Replacing teeth

Replace your teeth and restore your confidence: from single implants to bridges, only you will know they’re there.

Dental implants

Dental implants are a fixed replacement for one or more missing teeth. They are made up of a titanium root fixed under the gumline that provides a base for crowns or dentures.

Implants can help restore both your smile and your quality of life. As they are fixed to your jawbone, you don’t need to worry about them coming loose or falling out. They look and feel just like natural teeth, are very durable, and make it is easier to speak and eat.

Implants can also help to safeguard your overall dental health. Missing teeth cause bone loss which can age your face and could potentially cause adjacent teeth to become loose too. With good oral hygiene, an implant can last many years.


A bridge is a replacement for one or more missing teeth: it literally bridges the gap. This is a good solution if you don’t have many missing teeth or your missing teeth are all on one side, and your surrounding teeth are healthy and strong.

It is important to replace missing teeth. Not only will this restore the appearance of your smile, but it will also correct bite issues and prevent your remaining teeth from drifting into the empty space. A bridge will support the false tooth or teeth, and reduce the susceptibility of remaining teeth to decay and gum disease.

A bridge is made up of two or more crowns that fit to the teeth on either side of the gap. These teeth serve as anchors for the false tooth, or teeth, that is fitted in between.

The bridge itself can be made from metal, porcelain or a combination of both. The replacement tooth that’s fixed between your bridge can be colour-matched closely to the rest of your teeth. Your Portman dentist can explain all the options and discuss which will be best for you.


Dentures are removable frames holding false teeth, and are used to replace a single tooth, several missing teeth, or an entire set of teeth. They improve the function and appearance of your natural teeth, restoring your smile and your confidence.

Dentures are durable and long-lasting, and are ideal if you would like a removable solution for your missing teeth. They enable you to eat more foods and speak more comfortably, and help avoid further tooth loss.

At Portman, we are experts in both simple dentures and implant stabilised dentures. Our specialist prosthodontists will be able to advise which type of denture will be best for you, and ensure they are both comfortable and natural looking.

Also in this section:

Repairing teeth

We are experts in restoring broken or chipped teeth. Using the latest dental technology we can help you achieve a beautiful, natural smile.

    Dental Patient Smiling - Portman Dental Care



    Does it matter if I have missing teeth?

    A natural smile and a healthy mouth are important for your confidence, but it is important to replace missing teeth for health reasons as well.

    Some of the health reasons to replace missing teeth are:

    1. If you have missing teeth, the way your jaw opens and closes can be affected. This can result in a condition called TMJ dysfunction (or TMD), which is extremely painful and requires surgery in extreme cases.
    2. Gaps between the teeth can allow the movement of other teeth into these spaces. These surrounding teeth become increasingly susceptible to decay and gum disease, which can result in them being lost as well.
    3. Once teeth have gone, it results in bone loss. This not only shortens your face and ages it, but can cause other teeth to become loose which are then at risk of falling out. Your features droop and can appear prematurely aged.

    What is a dental implant?

    When a tooth falls out, the root which normally holds it in place is lost as well. This means there is then nothing to hold a replacement tooth in place. A dental implant solves this problem by using a titanium fixture to replicate the function of the tooth’s natural root.

    The implant is placed into the jaw where it fuses with the bone. Like your natural root, it then provides a foundation. This provides a secure point onto which a crown can be placed, replacing the missing tooth.


    How long do dental implants last?

    Dental implants have been used for over 30 years to replace missing teeth. As with natural teeth, they can be damaged by trauma and affected by gum disease and poor oral hygiene. However, if they are looked after like normal teeth, they can last a lifetime.


    Is a dental implant right for me?

    Most healthy people, who regularly brush their teeth and visit the dentist, are suitable for implants. Dental implants can be a great solution for people of any age.

    While implants are suitable for most people, there are circumstances where implants may not be suitable. It’s important that you speak to your Portman dentist if you’re concerned about any of the below.

    1. Heavy smoking, which slows down and hinders the healing process.
    2. Excessive alcohol intake, which can disrupt healing of the gums.
    3. Those with a weak bones, as the implant needs to fuse with the bone in the jaw.
    4. Severe gum disease. Tooth decay and/or gum disease needs to be treated before proceeding with a dental implant. Gum disease is a major cause of bone loss, which would hinder the success of any implant procedure.
    5. People with compromised immune systems.
    6. People who suffer from teeth grinding (bruxism).

    What is Immediate Loading?

    Immediate Loading is when a dental implant and crown are fitted at the same time. This is as opposed to a Delayed Loading implant, which is a two-stage process, separated by a period of up to six months.

    The main advantage of Immediate Loading is convenience. The procedure can be done in the same day, which is why it’s sometimes known as ‘the same day smile’.

    Other advantages are that it’s a quicker procedure, there’s no need to wait for the bone and implant to fuse, and you don’t need to wear a temporary bridge or dentures.

    However, the main disadvantage with Immediate Loading is that there’s an increased risk of loss of the implant, due to a failure of the bone to fuse sufficiently to the implant.

    Your Portman dentist will advise you on which technique will be the most beneficial for you.


    What is Delayed Loading?

    Delayed Loading is a two-stage process in which the implant is inserted, followed by a period of healing before the replacement teeth are fitted.

    The benefits of this procedure are that there is less risk of implant failure, fewer implants are required, and the fusion between implant and jaw will have taken place, providing a firm base for your replacement teeth.

    The main disadvantage to this procedure is the time you have to wait while the bone fuses. Speak to your Portman dentist about which procedure is the best for you.



    Will dentures affect my speech?

    For many people there is a period of adjustment when you first get your dentures fitted, in which speaking may be more difficult than before. But this is normally a case of getting used to the feel of them, and you’ll soon be back to speaking normally with a little practise. Your Portman dentist will be able to help you with this.



    Do dentures make eating difficult?

    Eating may be difficult at first. Eating with dentures is slightly different to eating with natural teeth as they are not rooted as deep in your mouth. You will be used to a biting and tearing method but this will need to be adapted to focus more on biting. It can take some getting used to.



    Will I need to clean my dentures?

    Dentures must be cleaned as plaque can still build up on them. While brushing after meals is recommended, the most practical way of cleaning dentures is to take them out and carefully brush them over the sink with a special denture brush. Be sure to rinse them well afterwards.



    Why do dentures have to come out at night?

    This may not be compulsory but it is highly recommended. If you soak them overnight in an approved denture cleaner, they will be clean and fresh the next day.

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