Why Even Have Missing Teeth Replaced? – Dental Implants, Etc…

Most adults can expect to have 32 teeth. The four third molars, or “wisdom” teeth, are often extracted because they do not grow into the mouth well or there is not enough room for them to remain in proper alignment. It is very unusual to have wisdom teeth replaced. But the other 28 teeth are needed.

Your mouth, jaw, and body developed together over millions of years. They are designed to operate together at peak efficiency. When you lose a tooth, the efficiency decreases and function suffers. When you lose a tooth, you lose some ability to chew food properly. This may mean that you either place more stress on the other teeth in order to chew all the food you eat, or you do not chew well enough and what is swallowed is not quite ready to be digested. This can lead to digestive difficulty. You might have to eliminate certain favorite foods because you cannot chew them thoroughly.

For each missing tooth, you lose approximately 10% of your remaining ability to chew food.

Other problems also occur. The teeth adjacent to the space left by the missing tooth will eventually shift.  If for example, a lower tooth is extracted, the opposing tooth in the upper jaw will grow slowly (or sometimes quickly) longer in a downward direction into the missing tooth space. This is called extrusion or supereruption. Here is an example:

Collapsed bite- need for dental implantsThe teeth on either side of the missing tooth space will move and tilt off their proper vertical axis and drift into the missing tooth’s space. This can make these teeth more prone to decay and gum disease because it is much harder to keep the teeth clean when they are not aligned properly.

Root structure that is normally covered by gum and bone may become exposed. All this can happen if one tooth is lost. Other major problems can occur if multiple teeth are lost. There is a loss of the arch length, the distance from the back of the last tooth on one side of your mouth to the back of the last tooth on the other side of your mouth.

With collapsed bite and loss of vertical dimension, the distance from your chin to the tip of your nose decreases, making your face shorter.

Extrusion and movement of your maxillary (upper) alveolar bone until the gum tissue from the upper jaw can touch the teeth or gum tissue of the other jaw causes loss of facial tone and shape. The facial muscles of the cheeks and mouth sink into the edentulous (extraction) site. There can also be severe cosmetic problems when the extracted tooth’s space is visible when you talk or smile. This is not a pretty sight to anyone.

There is loss of self-image and self-esteem and a feeling that you are getting old. Once you bone loss- need for dental implantsstart losing teeth, you can actually start to look old. Losing a tooth is pretty serious. The longer you wait after a tooth is extracted, the more difficult and expensive it can become to make the replacement you need. With very few exceptions, it is better to replace missing teeth as soon as possible. Evolution designed you to chew your food with 28 teeth.

I will discuss with you the best type of dental implant replacement that will restore your mouth to health. My office is located in Burbank, California.

You can choose to do nothing at all and leave the space or spaces…this is not usually recommended. You can have a fixed replacement made that could be an implant, a conventional bridge (crowns/caps), a dental implant overdenture or a combination of implants and bridges. The advantages of the fixed replacements are that they are not designed to come out of your mouth at any time, they are the easiest to live with, feel more like the original teeth, and are more cosmetic than removable dentures.

A removable partial denture is held in place by metal clasps that may be visible. It is bulkier and may interfere with your speech for a period of time. However, generally, dentures cost less than a fixed replacement.

Your jawbone and teeth were meant to function in a particular fashion. The interaction is complex and marvelous. Loss of teeth degrades this function. Preserve your health. Replace missing teeth as soon as possible!

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Burbank, California
http://www.burbankdentalimplants.com

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55 Responses to Why Even Have Missing Teeth Replaced? – Dental Implants, Etc…

  1. Aquarian says:

    Hi, I am a 22yr old young lady and i had was terrified of the dentist as a child as a result i am now missing a total of 10 teeth from my mouth.Molars on the bottom of each side of my mouth and also directly above the bottom teeth have all been extracted. I am very concerned with my face shrinking at such a young age.I dont socialize with friends much and i am currently dealing with severe depressing and anxiety. I also feel that my sinusus are damaged due to toothloss..Is the facial sagging reversable if i undergo implants? At this point i am totaly overwhelmed and i dont know where to begin to fix this problem..what do u suggest?

