Upper first molar removal - replace with a bridge?

[KitKat1]

Hi,
When i was a child i used to pretend to brush my teeth but i didn't and inturn had to get massive fillings in all four of my first molars at around the age of 11/12.

So a few months ago the corner of my top first molar broke off and the dentist says it needs to come out. I asked him about getting a 3 piece bridge put in but he thinks as im only 20 he wouldnt advise on getting a bridge (Due to posible complications ) and he thinks that there's a posibility that the gap will fill but says if it doesn't i could get a bridge in a year or two

i was wondering what do you guys think ?

Thanks


Forgot to add all four of my wisdom teeth have started to come in, The two bottom ones are more advanced(all four corners have come in and they look normal but are slightly low) than the top (The teeth have come over the gums but only just)

 

[rob wain]

I'm assuming that by 'the gap will fill' the dentist is suggesting that the teeth behind will migrate forwards and close the gap?

This is unlikely once you're reached your age. Much more likely is that the tooth will lean forward potentially resulting in food packing or an uneven bite. This would also make a bridge/implant very difficult, if not impossible in the future.

It's reasonable advice to suggest that a three-tooth bridge will cause complications - these bridges tend to last 10-15 years before requiring replacement, problem is every time you replace them you run a risk of developing an abscess in one of the teeth.

An implant is potentially the best solution as it would maintain the gap and preserve the gum and bone - expensive in the short term but potentially the cheapest lifetime costs.

An adhesive (aka Maryland) bridge may be possible depending on a number of factors, this is less reliable than a conventional bridge but avoids the risk of abscess.