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Complete Teeth Replacement Guide: Options for Missing Teeth

Expert advice from Bourne Dental on dental implants, bridges, and dentures. Discover the best solution for your smile and oral health.

Dr. Ismail Qazi

Dr. Ismail Qazi

Principal Dentist & Implant Specialist at Bourne Dental

Published: September 9, 2025

Why Replace Missing Teeth?

Missing teeth affect more than just your smile. Beyond the aesthetic concerns, gaps in your dentition can lead to:

  • Shifting of adjacent teeth into the empty space
  • Bone loss in the jaw where the tooth root is missing
  • Difficulty chewing certain foods properly
  • Changes to your facial structure over time
  • Speech difficulties with certain sounds
  • Increased risk of decay and gum disease in harder-to-clean areas

Modern dentistry offers several effective solutions for tooth replacement. In this comprehensive guide, we'll explore the three main options: dental implants, bridges, and dentures.

Comparison of tooth replacement options

Dental Implants: The Gold Standard

Dental implants are widely considered the best solution for replacing missing teeth. They consist of a titanium post that is surgically placed into the jawbone, acting as an artificial tooth root. A custom-made crown is then attached to this post.

The Implant Process

  1. Consultation and planning: Comprehensive examination, 3D scans, and treatment planning
  2. Implant placement: Minor surgery to place the titanium post into the jawbone
  3. Healing period: 3-6 months for osseointegration (bone fusing to the implant)
  4. Abutment placement: Connecting piece attached to the implant
  5. Crown attachment: Custom-made tooth cemented or screwed onto the abutment

Advantages

  • Most natural look and feel
  • Prevents bone loss by stimulating the jawbone
  • Doesn't affect adjacent teeth
  • Extremely durable - can last a lifetime
  • Highest success rate (95-98%)

Considerations

  • Higher upfront cost
  • Longer treatment time
  • Requires minor surgery
  • Not suitable for everyone (requires adequate bone density)

Dental Bridges: Fixed Tooth Replacement

Dental bridges literally "bridge" the gap created by one or more missing teeth. A bridge consists of two or more crowns for the teeth on either side of the gap (abutment teeth) and a false tooth/teeth in between.

Types of Bridges

  • Traditional bridges: Most common type, with crowns on adjacent teeth
  • Cantilever bridges: Used when there are adjacent teeth on only one side
  • Maryland bonded bridges: Metal or porcelain wings bonded to adjacent teeth

Advantages

  • Faster process than implants (2-3 visits)
  • Less expensive than implants
  • No surgery required
  • Natural appearance

Considerations

  • Requires altering healthy adjacent teeth
  • Doesn't prevent bone loss beneath the bridge
  • Shorter lifespan than implants (5-15 years)
  • More difficult to clean under the bridge

Dentures: Removable Tooth Replacement

Dentures are removable appliances that can replace missing teeth. They can be either partial (replacing some teeth) or complete (replacing all teeth in an arch).

Types of Dentures

  • Conventional dentures: Made after teeth have been removed and gums have healed
  • Immediate dentures: Made in advance and placed immediately after tooth extraction
  • Implant-supported dentures: Secured in place by dental implants for better stability

Advantages

  • Most affordable option
  • Non-invasive treatment
  • Can replace multiple teeth at once
  • Quick results

Considerations

  • Can feel bulky and take time to get used to
  • May affect speech initially
  • Require regular removal and cleaning
  • Don't prevent bone loss
  • May need relining or replacement over time

Comparison of Tooth Replacement Options

Feature Dental Implants Dental Bridges Dentures
Treatment Time 3-9 months 2-4 weeks 3-6 weeks
Cost (per tooth) £2,000-£3,000 £800-£1,500 £300-£1,000
Lifespan 25+ years (often lifetime) 10-15 years 5-8 years
Bone Preservation Yes No No
Adjacent Teeth Unaffected Must be prepared May use clasps
Maintenance Like natural teeth Special flossing needed Removable cleaning
Stability Excellent Good Variable

Which Option Is Right For You?

The best tooth replacement option depends on several factors:

Consider Your:

  • Oral health: Condition of your gums and remaining teeth
  • Bone density: Whether you have sufficient jawbone for implants
  • Budget: Your financial considerations and insurance coverage
  • Timeframe: How quickly you need the replacement
  • Long-term goals: Your expectations for durability and maintenance

"At Bourne Dental, we believe in personalized treatment planning. During your consultation, we'll take the time to understand your specific situation, concerns, and goals to recommend the best tooth replacement option for you." - Dr. Ismail Qazi

FAQs About Teeth Replacement

The complete dental implant process typically takes 3-9 months. This includes the initial consultation, implant placement surgery, healing period (3-6 months for osseointegration), and finally placing the permanent crown. Complex cases or those requiring bone grafts may take longer.

Most patients report that dental implant surgery involves minimal discomfort. The procedure is performed under local anesthesia, and many patients compare it to having a tooth extraction. Post-operative discomfort is typically mild and can be managed with over-the-counter pain medication.

Yes, in many cases you can still get implants even if you've had missing teeth for years. However, prolonged tooth loss often leads to bone loss in the jaw. If this has occurred, you may need a bone graft procedure before implant placement to ensure there's enough bone to support the implant.

Dental bridges require special cleaning techniques. It's essential to clean under the false tooth where the gum meets the bridge. We recommend using:

  • Special floss threaders or super floss to clean under the bridge
  • Interdental brushes to clean around the supporting teeth
  • Antibacterial mouthwash to reduce plaque buildup
  • Regular professional cleanings to maintain the health of supporting teeth

Yes, at Bourne Dental we offer several financing options to make tooth replacement more affordable:

  • Interest-free payment plans through our practice
  • Finance options through Tabeo with 0% interest available
  • Our practice membership plans that offer discounts on treatments
  • We can provide detailed treatment plans to help you submit insurance claims

During your consultation, we'll discuss all available options to find a solution that fits your budget.

Next Steps: Book Your Consultation

If you're considering replacing missing teeth, the first step is a comprehensive consultation at Bourne Dental. During this visit, we will:

  1. Conduct a thorough examination of your oral health
  2. Take necessary X-rays or 3D scans to assess your bone structure
  3. Discuss your goals, concerns, and preferences
  4. Explain all suitable treatment options in detail
  5. Provide a clear treatment plan and cost estimate
  6. Answer any questions you may have

Don't let missing teeth affect your confidence, oral health, or quality of life. Contact us today to schedule your consultation and take the first step toward a complete, healthy smile.

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01202 772774
07555 568199