  2. Hi Aquarian,
    I suggest you get in the hands of a very skilled implant dentist.
    Follow the link on the upper left area of my blog to the American Board of Oral Implantology. You will find a very qualified dentist to help you get started.
    Respectfully,
    Dr. Amin

  3. Sandra says:

    Hello, Im 2o and I lost a tooth on the upper side of my mouth and its not visible, 8 years ago, is it possible to get a tooth implant? would it cause me to have a gap tooth? Thank you

    • Ramsey Amin DDS says:

      Hi Sandra,

      At your young age, replacing the tooth is VERY important. A dental implant will be your best bet for the long term.

      Good Luck!

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

  4. Jonathon says:

    Dear Dr. Amin,

    I came to this dental implant blog to get much needed information and found what I was looking for. Thank you for your time and effort.

  5. Fernanda says:

    When I wa younger in Ecuador, I have a newbie as dentist. As every young girl, with the unkind hand of Mother Nature, I had crooked teeth; the logical step was to get braces. My teeth were improving so fast and it made me want to smile all day long. During the last stages of the braces, I was given elastic bands. I’m not quiet sure the man purpose of it but they were fun to have since I knew it was the first sign that I wa approaching the last weeks of braces. As I was playing with my other cousins, I got kneed int mouth. I felt a snap and the rubber band disapear. As soon as I could made my way to the dentist and told her of the issue. She tried to look for it but couldn’t find it. I went back home and I felt some uncomfortableness in my mouth. I went back to the dentist a few daya later and she said that she was going to open my gums and try to locate it. I was 10 years old with no adult a guidance and agreed to it. She cut open my gums and she was unable to find anything, she looked so long that I felt the anestisia wearing off and felt the needle go through my gums as she was closing up the wound. She did this 2 other times as I went back and told her that I felt something there. Nothing. Luckily that time I learned that I along with my brother were granted a visa and finally could see our parents. I came to the US and about 2 years of being in this country, I begged my parents to take me to the dentist. Since they didn’t have any health insurance, they saved as much money as they could, so I could go to the dentist. I depended on my older sister to try and make appointments since she was the only one that spoke English, after months nd months of begging and harrasing she made an appointment. My sister told them the issue and not even a minute of the dentist checking on me, he located the rubberband. I was shocked!!! The other dentist did 4 surgeries and could not locate it. The dentist told me that I lost bone structure in my gums and gave me instructions to take some pills. After a few months, made my way to the orthodontics and he told me that they have to remove my second middle tooth and shape my caninne into the second tooth and this has been my smile for over several years. I hate it. Hate it so badly. I want to know what my options are ?

    • Ramsey Amin DDS says:

      Hi Fernanda,

      Wow what a story! That is so unfortunate. I’m sorry this happened to you.

      I would really need to see you in person with x-rays to really diagnose you. Are you local to Burbank?

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

  6. Ahmed says:

    I just had a bridge fixed but it does not touch the opposing teeth? What should I do?

  7. Ahmed says:

    Hi. I have just had a three unit bridge fixed. Two days after I put it in the porcelain chipped!!! I decided to go with a repair since a removal of the bridge might break the abutments since they are really weak and thin (with root canal treatment). This is not the only problem. The bridge (last three teeth on the upper right side does not touch at all the opposing teeth. So for the past three days I have had pain on the other side of my mouth since the pressure is much more I guess. Since a remake of the bridge is not an option what should I do? Can no contact between the bridge and the opposing teeth cause serious problems? What should I do? Please help as I feel desperate!

    Thanks a lot!

    • Ramsey Amin DDS says:

      Hello Ahmed,
      I feel so bad for you. Porcelain chipping can be caused by the way the dentist designed the teeth below, the laboratory design of your bridge, your bite and many many other factors.
      Porcelain is not easy to repair inside of the mouth. You may need to remake the bridge because your bite does not touch and the porcelain has chipped. I would suggest using a material called monolithic zirconia as long as it is in the back of the mouth. It is very strong and very chip resistant.

