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Visitor asks:

Hello,
I am 31 years old. I am missing an upper second premolar, which is visible especially when I smile and bothers me greatly. I would like to know what correction options are available, what you recommend, and how much it costs.
Vanja

Dentist Tomaž Rotar answers:

The classic solution would be to replace the missing tooth with a fixed prosthetic construction or bridge. This solution is appropriate if the neighbouring teeth bordering the gap are already considerably affected: their crowns have been extensively built up with filling materials, they already have artificial crowns, they are non-vital, or they have been affected by a deep or extensive carious process. If the neighbouring teeth have these problems, we consider that reshaping them to receive new crowns that will support the missing tooth at the site of the second premolar does not damage them further or remove healthy hard dental tissue. In these cases, placing two crowns on the bridge abutment teeth can actually also solve problems that those teeth already have.
In all other cases, where grinding the neighbouring teeth would destroy healthy enamel, we recommend placing an implant. In your case, one implant would support an individual crown, while the neighbouring teeth would not be touched at all. Of course, certain conditions must be met for surgery: sufficient bone, adequate density, excellent hygiene, absence of occlusal disturbances... Certain diseases may also partially interfere with the procedure: diabetes, blood-clotting disorders, certain psychiatric disorders, osteoporosis... In any case, all of these are only partial obstacles that can be overcome with additional procedures so that the operation can be carried out successfully.

We look forward to your visit!

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