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Artisan Dentistry's Blog

Missing Teeth? Here’s How Our Salem, NH Dental Office Can Help

Mar 19th, 2025

Losing a tooth can be an unsettling experience, whether it’s due to injury, decay, or gum disease. Beyond the aesthetic concerns, missing teeth can lead to difficulties in chewing, shifting of surrounding teeth, and even bone loss over time. Fortunately, advancements in dental technology offer several options to restore your smile and oral health.

At our Salem, NH dental office, we specialize in dental implants, the gold standard for tooth replacement, but we also understand that every patient has unique needs and budgets. That’s why we provide a variety of solutions, from implants to bridges and dentures. In this guide, we’ll walk you through the different ways to replace missing teeth, their benefits, and potential drawbacks.

1. Dental Implants – The Gold Standard for Tooth Replacement

What Are They?

A dental implant consists of a titanium post that is surgically placed into the jawbone, acting as an artificial tooth root. Once it fuses with the bone (a process called osseointegration), a dental crown is placed on top, mimicking the look and function of a natural tooth.

Pros:

Most Durable Solution – Can last a lifetime with proper care with scientific studies looking at survival rates of dental implants over 20 years.
Prevents Bone Loss – The only replacement option that stimulates jawbone health to prevent the loss of underlying bone over time
Looks and Feels Natural – Matches surrounding teeth in color, shape, and function and is secure in the mouth
No Impact on Other Teeth – Unlike bridges, implants do not require altering adjacent teeth

Cons:

Higher Initial Cost – But cost-effective in the long run due to longevity. Our Salem dental office offers financing options for those who need it.
Surgical Procedure Required – Some patients may not be candidates due to medical conditions or insufficient bone levels in the jaw
Healing Time – Can take several months before the final restoration is placed

💡 Best for patients looking for a long-term, natural-feeling solution and those concerned about jawbone health.

2. Dental Bridges – A Non-Surgical Alternative

What Are They?

A dental bridge consists of an artificial tooth (pontic) or set of teeth anchored by crowns on adjacent natural teeth. It’s a great option for replacing one or two missing teeth in a row.

Pros:

Faster Than Implants – Can be completed in just a few weeks
More Affordable Than Implants – A mid-range solution in terms of cost
Stable and Functional – Restores chewing ability and prevents teeth from shifting

Cons:

Requires Altering Adjacent Teeth – Neighboring teeth must be filed down for support the dental bridge
Does Not Prevent Bone Loss – Since there’s no root replacement, the jawbone may shrink over time due to lack of stimulation or use
Shorter Lifespan – Typically lasts 10–15 years before needing replacement

💡 Best for patients who want a faster, non-surgical solution and have strong adjacent teeth to support the bridge.

3. Maryland Bridge – A Minimally Invasive Option

What Is It?

A Maryland bridge is a more conservative alternative to a traditional bridge. Instead of crowns, it uses a metal or porcelain framework bonded to the back of adjacent teeth. This is often used in cases of congenitally missing teeth as patients wait for their jaw to mature enough for dental implants.

Pros:

Minimally Invasive – No need to file down neighboring teeth
Quick and Affordable – Less expensive and can be placed in a short time
Good for Front Teeth – Works well for replacing a single missing tooth in the front

Cons:

Less Durable – Can become loose or break under heavy chewing forces
Limited Applications – Best suited for front teeth, not molars
Does Not Prevent Bone Loss – Since there’s no root stimulation

💡 Best for patients looking for a temporary or conservative solution for front teeth replacement.

4. Flipper Tooth – A Temporary & Budget-Friendly Option

What Is It?

A flipper is a lightweight, removable partial denture made of acrylic that replaces one or more missing teeth. It is commonly used as a temporary solution while waiting for a permanent replacement.

Pros:

Most Affordable Option – Inexpensive compared to other methods
Quick & Easy to Make – Can be fabricated in a short time
Removable – No need for surgery or extensive dental work

Cons:

Not a Long-Term Solution – Prone to breaking and wear over time
Can Be Uncomfortable – May cause irritation or difficulty in speaking
Does Not Prevent Bone Loss – Since it sits on top of the gums without stimulating the jawbone

💡 Best for patients needing a temporary fix while waiting for implants or a bridge.

