I knocked my tooth out and had a bridge I don’t have enough bone density could I have dental implants

Q. I knocked my two front teeth out when I was 8yrs old, they were put back in and capped but didn’t take and at 15yrs old they were removed and replaced with a denture and then a porcelain bridge. I am now 26yrs old, getting married in 6mths time and have broken my bridge and caused damage to the adjoining tooth following a fall on Friday when I blacked out. I have seen an NHS dentist this morning who took X-rays and wants to review my own tooth next week. I am considering implants, because this is the 3rd bridge I’ve had since I was 17yrs old. At that time I was told I didn’t have enough bone density, but could that change over time or just get worse?

I’m obviously very conscious about the cost as we are paying for a wedding and equally I am conscious of time because I need to be able to smile at my wedding on 1st November 2008. I can feel my confidence decreasing already, and I work in sales so I have to come across confident and talk to people all day. I really don’t know what would be best, another bridge would be quicker and cheaper but how long would it last, and implants or mini implants could last a lifetime rather than 5-10yrs.

A. The answer depends so much on the clinical details that it would be better to come in for a free consultation. You would have to pay for a couple of XRays @ £6 each. My feeling is that implants not mini implants are a cost effective solution over a lifetime BUT that bone density/volume question must be answered first.

I hope this helps

Dr Rob Tennet St Johns Dental Practice 18 Bennett’s Hill, Birmingham, B2 5QJ Web: www.e-dentalpractice.co.uk

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