David W. Farley, DDS, MS
Prosthodontics for the Roanoke Valley

Nobel Single Tooth

SINGLE TOOTH MISSING

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

 

Treatment:
This procedure normally includes four visits to the dentist. You should expect to be able to work the day after having the implant installed.

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COURSE OF TREATMENT

INSTALLING THE NEW TOOTH – STEP-BY-STEP

The course of treatment described here is one of several options available. Consult your dentist to find out what the best solution is for you, given your specific condition.

   
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: Installing the implant
The implant is installed. At this time, a temporary tooth may be provided that allows you eat and function like normal.  The implant will need a few 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 ceramic crown.
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 


 
ALTERNATIVES TO AN ALL-CERAMIC CROWN ON IMPLANT

  Tooth-supported fixed bridge
A traditional bridge involves preparing the 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 resorbtion in the edentulous area, and sacrificing healthy teeth on behalf of the bridge.
  Removable partial denture
A removable partial denture is made of acrylic and metal with acrylic denture teeth. The benefits are few but do exist: adjacent teeth aren't affected. It is easily and quickly installed and cost effective. Because it is a removable appliance both function and comfort can be negatively affected.
  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 high esthetic result. Moreover, natural healthy teeth aren't affected. But it is not very long lasting. The resin-bonded bridge will eventually come off – probably after just a couple of years – and will then have to be reinstalled.

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