5. Complete or Partial Dentures – Full Smile Restoration

What Are They?

Dentures are removable prosthetic devices used to replace multiple missing teeth. Full dentures replace an entire arch, while partial dentures fill in gaps when some natural teeth remain. While a well made denture can be comfortable, like the ones in our dental office in Salem, it’s still doesn’t feel as natural or secure as it’s implant alternative.

Pros:

Cost-Effective for Multiple Missing Teeth – Much cheaper than replacing each tooth with an implant
Non-Invasive – No surgery required
Can Improve Appearance & Function – Restores the ability to chew and speak properly

Cons:

Less Stability – Can slip or move when eating or talking
Requires Maintenance – Must be removed and cleaned daily
May Contribute to Bone Loss – Since they rest on the gums, the jawbone can shrink over time

💡 Best for patients with multiple missing teeth who want a non-surgical, cost-effective solution.

6. Implant-Supported Dentures – The Best of Both Worlds

What Are They?

Implant-supported dentures combine the benefits of implants and traditional dentures. A few strategically placed implants secure the denture in place, improving stability and jawbone health.

Pros:

More Secure Than Traditional Dentures – No slipping or movement
Better for Jawbone Health – Implants help preserve bone structure
More Affordable Than Full Implants – Fewer implants mean lower costs

Cons:

Still Requires Surgery – Some patients may not be candidates
Higher Cost Than Regular Dentures – Though more cost-effective than full implants, it’s pricier than traditional dentures

💡 Best for patients with significant tooth loss who want more stability than traditional dentures can provide.

Which Tooth Replacement Option is Best for You?

At our dental office in Salem, NH, we understand that every patient’s needs and budget are different. Our dentist will discuss your needs and work with you to determine which solution works best for you. Schedule a dental consultation with us to find the best solution to restore your smile and confidence.

Warranty

Our 5 Year Warranty

Anyone can train to be a technician, but few have the talent to become an artist. That’s why Dr. Mathew is able to guarantee his cosmetic dentistry work for a full 5 years. If anything goes wrong with the work, Dr. Mathew will fix it free of charge, as long as you continue with your regular 6 month preventative care cleaning and check up for the duration of the warranty.

Treatment Room

Individualized
Treatment Rooms

Our individualized treatment rooms and operatories provide patients with maximum privacy and comfort. The treatment rooms were built specifically with your comfort in mind.

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Here at Paul Mathew, D.D.S. we work diligently to protect our patients' privacy. Requesting an appointment via our Internet portal is considered part of what the Health Insurance Portability and Accountability Act (HIPAA) has identified as electronically protected healthcare information or ePHI. Unfortunately, despite our best efforts, there are people or entities that may attempt to intercept the data you transmit to us. By checking the "I agree" box, and electronically making an appointment request, you acknowledge that you are making an appointment over the internet and that Paul Mathew, D.D.S. will keep this information confidential but cannot guarantee that others, outside of our practice, may illegally intercept this communication. By accepting these terms and conditions and sending this request via our Internet portal, you accept the inherent risk(s) associated with making this request for an appointment. If you do not accept the terms and conditions, you are always welcome to contact our office via telephone to schedule your appointment.

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Here at Paul Mathew, D.D.S. we work diligently to protect our patients' privacy. Requesting an appointment via our Internet portal is considered part of what the Health Insurance Portability and Accountability Act (HIPAA) has identified as electronically protected healthcare information or ePHI. Unfortunately, despite our best efforts, there are people or entities that may attempt to intercept the data you transmit to us. By checking the "I agree" box, and electronically making an appointment request, you acknowledge that you are making an appointment over the internet and that Paul Mathew, D.D.S. will keep this information confidential but cannot guarantee that others, outside of our practice, may illegally intercept this communication. By accepting these terms and conditions and sending this request via our Internet portal, you accept the inherent risk(s) associated with making this request for an appointment. If you do not accept the terms and conditions, you are always welcome to contact our office via telephone to schedule your appointment.

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The information presented here is not intended or implied to be medical advice, diagnosis, or treatment. It should be used for informational purposes only.