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Medical Forum / General / Dentistry / January 2005Fixed Bridge - RCT
I have a fixed bridge accross the top front bicuspid to bicuspid cemented to posts. An abcess has developed in in the root on the left side and the bridge on this side has loosened. The dentist has not been able to loosen the right side so as to remove the bridge to do the root canal. Anybody seen this or have any ideas for this nightmare. The larger the bridge, and the worse the condition of the abutments, the greater the risk for a catastrophic failure. Doing a root canal through a crown is usually not a big deal, but if the bridge is loose from the abutments on one side, that cannot be ignored for very long. If it will not break loose on the opposing side, it will have to be cut off and remade (This assumes the root canal is successful and the abutments are sound. Decay may be responsible for the bridge coming loose as well as the abcess, in which case the bridge would need to be remade anyway). Best guess from here, Fawks > I have a fixed bridge accross the top front bicuspid to bicuspid cemented to > posts. An abcess has developed in in the root on the left side and the > bridge on this side has loosened. The dentist has not been able to loosen > the right side so as to remove the bridge to do the root canal. > > Anybody seen this or have any ideas for this nightmare. >The larger the bridge, and the worse the condition of the abutments, the >greater the risk for a catastrophic failure. [quoted text clipped - 10 lines] > >Best guess from here, I agree 100%. Long spans require double abutting the distal most points at minimum. Joel >Fawks > [quoted text clipped - 4 lines] >> >> Anybody seen this or have any ideas for this nightmare. >I have a fixed bridge accross the top front bicuspid to bicuspid cemented to >posts. An abcess has developed in in the root on the left side and the >bridge on this side has loosened. The dentist has not been able to loosen >the right side so as to remove the bridge to do the root canal. > >Anybody seen this or have any ideas for this nightmare. Can an endodontist drill through the bridge to access the root canal space? Joel M. Eichen PS- How many abutments versus how many missing teeth is the bridge? Well thanks all, actually the bridge is all I got left up there, (use a partial) so if he can't fix it looks like I'll be going full denture. Yeah, he said something about trying to drill thru it, but I'm not too hopeful. > >I have a fixed bridge accross the top front bicuspid to bicuspid cemented to > >posts. An abcess has developed in in the root on the left side and the [quoted text clipped - 10 lines] > PS- How many abutments versus > how many missing teeth is the bridge? |
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