Ila asks:
My 60 year old mother lost one of her front upper incisors in an accident. Her teeth generally are not in good shape with two bridges in the lower jaw. However, she is able to eat all kinds of food comfortably and has no complaints about the lost tooth apart from the cosmetic part.
Nevertheless, an implant was suggested and we did an OPG. The Report says: "Mild attrition / wear of unrestored teeth and generalized moderate periodontal bone loss are noted. Advanced distal interdental bone loss is noted with 42. Partial bone effacement is noted in the furcation region of the 26 & 27."
Does this mean she will invite needless trouble if she goes ahead with implants? Is it safe to undergo implants with this type of bone density, especially considering that functionally it seems like my mother can do without the implant? Thanks for your help.
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Lost upper incisor
Dear Ila:
You did a good job describing the dental evaluation but did not mention your mother's health history.
If she is in good health and has no contraindications healthwise, I would still recommend the replacement of the missing anterior tooth for cosmetic reasons, and she has the option of an implant or a bridge.
The implant is the closest to her missing tooth, but each has its advantages and disadvantages.
An evaluation by a dentist you trust should help you get a recommendation for what is best in your mother's case.
Good luck!
Carlos A. Boudet, DDS, DICOI
http://boudetdds.com/
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