Dr Ashok Sethi
33 Harley Street
London W1G 9QT

Tel: 020 7636 5676
Fax: 020 7436 8979
info@ashoksethi.co.uk
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Introduction 
The Way Implants Work 
Why Replace Missing Teeth? 
Single Tooth  
Larger Gaps  
Upper Jaw  
Lower Jaw  
Bridges  
Dentures  
Implants have become first choice for many people.

Appearance in the front of the mouth is very important and it is essential to produce a tooth that looks natural and at the same time to create gum contours that are very similar to those of adjacent teeth.

Photo on right: animation of single tooth

A single missing tooth in the front of the mouth could be replaced in a number of ways.

  1. Removable Partial Denture: Main disadvantage that it is removable and may come away unexpectedly. It can cause further gum disease of tooth decay if not maintained correctly.

  2. Stick on bridges: These are secured by bonding to the adjacent teeth on either side and are effective at replacing a missing tooth. They can fall off and often don’t last indefinitely especially when there is a strong bite.

  3. Conventional Bridges: A reasonably predictable procedure This often requires the cutting down of healthy teeth on either side of a gap in order to support the bridge. For many people this is a major disadvantage because it involves destroying healthy tooth tissue.

  4. Implants: An implant replaces a missing tooth and is an independent restoration. It has the advantage that it stimulates bone to stay and get stronger. This is something that will not happen with any other option.

Immediate Implants

It is sometimes possible to its remove a tooth which is failing and to insert an implant at the same time and bring it to function with a temporary tooth. Some of the conditions that have to apply before this can be done are that there is no active infection and the bone and gum are intact.

The following images show of the treatment of a young lady who came in with a tooth that needed to be removed and which did not have the ideal appearance in relation to her other teeth.
 
The appearance at the beginning of treatment showing the failing tooth on the upper left-hand side. The smile at the end of treatment showing teeth in perfect harmony.

 
An X-ray of the implant directly after its insertion following the removal of the tooth.   Close-up of the temporary crown which was fitted at the same time as the implant. The abutment (post) emerging through healthy and healed tissues. Close-up view of the final crown showing an excellent appearance.
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