Dr Elvin Leong

In general, the options to replace missing teeth are dentures, fixed bridges, implants AND DO NOTHING. Hence, the need to replace the second molar depends on a few considerations. Firstly, we have to decide if the replacement is truly needed. Research from 1981 to present has strongly suggested that the modern human diet only requires 10 occluding pairs of teeth. This means that for rather reasonable esthetics and function, we only need 10 pairs of front and back teeth contacting well with each other.

As with any form of dental procedure or treatment, it is crucial that a clear diagnosis be obtained from a comprehensive examination (consultation) together with appropriate high-quality X-rays (imaging). Thus, the first step is to seek a consultation with a dental surgeon experienced in the field of dental implantology. After that, there are 4 phases in approaching any dental condition, detailed below:Phase 1 - Emergency PhaseThis phase involves acute infections, severe pain that requires urgent intervention. Dental implant treatment usually cannot be instituted in this phase.

Dental implants are metal cylinders made of titanium surgically placed in the jawbone where teeth are missing. Implants replace the roots of missing teeth and support single crowns, large bridges and dentures. Thus, it is important to understand that dental implants DO NOT REPLACE TEETH but they REPLACE MISSING TEETH. Current state-of-the-art techniques and technology make it possible for dental implants and their implant-supported teeth to look, feel, and function like natural teeth.

Pericoronitis is defined as inflammation of the gum tissues surrounding the crown portion of teeth that have not completely emerged (partially erupted) into the mouth. This condition occurs mostly with the third molar teeth, also known popularly as the wisdom teeth. When the gum flap covers the partially erupted tooth, there is a tendency for food and bacteria to be trapped under the gum flap, and there is difficulty in cleaning under the gum flap, and this usually and inevitably leads to inflammation and ultimately, infection. It is important to address pericoronitis promptly.

It is indeed wonderful to know that Daddy is still relatively young and is in a position to consider enhancing his smile and overall dental health. Given that there is some research to suggest that loss of teeth is associated with an increased risk of early mortality and that prosthetic reconstruction and replacement of teeth improves quality of life, we congratulate your dad on wanting to take the step forward to improve his overall dental health. The decision making process of choosing dentures vs implants is not straightforward, and MUST involve many factors.