Question about implant for my front, right tooth?

I broke my two front teeth when I was about 8. I got them bonded, and now have braces. The left one is doing okay but not so much for the right one. The tooth is only about 10-15% real at the top. After multiple abscesses, a root canal, and apicoectomy my dentists have concluded I will lose the tooth. I was so young when it broke that the root was not fully grown and after my braces come off, it will come out. In anticipation of then, my braces will hold the crown in. I’m 14 right now, and my braces will doubtless come off at 15/16. By then my jaw should be grown enough for an implant. So I have a few questions: Do they pull my tooth out and place the implant in at the same time? and if that’s not the case, what do I do between extraction and putting the implant in? Do they give me an alternative, a sort of ‘fake tooth’ ? How long does the whole process take? Healing? etc. Thanks!

Answer by Queen
No they do not do it all at the same time. Now your process will probrably take a small less than a month to complete once your braces are taken off. They will have to take impressions and master stone casts of your right tooth, send it off to a dental tech, and wait for it to return once the tooth is fully fabricated to contest the complete and comfortable anatomy of your right, front tooth. Now, between extraction and actual placement of the implant, sorry to say that u will have to walk around for about two weeks tops without a front tooth. Being that u have no roots, apex, or canal to support anything fleeting in the meantime. But if you have a fantastic dentist, he will go ahead and screw in your implant through the bone and have a standard fleeting place in while you wait for your fitted tooth to come back. There are plenty factors in this case. Now the healing depends on your bodys’ rate of healing. It can take 2 weeks to 2 months. The only thing that needs to really be healed is your gums in the front. Because they have to make incisions through your gum to get to the bone for the screwing of your implant core.

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Has anyone had experience (excellent or terrible) with either or both of these? Since it is a front tooth, I want to be sure to choose carefully! Thanks for any input.

Answer by Jase Wahl
Doubtless best doing what the dentist recommends, they both give the same result at the end of the day… implant would be a more traumatic experience tho

Answer by mary s
Sorry…i don’t agree with the implant being more traumatic…with a bridge…you have to “prep” (or cut) the 2 adjacent teeth to replace one tooth…why would you cut 2 excellent teeth to replace one…an implant…done right…can not get “recurrent decay” and fail…and YES…you can decay under a bridge… go to ADA.org to get more insight to implant dentistry

Answer by BHappy
Implants are so much better because they resemble an actual tooth with the titanium “root” that the bone willingly accepts which also helps retain your bone structure and a crown that is more natural because it’s not combined to the adjacent teeth. If they are the same cost to you then to me it’d be a no-brainer. I’m a hygienist so I don’t work along side the dentist but have watched an implant or two being placed (front ones really). It was a piece of cake and just took a second to do. Let’s just say, even if it were $ 3000 more to do an implant, I’d find a way to get the money to do that instead of a bridge.

Answer by tooth975
To add to the controversy between implants and bridges:

Bridges have a long description of success that implants do not yet have. Though, bridges involve extensive tooth confiscation but this point is moot if the teeth involved have extensive fillings. Teeth that have large fillings are susceptible to break and having a bridge would be a plus.

Implants are not 100% successful and rejection is still a concern. If the adjacent teeth are virgin teeth, then an implant is certainly the way to go.

Answer by kerry-xoxo
ok 2 types of bridge-
one is adhesive (the fake tooth is stuck onto a wing which sticks onto the back of your tooth)
advantages- takes very small prep (shaping of the tooth) no permananet hurt is done honestly quick to do and pretty much reversible should be cheaper
disadvantages – depending on your occlusion (bite) u may debond it (break it off alot) it has a shorter lifespan but like I said its less invasive or damaging.

flat bridge – prepping one or two teeth at either side of the gap
advantages – has a longer life span than adhesive, it looks excellent, wont see any metal wing like u might with adhesive.
disadvantages – over time gums tend to shrink back and ure left with nasty looking margins everywhere u can see the bridge and teeth. can get decay under one or both parts of the bridge and this may result in even further tooth loss and a larger gap, teeth can be converted into non-vital (die due to prepping or decay) and require root canal treatment – this option should be cheaper than implants though

implants – marketed as the rolls royce of treatment – only when the right patient is chose though!
advantages – flat tooth should last longer than the before mentioned options, looks more like a tooth, not reliant on any other tooth, and have the fake teeth altered if u need to and the implant is still healthy implants retain the bone around it so the appearance of the gum ridge is better for longer

disadvantages – pt selection – u must have excellent quality bone, and enough of it,(if not you may need a bone graft and this has a period of healing) there should be a fleeting period between the implant being placed and the tooth being placed on top (according to specialists this can be months) so u mayb have a temp denture or even an adhesive bridge. if the implant fails you will possibly need a long period of healing and possibly even a bone graft to allow another placement
it should be very expensive, depending on the reason why your tooth failed in the first house (if this was gum disease) then implants can be affected by this too)

theres less long term evidence to support implants but all the specialists are at the front position and seem very promising!

It worries me the bridge appears to be the same cost…in the uk you can expect to pay around £2000 per unit/tooth for an implant and a confidential bridge perhaps £800-1200, so either your dentist is vastly overcharging you for your bridge or is doing the implant very cheap – the materials/parts/instruments to do it dont come cheap so I would question this!! and his experience and schooling to do so…esp if it turns out u need the bone grafts, need extra work, a replacement, aftercare
speak to your dentist see what he/she recommends…be careful they arent leading you to what they want to do…not whats best!

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