bridge may be appropriate following assessment.

Sources

  1. Missing Teeth — American Dental Association — MouthHealthy
  2. Bridges — American Dental Association — MouthHealthy
  3. Dentures — American Dental Association — MouthHealthy
  4. Implants — American Dental Association — MouthHealthy
  5. Dental implants in restorative dentistry — Cambridge University Hospitals NHS Foundation Trust

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