Hi, I’m annoyed with my dentist. He’s one of those people who think because he went to dental school I shouldn’t have to many questions and should just do his recommendation. This isn’t working for me. I have a tooth I’m trying to save. If I can’t save it, I want to know what options I have in replacing it. He says I only have one option—dental implants. I’m a believer that there are always options. What are other procedures available in this situation?

Carl

Dear Carl,

There are too many dentists who work that way. Unfortunately, the dental school promotes the attitude that the dentist always knows best. However, we are also taught that we’re ethically bound to give our patients all their options and never move forward with treatment without their express permission. Your dentist seems to have forgotten this. Feel free to show him this post as a simple reminder.

First, let me say I’m glad you’re trying to save the tooth. It’s always best to preserve as much natural tooth structure as possible. If it doesn’t work out, you have several options:

Dental Implants

This is the option your dentist mentioned. It is at the top of the line, the ideal option. In fact, it’s a lot like having your natural tooth back (when it was healthy). The downsides are the cost and the fact that it requires surgery. The surgery is actually its benefit too. It implants a root form into your jawbone which protects you from losing essential bone structure. Click here to learn more about dental implants.

Dental Bridge

This is a second good option. It suspends a false tooth between two dental crowns. The downside is it does remove tooth structure from the adjacent teeth to make room for the crown. This makes more sense if those teeth already need crowns. Then you’re getting two for the price of one. The upside is it’s less expensive. Click here to learn more about a dental bridge.

Removable Partial Denture

This is my least favorite option, but sometimes it’s all a patient can afford, so I help them make the best of it. It just uses a partial denture and clamps to your teeth. There are various types of clamps, all of which come with ups and downs, as well as varying price tags. Your dentist is obligated to tell you about them if you decide to go that route. The obvious downside to these is they’re not fixed in your mouth and can move around. Plus they put pressure on the teeth to which they’re clamped.

Have a Frank Discussion with Your Dentist

It sounds to me like you and your dentist need to have a pow-wow. If he’s not willing to help you navigate these options and give you all their pros and cons, you’re better served by going to a completely different practitioner. I’m sorry he’s making you reach out elsewhere for information. I hope you’re able to save the tooth and won’t have to bother with any of the above, but it’s always good to be prepared just in case.

This blog is brought to you by Dr. Kevin Peck.