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New Front Teeth for a Teenaged David Duchovny

In real life he was a hard-charging basketball player through high school and college. In TV and the movies, he has gone head-to-head with serial killers, assorted bad guys”¦ even mysterious paranormal forces. So would you believe that David Duchovny, who played Agent Fox Mulder in The X-Files and starred in countless other large and small-screen productions, lost his front teeth”¦ in an elevator accident?
“I was running for the elevator at my high school when the door shut on my arm,” he explained. “The next thing I knew, I was waking up in the hospital. I had fainted, fallen on my face, and knocked out my two front teeth.” Looking at Duchovny now, you’d never know his front teeth weren’t natural. But that’s not “movie magic” “” it’s the art and science of modern dentistry.
How do dentists go about replacing lost teeth with natural-looking prosthetics? Today, there are two widely used tooth replacement procedures: dental implants and bridgework. When a natural tooth can’t be saved “” due to advanced decay, periodontal disease, or an accident like Duchovny’s “” these methods offer good looking, fully functional replacements. So what’s the difference between the two? Essentially, it’s a matter of how the replacement teeth are supported.
With state-of-the-art dental implants, support for the replacement tooth (or teeth) comes from small titanium inserts, which are implanted directly into the bone of the jaw. In time these become fused with the bone itself, providing a solid anchorage. What’s more, they actually help prevent the bone loss that naturally occurs after tooth loss. The crowns “” lifelike replacements for the visible part of the tooth “” are securely attached to the implants via special connectors called abutments.
In traditional bridgework, the existing natural teeth on either side of a gap are used to support the replacement crowns that “bridge” the gap. Here’s how it works: A one-piece unit is custom-fabricated, consisting of prosthetic crowns to replace missing teeth, plus caps to cover the adjacent (abutment) teeth on each side. Those abutment teeth must be shaped so the caps can fit over them; this is done by carefully removing some of the outer tooth material. Then the whole bridge unit is securely cemented in place.
While both systems have been used successfully for decades, bridgework is now being gradually supplanted by implants. That’s because dental implants don’t have any negative impact on nearby healthy teeth, while bridgework requires that abutment teeth be shaped for crowns, and puts additional stresses on them. Dental implants also generally last far longer than bridges “” the rest of your life, if given proper care. However, they are initially more expensive (though they may prove more economical in the long run), and not everyone is a candidate for the minor surgery they require.
Which method is best for you? Don’t try using paranormal powers to find out: Come in and talk to us. If you would like more information about tooth replacement, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Crowns & Bridgework,” and “Dental Implants.”

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Dental Arts Studio of Cape Cod

North Eastham, MA
55 Oak Road North Eastham, MA 02651

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West Harwich, MA
129 MA-28, WEST HARWICH, MA 02671

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Monday – Friday: 8:00am – 6:00pm
Saturday – Sunday: On-call emergencies

Dmitry L.
Highly recommend Dr.Pokrovskaya. She is always on time, professional and knowledgable. Doctor Pokrovskaya uses the latest techniques and equipment. Very easy to locate, convenient hours.
Al S.
Hands-down the best Dentist on Cape Cod! When I called on a Friday afternoon just before they closed they accepted us as a new patient with one of my children who had an emergency. Her staff was very kind and considerate Dr. Nadia went above and beyond to make my child feel comfortable. She took her time to explain everything to her mother and I. I would unequivocably recommend her practice!
Jamie N.
Not only is Dr. Pokrovskaya brilliant, but she is caring and gentle. After talking to her about my dental concerns I am confident in placing my trust in her expertise and skill. She takes the time to really consider what is right for you in your unique situation. She has so many skills that she can include in her assessment of what is needed and that makes her a top notch professional.
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