Told that I Should NOT have a Dental Implant to Replace my Front Tooth

I take Fosamax and have for over a decade. So when I had one of my front teeth extracted, the surgeon cautioned me that I should not have it replaced with a dental implant. So I have a dental flipper. But honestly it is annoying and leaves a nasty taste in my mouth. I have been researching dental bridges, like the Encore or Maryland bridge. The tooth that I have next to the empty space in front already has a crown. Does that mean I would be a dental bridge candidate? The dentist I am seeing isn’t recommending it because he says the other tooth on the other side of the space would need to be filed down to support it. Thoughts?

– Layla in Canada


For starters, Fosamax should not disqualify you from being a dental implant candidate. Although, you may have a slightly higher risk for bone problems which you may encounter during the oral surgery. That said, the risk is very small. But the consequences can be serious, so you do need to proceed with caution and do not ignore the risk. Another possibility would be to alter your medication intake. When you go in for surgery you could suspend taking Fosamax and work around the procedure. The oral surgeon, dentist, and your physician would need to work together and coordinate the treatment.

If a dental implant doesn’t sound like it is right for you, then a dental bridge is probably the next best solution to replace your missing front tooth. Instead of you selecting the type of bridge, it would be wise to find a dentist you trust and go by his or her recommendation. Encore bridges tend to be aesthetically pleasing and more conservative treatment. That said, if the dentist you choose has never placed an Encore bridge, then you definitely want to find a different one. The placement procedure is unique and there are some compromises in the strength of this type of bridge. Again, pick the right dentist and go off of his or her recommendation.

If the dentist you select isn’t experienced with dental implants, bridges, and dentures – a conventional bridge would be the way to go. This is because most general dentists would be very comfortable with the traditional bridge, even if it involves a crown to the tooth on the opposite side.

With any kind of dentistry, there isn’t always one way to fix a problem. There are usually multiple ways to remedy the situation. Pick the right dentist, one that you trust above all else.

This post is sponsored by Phoenix dentist Arthur Chal Aesthetic and Reconstructive Dentistry.


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