Dental Implant Scenarios


Leading Dental Practice in the Heart of Sydney

Smile Concepts is dedicated in helping you create the smile of your dreams with Dental Implants.

Wondering if Implants Are Right For You?

Here are 5 scenarios related to dental implants.

If you would like more information, we are here to help.


“I have a tooth that is broken and my dentist recommended extraction and a bridge, but I’m not excited about grinding down the perfectly good teeth on each side to make a bridge –could a dental implant work here?

Most likely a dental implant could work very well in this situation. 

Filing down teeth weakens them and makes them more susceptible to decay, gum problems and possible root canals. 

Sometimes a bridge is still the best alternative, but an implant can often be a better option. 

An implant will be easier to clean and floss, won’t require attachment to or damage other teeth and is as close as we can come to naturally giving you back your missing tooth


I had a root canal on a tooth that fractured and now it has to be removed.  Can it be replaced with a dental implant or do I have to have a bridge or a partial denture?

Teeth that have root canals can fracture more easily than other teeth because they are weaker and somewhat dehydrated.

They can sometimes be as brittle as glass.

In the past the best available treatment was to remove the tooth and file down the adjacent teeth and make a bridge – caps on the adjacent teeth with an attached “dummy” tooth in between.

Sometimes this still is the only way. 


I need to replace two missing teeth next to each other.  Can I just have one dental implant placed and attach it to one of my natural teeth and make a bridge?

Generally, this is not a good idea.
Over the years we have learned that it is generally much better not to attach a dental implant to teeth.

We frequently attach dental implants to each other, which can improve strength and works well.

So in a case like this, although it may be more expensive in the short term to place two instead of one dental implant, the long-term success is likely to be much better with the two implants.

Find Your Missing Piece.

I am missing most of my back teeth and do not wish to lose any of my remaining front teeth.  I’ve been through several sets of removable partials and could not wear any of them. 
Could I have teeth that stay in all the time to replace my teeth missing in the back and keep my remaining teeth in front?

Your situation is very common.

First of all we will do everything possible to help you keep your remaining natural teeth as long as their supporting structures are within an acceptable range.

Supporting structures means the gum and bone tissues immediately surrounding the tooth.

A thorough evaluation must be made to determine if a tooth is healthy enough to keep or not.

We do not want remaining unhealthy teeth to compromise the success of any new treatment performed whether it be dental implants or other treatment.

We must then decide what is best for your specific needs in order to restore your missing back teeth dental implant.

If you have had problems with removable partials, then dental implants used to anchor new replacement teeth may be the best answer for you.


I lost my upper back teeth on one side and have gone for years without doing anything about it.  My sinuses always seem to bother me more on that side than on the side that I have back teeth.  Could these problems be related to one another?

A phenomena that occurs in a large majority of people who have had their upper back teeth missing for a long period of time is the increasing downward growth of the maxillary sinus.

At birth it is the size of a pea, and progressively grows as the skull matures.

This growth is at the expense of the surrounding bone.

If you are considering replacing those upper back teeth with fixed teeth that stay in all the time, it may be necessary to perform a sinus elevation procedure to allow room for placement of dental implants into this area to support those teeth.

This involves placement of bone and/or bone substitutes into an area which was previously occupied by the lower part of the maxillary sinus.

These bone graft materials act as a matrix or scaffold which is replaced by the patient’s own new bone.

This raises the floor of the sinus, reduces sinus volume and may allow the sinus to drain easier.

Most importantly, this procedure increases the available bone use to place a dental implant and restore the missing back teeth.


Dr Kinnar Shah

BDS (Gla)

Dr. Kinnar Shah is a cosmetic dentist with a special interest in cometic dentistry, porcelain veneers and dental implants practising at Smile Concepts.


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