      Dr. Amin

  8. Rowena says:

    Amazing web page. Many techniques listed here. I wished I lived closer to Burbank. My dentist is still learning dental implants and is not a dental implant specialist like you.

    thank you for the help

  9. Lea says:

    I would like to ask if this also happens when a third molar is removed. I regret having my perfectly healthy (tried hard to keep it clean) though not ‘so’ well positioned tooth extracted. I so angry I was not consulted about it and had assumed there was caries and it had to be extracted. I am 25 and i dont want facial tone loss. I want to remain attractive to my husband:(. Should i think about a dental implant? Is it normal to extract a healthy third molar instead of a second molar which needs a filling? What my dentist did makes no sense to me:(. And i payed so much for this, thing which will make me look old, i am so dissapointed and sad:(. It has been 30 hours since the extraction and i have kept the tooth in milk. Is it possible for it to be inserted and grow back? Shall I keep the other one, will it not cause a shift and assymetry of my face? Why do dentists pull the teeth out if they are healthy, only slightly malpositioned?! These can be kept for later when another molar has to be extracted to fill in the space, am i not right? No implant will then br needed? Thank you very very much for an answer! Please, please, give me some suggestion about the remaining third molars, plus the one i have kept(can anything be done?)

    • Ramsey Amin DDS says:

      Hi Lea,

      Wisdom teeth are generally problematic in a huge percentage of the population. I had problems with my own and personally have all 4 removed. My wife and father also had all 4 removed. Generally speaking wisdom tooth surgery is straightforward and predictable with minimal chances of complications especially at your age of 25. You should have a second consultation so that another dentist can give you their opinion. Make sure you have a panoramic x-ray for this evaluation.

      Attached is a link to my website. I do remove wisdom teeth on a routine basis when it is deemed necessary.

      This blog is focused on dental implant surgery and restoration. That being said wisdom teeth are typically not reimplanted whether by natural tooth or by dental implant.

      Very respectfully

      Ramsey Amin DDS

  10. Murphy says:

    I feel uncomfortable, am having kind of bad breathe, before when i breathe from mouth, it seem like somebody died inside my mouth, smelled like hell, then later i started taking care of it, and brushed my mouth night and morning, when i talk i dont notice my breathe smell again @ all, now am having swolen gum problem around just one of my teeth, please help

    • Murphy says:

      The gum between two teeths, it grows out, makes it hard for me to make good word out, then later it will shrink into its position, and comes out again to give me headache, this is what am facing

    • Ramsey Amin DDS says:

      Hello Murphy,

      It sounds like you have an advanced case of periodontitis. This is gum disease which causes bone loss and is due generally to bacteria that remain on your teeth in the form of plaque. You need to get your hands into a good dentist ASAP. This is the number one leading cause of tooth loss in the world.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, California

  11. Nancy says:

    I’m 22 years old. I got my molar tooth pulled due to fractured tooth. And I was wondering if it’s possible to use my wisdom tooth as a replacement instead of getting a replacement done. And if so can I use braces to speed up the process of my wisdom tooth to come out. My wisdom tooth is already coming out and showing.

    • Ramsey Amin DDS says:

      Hello Nancy,

      Using a wisdom tooth to replace another tooth can be done in extremely unique situations. You have to be generally younger than 22 years of age. The wisdom tooth would have to be erupting and not really have too much of a root on it yet. This generally would only work for the second molar teeth.

      Is a clever idea that is used more in pediatric dentistry when a young child has to lose a second molar like tooth number 18 or 31. Sometimes the wisdom tooth will drift forward and replace it naturally.

      Sorry for the bad news.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, California

      • Karen says:

        Hi Dr Amin, I’m 14 and I have the same problem as Nancy and I was just wondering how long it would take for my wisdom tooth to grow into the space where my molar was.

  12. Confused and Depressed says:

    Hello Dr.

    I had one of my lower left Molar extracted due to infection. The Endodondist initially started the root canal,but after the first sitting I continued to have pain while chewing. They took a decision to extract it giving the reason there is no way to restore the tooth as they cannot put a crown.I am 30 years old and very depressed of not taking time to think about it further to save my tooth and having it extracted. On reading various blogs, web posts it seems like Dental implants is a very long procedure and one cannot be sure if it will be successful. I am also worried that this side is my preferred side and if I will ever be able to enjoy some of my favourite foods or if my looks/smile will change after this, Please help suggest me a solution.

    • Ramsey Amin DDS says:

      Hi confused and depressed,

      Most simple dental implants are not a long process and have an extremely high success rate. Replacing a single back tooth if the tooth was a recently extracted, would be considered a routine procedure.

