Cosmetic Dentistry FAQs: Gaps and Missing Teeth

Why should I replace missing teeth?

Apart from appearance, the gap left by a missing tooth puts greater strain on the teeth at either side and can alter the way the upper and lower ones "bite" together. Also, the teeth next to the space can lean into the gap which leads to food getting packed into the gap to cause decay and gum disease.

How are missing teeth replaced?

This depends on how many are missing, where they are and the condition of the others. There are two main ways to replace missing teeth: with a removable false tooth or teeth (a partial denture) or a fixed bridge where fewer teeth need to be replaced, or teeth are missing on only one side of the mouth.

What is a partial denture?

This is a plate with a number of false teeth on it. It may be all plastic or a mixture of metal and plastic. Both types may have clips (clasps), to help keep the denture in place in the mouth. Depending on where they are, some of these clips may show when you smile or open your mouth.

What is the difference between a plastic & metal partial denture?

Plastic partial dentures are less expensive, but unless carefully designed they can damage the teeth they fit against. Metal partial dentures are much stronger. They are lighter to wear and can be supported by the remaining teeth. Also, the teeth are placed on natural-looking gum-coloured plastic.  

How do I choose the best type for me?

We will help guide you as this is dependent on the condition of your gums and remaining teeth. In most cases a metal-based partial denture gives the best result.  

What is the alternative to a partial denture?

A fixed bridge can be made by putting crowns on the teeth at either side of the space before joining them together with a false tooth in the space. The bridge is made in the laboratory and the pieces are cemented into place with special adhesives so cannot be removed. Another option is an adhesive bridge which has wings that are bonded to the back of the supporting teeth with very little drilling involved.  

Can I have a bridge fitted straight after having a tooth removed?

In many people it can take up to 6 months for the gums to heal properly after and extraction. This means that you may need to have a temporary denture for 6 months before the bridge is fitted. However, there are ways around this which Dr Middleton can discuss with you. Back to top

How do I choose the best bridge for me?

Bridges are only possible if you have enough strong teeth with good bone support so we will help guide you as bridges are dependent on the condition of your gums and remaining teeth. In most cases a metal-based partial denture gives the best result.  

Can I have a bridge fitted straight after having a tooth removed?

In many people it can take up to 6 months for the gums to heal properly after extraction. This means that you may need to have a temporary denture for 6 months before the bridge is fitted. However, there are ways around this which Dr Middleton can discuss with you.

What are bridges made of?

Bridges usually made of porcelain bonded to precious metal. Sometimes, there are other non-precious metals used in the base for strength and some bridges are made entirely of special strong porcelain.