Many people don’t think that the pain in their teeth is a big deal, but they often visit the dentist after a long delay. Since most dental diseases do not have subjective symptoms at the beginning and progress slowly chronically, it is important to receive early diagnosis through regular oral examination.
Even if the early diagnosis period is missed and dental caries (caries), fracture, periodontal disease (gum disease), etc., have progressed considerably, rather than unconditionally removing the tooth and placing an implant, if possible, leaving natural teeth and restorative treatment or root canals ( It is good to try nerve) treatment and periodontal treatment.
For example, in the case of dental caries, if the caries is limited to the outermost layer of the tooth, enamel and some dentin, restoration treatment using resin, etc. is possible. You may need root canal therapy that is filled with In some cases, treatments such as apical surgery or tooth replantation are performed.
The reason why natural teeth should be preserved as much as possible is that natural teeth have many advantages over implants.
First, you can feel the chewy taste with the unique taste of the food. Since natural teeth have their own cells and nerves, they can sense the temperature or hardness of food, and have excellent ability to cope with hot or cold stimuli, so they can chew food much more naturally.
Second, there is a periodontal ligament. The periodontal ligament is a thin film located between the teeth and the alveolar bone (gum bone), and acts as a kind of cushion to relieve weight or impact on the teeth. In addition, since it acts as a barrier against bacterial invasion, it slows the rate at which inflammation initiated from the gingiva leads to periodontal tissue destruction. On the other hand, implants do not have periodontal ligaments, so periodontal tissue destruction proceeds faster than natural teeth.
Third, it has the shape and number of roots optimized according to the location and function. Compared to the implant having one artificial root (artificial tooth root), the molar tooth has several roots, which effectively disperse the chewing force given from various directions or the external impact.
Fourth, oral hygiene management is easy. Natural teeth are located at appropriate intervals between teeth. However, because implants have a smaller diameter at the roots compared to natural teeth, the gap between teeth is widened and food is easily caught.
Fifth, it has excellent aesthetics. It is not easy to perfectly reproduce the shape, transparency, and color tone of natural teeth in any implant prosthesis.
Professor Seongtae Kim (periodontist) of the Department of Periodontology at Seoul National University Dental Hospital said, “Implants have become common as a treatment to replace natural teeth, but it is difficult to replace the superiority of natural teeth. It is advisable to try a treatment that uses and maintains, and it is better to leave the implant as the last option.”
Reporter Lee Ji-won [email protected]
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