Do I have to have an implant for every tooth I have lost?

Dr. Fernando García Vélez

It is very it is important to replace lost teeth as soon as possible, and there are many reasons for this. Losing a tooth causes a number of changes in the mouth: the surrounding teeth move and the bone and gum that support the tooth are lost, the smile is affected, and, worst of all, we lose the ability to chew our favourite food.

There are many ways to replace teeth that are lost, although the most common are autotransplants and the dental implants are the most suitable techniques for almost all patients. Traditionally, other techniques were used, such as bridges or removable prostheses, which are much more uncomfortable and invasive solutions.

When implants began to be placed, some years ago, the more than 50 years, the attitude of the dentists was to place an implant for every tooth we lost, being as wide and as long as possible.

In this x-ray you can see how we rehabilitated the areas of high masticatory load, placing an implant for each missing tooth.

CurrentlyIt has been scientifically proven that implants behave better if there is more space between them or between them and the rest of our teeth. This is because they leave more space for the bone that supports them.

In addition, with technological advances, we can manufacture very strong, short and narrow implants, and with higher success rates.

When we lose a single tooth, we replace it with a single implant and crown. But, What if we have two or more "gaps" in a row?

There are many possibilities and varieties of treatment. In order to plan it, a study is carried out with 3D technology and decide how many implants we need to replace the missing teeth depending on:

  • Number of teeth to be replaced
  • Bone density
  • What the implants will collide with
  • Distribution of forces
  • Material to be used in the prosthesis
  • Masticatory power

We will look at several examples of implants:

All on 4: 4 implants support a prosthesis that replaces all teeth, usually up to the first molar.
With 2 implants we replace missing sections of 3 or 4 teeth.
Almost complete upper and lower bridge rehabilitation of 4 teeth with 2 implants