Tooth Deficiency

The biggest dental problem is “missing teeth”

One of the biggest dental problems is tooth loss. Chewing, speech and aesthetic problems arise in patients who lose teeth for various reasons. In order to solve these problems, dental bridge or implant applications are performed instead of missing teeth.

At the age of 6, permanent teeth can be lost for various reasons.

The most common reasons for tooth extraction

• Extraction of teeth that have lost too much material to be filled or prosthesis
• Extraction of acutely infected teeth where root canal treatment is not possible
• Extraction of teeth with gum disease in which the teeth have lost their jawbone support excessively.
• Extraction of teeth that do not respond favorably despite resection surgery applied to teeth with infection at the root tip,
• Extraction of teeth that are left in the mouth only as roots due to child or trauma
• Extraction of teeth that need to be extracted for orthodontic treatment
• Extraction of excess teeth
• Extraction of teeth associated with sinus cavities leading to sinus inflammation in the upper jaw
• Teeth that will cause infection (infection of other organs and tissues via blood or lymph from the focus of infection, i.e. the tooth) may need to be extracted.

Tooth Extraction

In fact, tooth extraction, which is a procedure that neither the dentist nor the patient wants at all, has to be applied only when it is very necessary.

Pre-Treatments Before Tooth Loss

Today, applications such as root canal treatment and dental crowns are dentistry applications that help teeth to remain in the mouth despite excessive loss of material. For the teeth that need to be extracted despite all the studies, the treatments that need to be done to the missing tooth cavity should now be considered and the problem of toothlessness should be eliminated within the most appropriate plan.

What Tooth Loss Causes

When no tooth is erected in the extraction cavity, the opposite jaw tooth in the bite elongates towards the cavity. The teeth in front and behind the extraction cavity also make a tilting movement towards the missing area. These tooth movements, which start within a year after tooth extraction, cause difficulties in the bridge or implant to be made later.

As soon as possible after tooth extraction, a human or bridge treatment should be decided and the missing tooth area should be treated without affecting the other teeth. If there is enough bone in the area of the extracted tooth, implant is a more preferred method in recent years. It is possible to close the extraction gap by placing a cylindrical screw in the jawbone in the extraction area without the need to perform any procedure on the teeth in the front and back of the extracted tooth thanks to the implant tooth application.

If there is not enough bone in the area where the tooth is missing, i.e. there is not enough bone in the area to place the implant screw, crown and bridge treatment is performed with conventional methods.

Single tooth loss Treatment recommendations:

When a tooth is extracted and the other teeth in the mouth are intact, one of the best alternatives is implant construction. Because there is no need to perform any operation on the tooth on either side of the missing tooth.

Implant application is made into the bone in the area of the extracted tooth cavity. Especially in single tooth deficiency, if the implant application is planned and performed without wasting time in the extraction area, a long-lasting and healthy aesthetic implant will be applied since there will be no bone loss.

In cases of single tooth deficiency that have been waiting for a long time after extraction, implant application may not be possible because the teeth will make a tilting movement towards the extraction cavity. The extracted tooth cavity is closed by half. On the other hand, it is seen that the tooth in the opposite jaw is elongated due to the inability to make contact during closure. In this case, after orthodontic treatment of the tooth in the opposite jaw and the knocked-out teeth, it may be possible to apply an implant or bridge to treat missing teeth in that area.

Multiple missing teeth > Treatment recommendations:

In cases where more than one tooth has been extracted or lost in the mouth, different treatment plans are possible. In line with the physician’s approach and the patient’s wishes and expectations, implants are placed in the missing tooth gaps in a way to meet the most appropriate chewing and aesthetic needs. It is often not necessary to make an implant for each extracted tooth. For example, in an area where 3 teeth are missing, two implants are made, one body is applied in between, and in this way, the 3 tooth gap is closed with the help of two implants.

Loss of all teeth Treatment recommendations

For patients who have lost all their teeth, implants are almost life-saving. Patients who have no teeth in their mouths have a great deal of trouble getting used to conventional total dentures after they are made. Because there is no support and abutment to keep the prosthesis in the mouth. The forces during chewing move the prosthesis. This is where implants come into play. In cases where there is not enough bone in the mouth, 2 or 4 implants are placed to support the implant prosthesis and prevent the prosthesis from moving thanks to the implants that support it when the force comes.

If possible, implant-supported removable prostheses are applied instead of fixed prostheses.

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