      Once your dental implant is complete, you should feel like it is one of your own teeth.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, California

  13. worried and scared says:

    Im 28 years old i got a tooth extracted last year and it looks like im going to loose a second tooth once again!!! Whats going on ??! Im a heavy drinker… does it have anything to do with my problem? Help i need an answer please!!!!

  14. Nallely says:

    Im 28 years old. I got a tooth extracted last year and. Unfortunately did nothing about it, this year again looks like am going to loose a second tooth!!!!! Whats causing this problem?! Im a heavy drinker, can this be the main problem? I need an answer please , thank you!!!

    • Ramsey Amin DDS says:

      Hello Nallely,

      Losing just one tooth especially in the back, sets up a domino effect of further tooth loss. Many people think that they can get away without replacing one single tooth but the reality is it has long-term detrimental effects.

      Expect for your other teeth to move and shift in addition to bone loss in the area where the tooth was extracted. Your bite will place pressure on other teeth into an unbalanced nature and can cause excessive force to be placed on other teeth.

      Using alcohol on a daily basis doesn’t help. Alcohol breaks down to sugar and causes cavities. It also dries out the mouth and leads to poor healing after extractions, bone grafts and dental implants. 1-2 drinks a night is considered excessive if you want your teeth to be healthy for a lifetime.

      I hope this helps you. I’m not trying to tell you how to run your life, but you might want to make some lifestyle changes. Obviously brushing twice a day for 3-5 minutes with an electric toothbrush and flossing correctly once daily is going to help tremendously. You need to see a dentist at least 1-2 times a year for overall dental health and prevention.

      Respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, California

  15. peggy says:

    I have one teeth lose on upper left. Will it be ok for me to just have denture or implants? Will it cost facial collapse?

    • Ramsey Amin DDS says:

      Hi Peggy,

      Your question is a bit unclear. Is only one tooth loose or are all of them loose? Generally speaking when he tooth is loose it means you have some type of gum disease which may be present and other areas of your mouth. I would highly suggest you see a dentist to evaluate your entire mouth and not just focus on this one area.

      If you lose enough teeth it will cause the bone shrinks which does cause collapse of the face.

      Good luck!

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

  16. Sank says:

    I have no my front below teeth,,,is there any way to grow up it,,,i m 22 years old,,,i want to know that the space can be filled by artificial teeth or not,,,
    plz,,,tell me

    • Ramsey Amin DDS says:

      Hello Sank,

      Your question is really broad. There is always a way to replace your teeth whether it be using dental implants, some type of fixed bridge our last resort using some type of removable teeth. You will need to visit a dentist and have diagnostic x-rays and then examination done in order to determine what is best for you within your budget.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

  17. Sank says:

    I have no front below tooth by birth,,, dentist told me that the new artificial teeth can be placed by shorting your present teeth both side of ‘the teeth which is to be placed in vacant space’,,,
    sir,
    i want to know that the artificial tooth can be placed without interupt my present teeth or not,,,

    • Ramsey Amin DDS says:

      Hi Sank,

      It sounds like you’re being recommended bridge. This means that the teeth on either side of the space are going to be ground down into pegs and a bridge will connect those teeth together and fill in the gap.

      In order to be evaluated for a dental implant, you would need to have an examination and x-ray (preferably a 3-D scan) to see if a dental implant can work in this position.

      If it can be avoided, a dental implant is better than a bridge. This is the case probably 90% of the time.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, California

  18. teekay says:

    Hiya, ive looked through your website. I really really need advice. My two front top teeth have shifted to the left, and ive looked it up and its said that when i was younger, perhaps i lost a tooth on the left which hasnt grown back, hence why my teeth have shifted. The number of teeth on either side is unequal. I feel very self conscious and unable to smile showing my teeth. :-( Is there anything i can do? At the moment, i have no space between my back teeth to replace it. I could really do with thorough advice, please. Thank you.

