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16<br />
study was done among people over<br />
90 years of age to find out what they<br />
would do differently if they were<br />
Agiven a second chance in life.<br />
Among the top three responses was, “I wish I had<br />
kept my teeth.” When asked why, they claimed<br />
that dentures were not a good treatment option;<br />
they had trouble <strong>with</strong> dentures not fitting, getting<br />
loose over time and the lack of power to eat foods<br />
they enjoyed when they had their natural teeth.<br />
The maximum pressure that can be applied <strong>with</strong><br />
the best complete dentures is 50psi, <strong>with</strong> natural<br />
teeth it's around 200psi!<br />
In this issue, let's talk a little about what<br />
happens when teeth are extracted. Every year a lot<br />
of patients get teeth extracted, some necessary<br />
but many elective. In our mouths we have the<br />
upper and lower jaws. The jaws and teeth give<br />
shape to our faces. Normally there is a layer of<br />
bone on top of the jawbone that holds teeth.<br />
When a tooth is extracted, a fair chunk of this<br />
bone is lost, roughly 25 per cent in height and<br />
thickness. It doesn't stop there. If nothing is<br />
done, this bone keeps shrinking every year by a<br />
millimeter. Over ten years one can lose as much<br />
as a centimeter. This can change the shape of the<br />
face. This is noticeable, especially among patients<br />
who have complete dentures; their faces collapse<br />
when they have their dentures out.<br />
I have found that patients readily get molars<br />
extracted because they are in the back and no one<br />
can see them, but remember, more bone is lost<br />
when they are gone; the bigger the teeth, the more<br />
bone that is lost; patients are then forced to eat on<br />
their front teeth. The front teeth are not meant<br />
for chewing, only cutting and will break and wear<br />
down over time from the excess forces and work<br />
applied to them. A lot of times when patients do<br />
realize what is happening, they have to either get<br />
the rest of the teeth extracted, due to financial<br />
reasons, which leads them to dentures, or get<br />
partial dentures. Statistics show that only<br />
Dr Sajid Syed<br />
50 per cent of patients who get partial dentures like wearing them.<br />
The best option is to get the missing teeth back, which brings us to the next<br />
question. What is the best way to get missing teeth replaced? One can choose from<br />
implants, bridges, partials or complete dentures. Today, I am going to focus on<br />
implants. Simply put, an implant is a titanium prosthesis. Implants are placed in the<br />
jawbone and they represent the roots of natural teeth. There is a middle piece that<br />
connects the implant to the crown of the artificial tooth and is called an abutment.<br />
Implants can also be used to hold dentures down -- especially when they don't fit --<br />
which is a boon for patients who are missing teeth or have complete dentures. The<br />
best advantage of having implants, compared to other options, is that they help<br />
maintain bone; they maintain and prevent bone from melting away over time.<br />
Bridges, complete dentures and partials do not maintain bone in anyway whatsoever.<br />
I understand placing implants is a surgical procedure and this can scare patients,<br />
pushing them away from getting this treatment done. At my practice I have found<br />
that most of my patients are surprised at how well they heal and how little pain they<br />
have after the surgery.<br />
If you have one or more teeth missing or have an ill-fitting denture, talk to your<br />
dentist about implants, it's a treatment option that might just change your life.<br />
If you have more questions, feel free to give us a call at Monarch dentistry, the number is<br />
905 641 2242.<br />
Good luck and best wishes!