Option for Missing Tooth

Question 1

Pt w/ missing tooth - what factors consider when discussing tx options?

Answer 1

Pt factors: MH, age, preference, finacnes
Mouth: OH, diet, periodontal, caries, no and position missing teeth
Local: condition abutment teeth, bone loss, occlusion

Question 2

How to make tx plan?

Answer 2

Emergency
Stabilisation active disease
Re-assessment phase
Definitive phase
Maintenance

Question 3

What are benefits of replacing a tooth?

Answer 3

Appearance
Function
Occlusal stability
Restore OVD

Question 4

What are disadvantages of replacing a tooth?

Answer 4

Plaque retention - caries/ perio
Failure of prosthesis
Damage to tooth and pulp

Question 5

What would be options to replace premolar tooth?

Answer 5

Minimal prep adhesive bridge
Cantilever bridge
Conventional bridge - fixed-fixed
Implant
Removable denture

Question 6

What is a good options if there is sufficient time?

Answer 6

Orthodontic space closure (> 6 months)

Question 7

Adv and disadv of minimal prep bridge?

Answer 7

Adv - minimal prep of abutment, cheaper than conventional, easy to remove, less complicated if fails
Disadv - not as long lasting as conventional, metal wing can sometimes be seen

Question 8

Adv and disadv of cantilever bridge?

Answer 8

Adv: lesss tooth tissue removal - only one abutment prepared
Disadv: only use for limited plan bridge, use w/ care in posterior region

Question 9

What is adv and disadv of conventional bridge?

Answer 9

Adv: good long term prognosis, good aesthetic
Disadv: may lead to perio and caries, destructive, abutments need to be parallel