Replacement of a single missing tooth in maxilla : factors to consider

Abstract

Background: In dentistry when replacing a single missing tooth in the maxilla, the choice of treatment is often between either a fixed partial denture (FPD) or a single dental implant. The challenge is to utilize relevant factors in treatment planning, achieving benefit for the patient. This article focuses on the factors that should be taken into consideration in decision-making. The investigation provides an attempted to further understand the importance of the factors studied. Method: A questionnaire was sent out all members of the Norwegian Society for Prosthetic Dentistry (119). Result: There was a difference in importance of the factors studied when treatment was planned with either a single dental implant or a FPD concerning replacement of a missing tooth in the maxilla. The factors of bisphosphonates, smoking, oral hygiene, periodontitis, bruxism and diabetes all seemed to be of more importance when placing a dental implant compared to a conventional FPD. Conclusion: The final choice between a dental implant and a FPD depended on several factors that affected the decision-making; among these were cost and patients' awareness of the different treatment options.