A bridge between the neighbor teeth is another option
An implant sometimes is the most predictable solution.
1. Don't replace at all, however doing this may eventually lead to the other teeth shifting and other dental issues to arise.
2. Have a removable partial denture made to replace the missing tooth. As its name suggests, this will need to be removed and cleaned.
3. Make a permanent bridge to replace the missing tooth. While this is a permanent solution, you do have to prepare the other 2 teeth on either side to anchor the missing tooth.
4. Replace the missing tooth with a single implant. While many people think implants are expensive, their value lies in the fact that you don't touch any of your natural teeth so you minimize the risk of replacing a bridge should decay occur in the connecting teeth.
I hope stating these options help you make a decision. Of course, the final decision should be made after consulting with your own dentist so that he/she can evaluate your mouth, gums, bone levels, etc., since these may also determine the treatment course of action you choose.
1. A removable partial denture - which will need to cover the roof of the mouth if the missing too is on top or wrap around if in the lower to have stability and retention. Patients tend not to wear these for a single missing tooth due to their bulk.
2. A dental implant - this replaces the missing tooth and, when restored, the patient has essentially what was there before the trauma that knocked the tooth out. They have a single crown not attached to the adjacent teeth that can be flossed around and replicates a natural tooth.
3. A fixed bridge - This requires the tooth on the right and left of the missing tooth to be prepared and a fixed bridge is made that is cemented to the teeth and not removable by the patient. The result looks like individual teeth, but due to the connection between the units of the bridge, one cannot floss between them.
With trauma leading to loss of a tooth, the adjacent teeth should be evaluated to check if any damage has occurred to those teeth. This could be a crack in the root or trauma to the nerve in the tooth which may require root canal treatment. This can be evaluated with an X-ray and increasing sensitivity to these teeth to pressure to chewing and temperature (hot or cold). It is not unusual to have some sensitivity following the trauma, but this should decrease over a few weeks following the trauma. If it's increasing or persists after contact with food or beverages that are hot or cold, that is indicative of issues that should be evaluated.
Hope this helps,
Gregori M. Kurtzman, DDS, MAGD, FPFA, FACD, FADI, DICOI, DADIA
-Removable partial denture
Sorry to hear that! Regarding your options, you have a few. If possible an implant would be best, 2nd best would be a fixed bridge and, lastly, if cost/insurance coverage is an issue, then the last option would be a removable partial denture, often referred to as a "flipper."
Owen M. Waldman, DMD