Dr Johnson's Blog

Dental Implants or Keep the Tooth?

Joseph Coupal - Tuesday, June 26, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MAMany people call us when they have tooth problems. When they are advised to have their tooth extracted and replaced with a dental implant they often wonder if this is necessary, or if they should keep their natural original tooth. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, "that all depends on the problem. There are scenarios where keeping the tooth some combination of root canal therapy or surgical intervention but in many instances dental implants are a better option".

"Dental implants are great for tooth-replacement or in larger reconstructions to provide support for the definitive dentistry. As far as tooth replacement, you have lots of options, but dental implants best mimic a natural tooth as far as look and functionality. They also help the jawbone and the jawline to maintain its density and volume".

The key word to consider when discussing dental implants is the word replacement, not substitution. Dental implants have a ‘root shape’ and they have been in use for about 30 years. Dr. Johnson is considered a pioneer in the synergistic use of CT scans, CAD CAM and digital laboratory techniques in implant dentistry. Over time he has been developing and perfecting this approach. His first computer-designed implant case was completed in 1988. Using this approach, the case can be studied, designed and placed with incredible precision which impacts the time-line and esthetic outcome.

If you have a tooth that is broken down and cannot be saved or if there are many teeth that need to be addressed, the best choice for replacement is a dental implant. If you had periodontal disease which is compromising your jawbone, then the best avenue would be to extract the teeth, preserve the jaw, and use implants as tooth substitutions. Dental implants can use the remaining jawbone and are healthier and safer than the natural teeth.

If your teeth are salvageable with no further damage to your jaw, teeth and mouth, get the natural teeth fixed. If your teeth and jaw are compromised it would be best to replace those teeth with dental implants.

For more information, contact Newton Wellesley Dental Partners.