Due to excess vomiting i ruined my teeth and gums which one will last long bridges or implants

Q. Hi, im 22 and for years i have battled both anorexia and bulimia nervosa, i havent had an attack in 6 years. Due to all the excessive vomiting and lack of nutriants, i ruined my teeth and gums. Im needing alot of work doing on my teeth- wich has just started- and i keep asking my dentist for a dental implant to be put in where one of my teeth has come out but he keeps saying no, he’d bridge it.. Will a bridge last being anchored on two rotten teeth? or could i get the nhs to pay for the one implant to stop my teeth closing in on themselves and me needing braces? Iv been picked up by model agencies but im really self concious about the gaps in my abused teeth. what can be done?

A. I would always recommend an implant over a bridge provided you do not have gum disease, smoke or have other medical conditions that would reduce the success of implant treatment.  There also needs to be enough bone to place the implant into – this sometimes can be improved by grafting techiques.  If you are able to vivist my clinic for an initial free consutation please do.  Contact details are on the web site

Dr Julian Caplan – Director on the board of the BACD View My Profile Dr Caplan

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