Author: Kalashnikirby
Date: 2021-06-07 01:12
As a dentist, well, does your boyfriend really need 4 implants down there?
Is there a possibility to go with a bridge, using the canini instead (which are excellent for that purpose)?
The "prosthetic value" (can't translate it any better, sorry) of lower incisors ist extremely low. Thus, having them removed, often due to periodontal issues is rather common. Now if the canini are fine, bridges are a much cheaper way to replace these teeth, as the forces that occur down there are generally lower than one would expect.
Now consider the following: Neither implants nor a bridge can simulate the feeling of a real tooth (with its pulp and elastic fibers attaching it to the bone), so either will be a compromise. Then again, your upper incisors put way more force on the mouthpiece. Would'nt worry about implants not being able to handle the force, granted they are done well. Yes, a small diameter is likely going to be used, but that doesn't affet them too dramatically.
Honestly, while of course it depends on the patient's individual oral situation, I would'nt worry too much about having implants down there. The other question is, why would you use 4 of them, that is actually way too much for these tiny incisors. 2 implants should suffice.
Current clinical evidence suggests that for a complete solid replacement of ALL teeth, 6 implants would be enough. So I'm surprised he needs 4 for these rather "irrelevant" teeth. Placing 4 in that area will force one to be extremely precise, as implants need about 2mm of space around them.
Another thing: Consider that after implant surgery, the usually need 2-3 months for osseointegration. Only then can crowns or bridges be put on them and they can withstand greater loads.
Best regards
Christian
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