A natural tooth is anchored in the jawbone by its root. Once it is gone, a solid support has to be found for a replacement. There are three ways of making up for the missing root, each with its own indications.
The implant, or artificial root
An implant replaces the natural root with an artificial titanium root anchored in the bone. The final crown is fixed onto this artificial root.
- Advantages: it leaves the neighbouring teeth untouched, maintains bone volume and prevents the neighbouring teeth from loosening.
- Drawbacks: the neighbouring teeth must not have drifted, and there must be enough bone, of good quality.
The bridge: a span between two teeth
A bridge uses the teeth on either side of the gap to create a block of three crowns. The middle one, like a bridge span, is attached to the other two, which act as abutments. The same principle can be extended over several teeth.
- Advantages: a classic, very reliable solution with an excellent appearance.
- Drawbacks: the neighbouring teeth have to be trimmed down, and very often root-treated.
The removable denture
The artificial teeth are fixed to a plate that rests on the gums and the remaining teeth.
- Advantages: the unavoidable solution when the others are not possible.
- Drawbacks: removable, bulkier and less comfortable, it puts strain on the remaining teeth and can damage the gums.
The choice depends on the state of your mouth, the bone available and what you are hoping for — your dentist will guide you towards the most suitable solution.