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Replace a Missing Tooth: Restorative Dentistry

We've come a long way from the "yank 'em" philosophy of early dentistry, before techniques and materials gave us the wherewithal to save teeth. These days, there's rarely a case we can't salvage. It's a good time for dentists - saving teeth is why we get up in the morning.

The way we see it, a missing tooth is more than just a hindrance to normal chewing, more than a cosmetic bother. It's a threat to the entire architecture of your mouth.

The mouth is dynamic. Where there is a missing tooth, neighboring teeth drift, gum disease may crop up, even the unprotected bone ridge is susceptible to damage.

So we replace the missing tooth with a dental bridge, or rescue a broken down tooth with a dental crown.

Bridges are partnered with crowns to resolve gaps left by missing teeth. The idea is to replace teeth with false, or "pontic" teeth, anchored to crowns at either end, and fixed in place. Quality bridgework looks and feels very natural, one of dentistry's mainstays and our first restoration choice whenever possible.

Partial dentures, too, are dependent on your remaining teeth for support, but are attached by clasps or "precision attachments." Complicated partials can be engineering marvels, filling in for missing teeth on both sides of the dental arch. The success of partials depends in part on the strength of attachment teeth.

Complete dentures are not the end of the line, dentally speaking. A good, well-fitting denture can come close to a full complement of teeth, and contribute to a youthful aspect, as well.

Dental implants are the newest remedy for missing teeth, to replace a single tooth, or to support an overdenture. People who have implants all agree: why didn't I do this sooner?

Replace missing teeth with cosmetic dental work? Do it. Restorative dentistry has a way.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Cosmetic Tooth Bonding Fixes Damaged Teeth

Cosmetic dentistry is everywhere these days.

With new materials, especially dental "superglues," we're reshaping teeth, filling gaps between teeth, restoring broken teeth, replacing missing teeth, placing lighter braces. The technique is called dental bonding, and the aesthetic result is wonderful.

But it's not forever.

The American Dental Association puts the life of tooth bonding materials at about five years. This may be a conservative estimate, but there will come a time when a bond needs attention.

In general, if you treat a bonded tooth like your other teeth, you'll keep your dental restoration intact longer. Lax home care habits or the wrong foods can hasten wear and tear.

So go easy. If your tooth restoration is brand new, or years old and still flawless, keep smiling. With care, we've seen dental bonding last a long, long time.

Here are some reminders to help lengthen the life of your dental restoration.

• Expect to come in more often just after your tooth restoration is placed. The edges of bonded restorations need a once-over after a few months to verify a smooth fit. And we'll check to make sure there is no gum irritation, too.
• Certain unforgiving foods can threaten any dental restoration. Watch nuts, hard candies, some fresh fruits - a bond could crack. We don't see it often, but with heavy-handed treatment, veneers can pop right off - not a real confidence-builder in a crowd.
• Nail-biting and ice-chewing are out.
• Use a non-abrasive toothpaste and a soft brush.
• Coffee, tea, colas, and cigarettes, of course, are not your restoration's best friends. They stain, among other unsavory things.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.