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Medical Forum / General / Dentistry / January 2005Damaged bridge . What should I do ?
Hi , I had bridge (4 crowns) done less than two years ago. Recently I have noticed dark spot on its bitting surfice. It seems that purculan ( or whatever was used ) got worn off and the metal got exposed. I was wondering if someone could give me an advice on how to approach my dentist with this ? I feel that he should replace it free of charge but not sure what is the "thing to do " in cases like this. I am going to talk to him next week. Thanks in advance Sndobo >Hi , > >I had bridge (4 crowns) done less than two years ago. >Recently I have noticed dark spot on its bitting surfice. >It seems that purculan ( or whatever was used ) got worn off >and the metal got exposed. I don't see how this could happen. Porcelain is harder than your natural teeth are; it will wear the opposing tooth instead of having the bridge wear. However, it could chip off. >I was wondering if someone could give me an >advice on how to approach my dentist with this ? [quoted text clipped - 5 lines] > >Sndobo Why do you want to have it replaced? If all that has happened is a bit of porcelain came off, and the understructure is still in good shape, unless the dark spot bothers you a lot, I'd leave it alone. No good reason in my mind to insult the pulps of your abutment teeth more with another prep. Maybe the dentist could bond some composite onto the tooth? I don't know if that's possible tho. -- Adenosine Semi-informed Dental Consumer ? >>Hi , >> [quoted text clipped - 6 lines] >natural teeth are; it will wear the opposing tooth instead of having >the bridge wear. However, it could chip off. Not necessarily. Sometimes the porcelain wears ..... Joel >>I was wondering if someone could give me an >>advice on how to approach my dentist with this ? [quoted text clipped - 14 lines] >Maybe the dentist could bond some composite onto the tooth? I don't >know if that's possible tho. >>>Hi , >>> [quoted text clipped - 10 lines] > >Joel In less that two years? Unless it was very very thin before, if you actually wore through it wouldn't that mean that the wear was the least of your wories (the other worry being will you grind your teeth down into stubs). -- Adenosine Semi-informed Dental Consumer ? >>Not necessarily. Sometimes the porcelain wears ..... >> [quoted text clipped - 4 lines] >least of your wories (the other worry being will you grind your teeth >down into stubs). Well you are correct. The biting surfact may have been quite thin due to bite adjustment, or on occasion, due to design. I used to occasionally specify a "mushroom" of metal dead center where the porcelain might have to be uncomfortably thin (with the patient's permission of course). It ends up looking like a silver filling dead center in the tooth and looks better than a worn porceain area that reminds me of a chipped bathtub. To prevent this, a football diamond, yes the one that is football shaped, is often used to scoop out the occlusal surface, while not shortening the sides of the tooth. A short clinical crown is a challenge as further shortening will cause retention problems resulting in on-again, off-again crowns! Crown lengthening can work to correct that, but sometimes we have to go with the low-tech alternative. RESOURCES: Football Shape FF Bur (BWFG 9406). http://www.dentsply.com/default.aspx?pageid=261#Football PHOTO http://www.dentsply.com/assets/catalog/f_c13.jpg Joel >Hi , > >I had bridge (4 crowns) done less than two years ago. >Recently I have noticed dark spot on its bitting surfice. >It seems that purculan ( or whatever was used ) got worn off That is not a problem. It can last another 25 years just like that. Joel >and the metal got exposed. I was wondering if someone could give me an >advice on how to approach my dentist with this ? [quoted text clipped - 5 lines] > >Sndobo Hi , I have a several "problems" with this: 1. Dark spot kind of bothers me . Not too much ( it is not easy to see ) , but I still know it is there 2. I have paid $3600 for this , not so long ago ( so this bridge is near and dear to me :) 3. I ( unfortunetly :)) have more work to be done , and don't want my next crown to have a same problem 4. I also like my dentist , and would hate to handle this in such a way that would force me to look for a new one Could some try to give me an advice on how to handle this? Let's say I wanted my dentist to replace it. Is it unrealistic of me to expect free of charge procedure? If yes , should I then expect some kind of discount ... Thanks again to all of you sndobo Please make an appointment with your dentist and express your concerns. If you are not satisfied then report back here and ask some questions.  SignatureGregory P. Cole, B.S., D.D.S. (Flap) www.smilesforalifetime.com Flaps Dental Blog http://flapsblog.blogspot.com/ Liberae sunt nostrae cogitationes > Hi , > [quoted text clipped - 19 lines] > > sndobo If I were the dentist, I certainly would replace it, probably for free. I might add the cost of the new bridge (the lab fee) into some other procedure, but hey! That's business. You sound like a great patient. Joel >Hi , > [quoted text clipped - 19 lines] > >sndobo Express your concerns first to the dentist who treated you! Don't rush in to think that replacement is the only answer. SignatureGregory P. Cole, B.S., D.D.S. (Flap) www.smilesforalifetime.com Flaps Dental Blog http://flapsblog.blogspot.com/ Liberae sunt nostrae cogitationes > If I were the dentist, I certainly would replace > it, probably for free. I might add the cost of the [quoted text clipped - 28 lines] >> >>sndobo Gregory P. Cole, B.S., D.D.S. (Flap) wrote: > Express your concerns first to the dentist who treated you! > [quoted text clipped - 39 lines] > >> > >>sndobo Thank you all once again ! Sndobo If the only issue was the exposed metal, a CERANA porcelain endo-inlay would fit the bill. Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > > Gregory P. Cole, B.S., D.D.S. (Flap) wrote: [quoted text clipped - 49 lines] > > Sndobo |
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