    • Ramsey Amin DDS says:

      Hi Teekay,

      It sounds like you need a great orthodontist. When you lose a tooth and your bite shifts, oftentimes your midline will be off center making your smile look crooked. After the orthodontist corrects your shifting teeth, they may or may not create space for the teeth that were lost which can be later replaced with dental implants. You need to be seen in comprehensive manner. If you don’t do anything, things are likely to get worse over time

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, California

  19. suzanne says:

    Hi I’ve had a rootcanal on my third molar from the back its been 1 year I chipped my molar..one dentist told me I have to do my rootcanal again another one said I should put a crown on it and others say I should pull it out im so confused whats your opinion please help

    • Ramsey Amin DDS says:

      Hi Suzanne,

      Root canal and crown versus a dental implant is a common consideration. Attached is a link that may help you. Ultimately you want to choose the procedure that has the most predictable outcome for your unique situation. A crown a root canal may function very well for many years!!

      Respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, California

  20. anitha manilall says:

    I have a fixed Hybrid with a very sunken look. My dentist says its boneloss. How can I fix this. its my maxilla and I have 5 implants

    • Ramsey Amin DDS says:

      Hi Anitha,

      There is only so much that a fixed dental implant restoration can do if you have extreme bone loss. That being said, most of the time I can make the teeth in such a position that does not give you a collapsed facial profiles. I personally deliver temporaries on almost every single case I do for a full mouth upper or lower dental implant reconstruction. This allows you and I to test drive what the teeth will look like before we finish. This allows for modifications of the facial profiles.

      I am not a fan of a fixed hybrid as they’ve routinely break because they are made of plastic denture teeth. If I were you I would upgrade to a Prettau, monolithic zirconia dental implant restoration.

      Here are some links for you to look at:

      Respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, California

  21. greta says:

    Magnificent web site. Plenty of useful info here. I’m sending it to a few buddies ans additionally sharing
    in delicious. And certainly, thanks for your sweat and time!

  22. mary says:

    My sister n I had our premolars extracted by ourselves and so some pieces are still remaining coz some came out by breaking off, it’s become hard to approach our parents about it coz they’ll ask why we delayed reporting , but in my case I must visit a dentist because the gap is way too big n embarrassing, is it possible to get dental replacement maybe after extracting the remains of the breakages its really making me uncomfortable please help

    • Ramsey Amin DDS says:

      Hi Mary,

      Are you really being serious or are you kidding?

      Very respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

  23. Sarah says:

    Hi I have read your comments above. I seem to have a very conservative dentist. On my right side I have to a lower first molar removed due to an absess and after a few infections the wisdom tooth finally calmed.
    Unfortunately on the other side the wisdom tooth grew into and cracked my second molar so it had to be removed, fairly dramatic- wound wouldn’t heal, stitches x 2 etc! So that was two years ago and now my wisdom tooth has come through but kind of rotated and at times cuts into my gum causing concerns of other problems, cancer etc.
    My long winded question is it really necessary to have this wisdom tooth out after all to prevent cheek problems but would it be important to get an implant maybe in place of the second molar so I don’t have a huge obvious gap? Thanks

    • Ramsey Amin DDS says:

      Hi Sarah,
      Wisdom teeth for 90% of us are useless and in fact are often the origin of gum disease and cavities that continue through life. Both gum disease and cavities are both caused by bacteria. So you can spread disease from one tooth to others. Having a healthy mouth and all of your teeth healthy is extremely important.

      Depending on the way your teeth come together, replacing your second molars with dental implants may be very important or it may not be important and all. For instance if you have a strong overbite or underbite, sometimes it makes your second molars either completely nonfunctional or, extremely functional and in fact distribute a bite over 2 teeth on the other jaw.

      Very respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

  24. Lacey says:

    Hi,

    I got my bottom first molar teeth removed when I was in my teen years. I was wondering if I do get implants, will it keep my face from collapsing?

    Also, my second molars are shifting so how will the dentist put implants in if there’s not much gap as before?

    My wisdom teeth are vertically impacted, will it be possible to keep it or will I need to remove it?

    Thank you!

    • Ramsey Amin DDS says:

      Hello Lacey,
      It sounds like you have tilted molars. Your molars can be uprighted using braces. Because your first molars have been missing for many years you will likely also require bone grafting in the areas were the teeth use to be.

      It is best to create the ideal space first using orthodontics, then placed dental implants. It should always be done in this order. Your wisdom teeth need to be evaluated via panoramic x-ray in order to determine whether or not they should stay or go.

