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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.

Can Restorative Dentistry Treat the Dark Spaces Between My Teeth and Gums?

The appearance of your teeth is heavily impacted by the position of the surrounding gum tissue. In a normal situation, two teeth that are side by side in your mouth have contact with each other. Below this contact, the area is filled in with gum tissue in the shape of a triangle. This triangular-shaped gum tissue is called the papilla. It is not uncommon to have an empty space in the area where the papilla is supposed to be. If this occurs, the result is perceived as a black space.

What Causes the Black Spaces in My Gums and How Can Restorative Dentistry Help?

They are caused by a loss of the gum tissue itself or by the shape and/or position of the teeth. For any black space that is present, the first thing that needs to be done is to diagnose what caused it to occur. Once this is done, the restorative dentistry treatment choice can be made. The best decision will be the most conservative treatment that corrects the black space.

One of the most common causes of loss of gum tissue is due to the gum disease known as periodontitis. This gum disease acts on the supporting bone around the teeth, causing a loss of bone. This loss of bony support causes the papilla to slump and flatten, creating a black space between the teeth. The first step in treating the resulting black space in this situation is to treat the cause. Once the gum disease is under control, the black spaces can then be addressed with restorative dentistry.

To remove the black spaces, the teeth need to have restorations placed that will change the shape of the teeth and fill in this space. The type of restorative dentistry can vary depending on whether or not there are any other problems with the teeth. The simplest and most conservative restoration is composite, a tooth-colored filling material. It can be bonded directly on the tooth in the area of the black space. Since it is placed only in the affected area, the situation where this is used requires that the overall appearance of the tooth is acceptable and does not need to be changed.

If the overall appearance of the tooth needs to be altered, then a different type of restorative dentistry needs to be used. The choice is either a dental veneer or a dental crown. The choice between the two depends on both the appearance and the structural changes that need to be done. Usually, to correct a black space, both teeth on either side need to be restored. In doing this, the symmetry between the teeth will remain the same. If you restored just one tooth, you would end up with one tooth being wider than the other. The advantage of using restorative dentistry to correct black spaces is that it usually results in a shorter treatment time.

Another cause of the black space is due to the position of the teeth themselves. One example is teeth that are tilted towards each other. When this occurs, the area for your gum tissue to fill becomes too large for the amount of tissue you have. This same concept may occur with certain types of tooth shapes. In these instances, the restorative dentistry treatment of choice is to use orthodontics (braces) to align the teeth. The advantage of doing this is that the black space will disappear without having to do any restorations on the teeth.

By Greggory Kinzer, DDS, MSD

+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.