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Most world scientific evaluations conducted show that single-tooth implants are much more advantageous than fixed prostheses, both in terms of residence time in the mouth and in terms of the health of other teeth.

From time to time, in the posterior regions of the mouth, there are single-tooth deficiencies that need to be corrected. The first major molars are the first permanent teeth that last in the mouth and, unfortunately, are often the earliest teeth lost due to caries, unsuccessful endodontic treatment or fractures. In addition, adult patients often have one or several crowns placed which, after extensive previous adjustments, have to be made in order to preserve the structural integrity of the tooth. There are research results that contradict each other regarding the service life of coatings that we call crowns.

The average life span of crowns until they become unusable has been reported as 10 years. Among the reasons for the failure of the crown, at first it sounds decayed.

Caries is followed by endodontic treatment.


The most common option for single tooth loss in the posterior region is the construction of a fixed partial prosthesis with three members. This type of arrangement can be done within one to two weeks and satisfactory results can be obtained in terms of normal contour, comfort, function, aesthetics, speech and health criteria. Due to these benefits, fixed prostheses have been preferred for the last 50 years.

There are quite a few problems with bone and soft tissue in the area of the lost tooth. Every dentist also has information about this process of operation.

There are limitations in the long-term success of three-member fixed prostheses related to regulation and, more importantly, related to supporting teeth. The most important reasons why the prosthesis becomes unusable are caries and endodontic treatment. 15 Percent of fixed prosthetic support teeth require endodontic treatment, versus 3 percent for teeth that are not used as support and are ready for crown construction. Support The long-term health of teeth is also at greater risk of problems such as bone loss.

Among the unpleasant consequences of a fixed prosthesis failure are the replacement of the failed prosthesis, as well as the construction of additional dectics due to the loss of one of the supporting teeth and the purchase of additional supporting teeth. The support teeth of fixed prostheses are losing between 8 percent to 12 percent within 10 years. The most important cause of single tooth loss is endodontic failure or tooth fractures. Because 15 percent of the supporting teeth require endodontic treatment and endodontic treatment is 90 percent successful in the eight-year period, the supporting teeth are at risk of further loss. In implant, the risk of decaying increases even more when the supporting teeth are connected to each other by an intermediate pontic. Independent crowns have a decay rate of less than 2 percent, while supporting teeth of fixed prostheses are at an approximately 20 percent risk of caries, probably because their pontic region acts as a plaque accumulation zone.

Even if endodontic treatment is possible, a bruise lesion on the edge of the crown can cause a structural disorder. Support for the construction of a three-member fixed prosthesis 80 percent of the cut teeth either do not have caries at all, or only have minor adjustments. A single tooth deficiency can be eliminated with an implant, rather than covering two or more teeth by removing intact tooth tissue.

For many years, patients have had to accept the limitations of the fixed prosthesis, giving up their wishes. However, many patients think that the most natural treatment for tooth deficiency is implant placement, rather than combining the teeth adjacent to the toothless area by cutting them.

The primary reasons why fixed prosthesis construction is recommended are that their clinical application is easy and the treatment period is short.

The primary reason for recommending or carrying out a treatment to the patient should not be related to the duration of treatment or the difficulty of the procedure. The best possible long-term solution should be sought for each individual.

The results of the treatment of missing teeth were evaluated in the literature; a greater number of studies on single-tooth implants and teeth implants in single intact all notices of the highest long-term success rates have been observed. Although the posterior region is a new treatment option compared to single-tooth implants, many articles have been published on this subject since 1995 and follow-up studies with periods ranging from 1 – 15 years have reported in decency rates ranging from 95 to 100 percent. The average values of these notifications are around 2.8 percent implant loss for five years.

In contrast, there is an expectation of high failure rates in fixed prostheses, such as 20 percent for three years and 50 percent for five years. As a result, single dental implants have the highest successful survival rates in the mouth. Another important point is that no neighboring tooth loss has been reported in any treatment, which is an important advantage.

On the other hand, as for the life of implant crowns, these reports have been determined with sufficient clarity, since they do not last as long as other treatment options.

Despite some limitations and situations involving clinical difficulties, single dental implants are the preferred treatment option in terms of health and value. These advantages include a reduced risk of caries and gum disease, a decrease in the risk of loss of supporting teeth due to endodontic failure and decayed teeth, and a further improvement in aesthetics.

Especially in cases such as congenital tooth deficiency or tooth loss after a crown restoration, its psychological advantages are also quite obvious. These advantages are so important for the health of neighboring teeth and the condition of the gums and the preservation of the curved form that single dental implants have become the preferred treatment option in many cases.


If the neighboring teeth are healthy or the patient does not want these teeth to be cut for the construction of a conventional three-member fixed prosthesis, a posterior region single tooth implant is an excellent solution.

Advantages of this treatment option over a fixed prosthesis;

High success rates

Reduction in the risk of caries in neighboring teeth

Reduction in the risk of endodontics in neighboring teeth

Better cleaning of the side surfaces of neighboring teeth

Better aesthetics of neighboring teeth

Better protection of bone in toothless areas

Low sensitivity due to cold or contact with neighboring teeth

Psychologically it is more advantageous

Less support is tooth loss.


Single dental implants become advantageous when a new prosthesis construction is required for the patient in the traditional treatment approach at the end of the first seven years. In this case, the amount paid initially is sufficient, since payment is not required.


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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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