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Middlesex Dental Associates - Replace Missing Teeth

Dr. Onofreo has been practicing restorative dentistry for over 25 years while Dr. Moore has specialized in Periodontics at Middlesex Dental Associates since 1993.  Their multidisciplinary approach to dentistry provides personalized, gentle care, and excellent results. We can help guide you to the correct treatment for your situation.

The course of treatment described here is representative of several options available. A thorough exam and consultation will identify what the best solution is for you, given your specific condition.

In many cases today, implants provide the most ideal solution for tooth replacement.

Benefits of a crown on an implant:
When both the tooth and root are damaged, the best permanent replacement is a dental implant in conjunction with a ceramic crown. This solution both looks and functions just like a natural tooth.

In many cases, an immediate implant procedure can be used. This means shorter treatment time and minimized discomfort.

 


COURSE OF IMPLANT TREATMENT

PLACING THE NEW TOOTH – STEP-BY-STEP

 

 

   
1: Before the procedure
The dentist makes a first examination and takes one or more x-rays of the area to prepare for the procedure.
2: Placing the implant
The implant is inserted into the prepared site. At this time, a temporary tooth may be provided that allows for a normal appearance.  The implant will need 4-6 months to integrate with the jawbone before the next step is taken.

 

   
3: Attaching the new crown
The final step is the placement of the permanent ceramic tooth. The new tooth is attached to the implant. No additional treatment is needed.  
4: End result
You should expect the new tooth to fit and function just like a natural tooth. Do your usual dental hygiene to keep the tooth and gum around it clean and healthy.


 
ALTERNATIVES TO A CROWN ON AN IMPLANT

 

  Tooth-supported fixed bridge
A traditional bridge involves grinding down adjacent teeth to support the bridge. It is a stable solution with good esthetics and function that is fairly easy to install. However, this alternative has two main disadvantages: continuous bone resorption in the edentulous area, and sacrificing healthy teeth on behalf of the bridge.
  Removable partial denture
This is not a permanent alternative to a lost tooth. It can be unstable and loosely attached, which affects both function and comfort. A removable partial denture is made of plastic and sometimes also includes a metal framework– a material that can't create the same esthetic result as a ceramic crown. The benefits are few but do exist: adjacent teeth aren't overly affected; it is easily and quickly installed;  and it's relatively inexpensive. 
  Resin-bonded bridge
This alternative has some clear advantages: it is quickly installed, functions well and, since it is made of ceramic, it gives a highly esthetic result. Moreover, natural healthy teeth aren't overly affected. But it is not very permanent. The resin-bonded bridge will eventually come off – probably after just a couple of years – and will then have to be reinstalled or replaced.