      Your lower first molar is an extremely important tooth. Nature gives you this tooth when you turn 6 years old. It is one of the cornerstones of the mouth like the canines are. I would highly suggest you replace it properly in order to maintain bite on your back teeth which in the long-term will reduce your chance of facial collapse.


      I hope this helps you,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, California

  25. dolkar says:

    Namaste
    I recently extracted my upper molar teeth due to not properly filling in root canal by doctor and now could u suggest me what should i do to refill it back though u have written about one teeth root canal filling but here in our country(Nepal) i am little confused about doctors so how do i know which doctor is good as cost how much can it be for replacement of one tooth

    Thank You
    Waiting for the Advice
    Dolkar

    • Ramsey Amin DDS says:

      Hello Dolkar,

      Greetings from the USA.

      I don’t have enough information to be able to help you here. Just go ahead and see an excellent dentist with a good reputation for an evaluation and x-ray series. Then and only then can a diagnosis and treatment plan be made specific to you.

      Respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

  26. dolkar says:

    Namaste
    I recently extracted my upper molar teeth due to not properly filling in root canal by doctor and now could u suggest me what should i do to refill it back here in our country(Nepal) i am little confused about doctors so how do i know which doctor is good as cost how much can it be for replacement of one tooth

    Thank You
    Waiting for the Advice
    Dolkar

    • Ramsey Amin DDS says:

      Hello Dolkar,

      Greetings from the USA.

      I don’t have enough information to be able to help you here. Just go ahead and see an excellent dentist with a good reputation for an evaluation and x-ray series. Then and only then can a diagnosis and treatment plan be made specific to you.

      Respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

  27. Misty says:

    Hello.

    thanks for posting so much helpful information. Here’s my question, I’ve had perfectly straight upper teeth all my life, no gaps or anything. Then I had a molar removed on one side when I was younger. Now that I’m in my mid 30s my two front teeth are gaping. If I get an implant now, will I still need braces or some other procedure to close this gap?
    Also, I had a 2 large fillings done on the bottom molars and never had them crowned. What are the risks of leaving them as is?

    Thank you so much for your time!

    • Ramsey Amin DDS says:

      Hello Misty,

      If you are noticing gaps developing between your teeth you may have underlying periodontal disease which is also known as gum disease. This is due to a progressive loss of bone usually occurs very quietly and without the patient knowing. I would strongly suggest he see a dentist and have a full series of x-rays done and probing of all the gum pockets. The other reason why teeth space out is due to a bite problem. Both of these need to be evaluated by a professional.

      This should be evaluated before you have braces or a dental implant.

      Molar teeth that have root canals need to have protection on top to prevent them from splitting in half. It is extremely common for me to remove broken root canal teeth that patients never had a crown put on top. Some front teeth do not need crowns over root canals but almost all back teeth do. Root canals make teeth dehydrated and thus more susceptible to breakage and fracture. For a molar tooth, I would suggest a monolithic zirconia crown.

      Very Respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, CA

  28. Joe says:

    Hello.
    Right now I have only my back molar on the bottom right side remaining and it is in bad shape and giving me fits. the two teeth in front of this one have already been extracted. I am really leaning on getting that last bottom tooth extracted and want to know what the true negatives of this besides the typical alignment issues and stuff. I am growing tired of brushing the cavity hole and food getting caught in there. It is way past crown and root canal opportunities. If it means that the pain will go away and I can chew on my left side, that is what I truly want. I can worry about dentures or implants later, just need to know what to expected with my back 3 teeth on the lower right being removed.

    Thanks

    • Ramsey Amin DDS says:

      Hello Joe,

      Your pain will go away once the tooth was extracted.

      The more teeth you lose, the more bone you will lose. This will make wearing dentures almost impossible as you get older and will make the dental implant bone grafting process much more costly and lengthy. Especially in the lower jaw when bone is lost, wearing any type of partial or denture will become very difficult in a few years.

      Whatever you don’t use, you’ll lose. Your bone will naturally shrink away because it is not being used anymore. As that occurs your facial muscles will weaken and you will look much older than you are prematurely.

      There are so many reasons to replace your teeth.

      Respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

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