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Medical Forum / General / Dentistry / March 2005Advice Please
I had #20 pulled. It was the anchor of a 4 unit bridge. Now I have nada on 18-20. #17 was salvaged from the old bridge and now stands alone as a crown (actually it is the remnant of the original 4 unit bridge). I like to chew on this side...it was always my favorite. Options that have been presented to me are as follows: 1- implant on 18 and 20 with a 3 unit bridge across. 2- 5 unit bridge from 17-21 3- Partial denture for 18-20 I would appreciate any opinions.. I know the implants would probably be the longest lasting but I don't know if I want to wait for almost a year. I had a socket graft on #20 at the time of the extraction. Please include any downside for each option. It seems that the partial denture would be the quickest and easiest fix. But how would it effect my chewing. Thank you, Ken Happy Easter to All >I had #20 pulled. It was the anchor of a 4 unit bridge. > Now I have nada on 18-20. #17 was salvaged from the old bridge and now [quoted text clipped - 16 lines] > Thank you, Ken > Happy Easter to All A bridge from 17-21 won't last very long. It's a waste of money IMO. I'd go with option #1. It's worth the wait (although the wait is usually 3-6 months...not one year). If the idea of going without teeth on that side for 3-6 months is unbearable, then you could always get a partial denture to wear in the interim. That #3, followed by option #1. The reason I say one year is that the socket graft takes about 4 months before he can do the implant. Thanks, Ken >>I had #20 pulled. It was the anchor of a 4 unit bridge. >> Now I have nada on 18-20. #17 was salvaged from the old bridge and now [quoted text clipped - 22 lines] > for 3-6 months is unbearable, then you could always get a partial denture > to wear in the interim. That #3, followed by option #1. > The reason I say one year is that the socket graft takes about 4 months > before he can do the implant. I agree with NOYB that relying on #17 as the only rear supporting tooth for a long span bridge is a poor plan--and also places #21 at risk from overloading. Steve > Thanks, Ken > [quoted text clipped - 24 lines] >>for 3-6 months is unbearable, then you could always get a partial denture >>to wear in the interim. That #3, followed by option #1.  SignatureCut the nonsense to reply > The reason I say one year is that the socket graft takes about 4 months > before he can do the implant. And 3 months for implant integration in the mandible...and 2 weeks for the implant abutment and crown to be fabricated. 7 1/2 months total. I still say do the implant. Ken I have to agree that the 5 unit bridge won't last long. A partial denture would be nice to have even if you decide on implants. The problem I see is that if you are less than 45 or so, this may not be the last of your problems. Also, typically, lower teeth fare better than uppers. Would this be your first removeable appliance? How are your uppers doing? Good Luck > I had #20 pulled. It was the anchor of a 4 unit bridge. > Now I have nada on 18-20. #17 was salvaged from the old bridge and now [quoted text clipped - 16 lines] > Thank you, Ken > Happy Easter to All I am 59.. uppers are fine on that side. It would be my first removable appliance. How often would I need to remove and how would it effect my chewing? Should the partial be temporary pending implants or permanent? thanks, Ken > Ken > I have to agree that the 5 unit bridge won't last long. A partial denture [quoted text clipped - 27 lines] >> Thank you, Ken >> Happy Easter to All There are two kinds of partials. The temporary kind (500-1000) and made of plastic with wire clasps around existing teeth for stability. These should not be used for more than a year because they tend to be harmful to your residual areas that have no teeth (edentulous areas). The other more permanent partials (800-1200) are made primarily of metal with plastic areas with teeth in the edentulous areas. These also have clasps around existing teeth, however they have rests so they are easier on the edentulous areas. Both types have a period of time that it takes you to get use to it. The temporary takes more time because it has around twice the size of the more permanent (because the metal is stronger than plastic, you need more plastic to keep it from breaking). You need to take which ever you get out to brush your teeth. Also food gets underneath them when you eat, so you probably have to remove them after most meals. I would recommend implants, if you can afford them. You should get a partial as upper teeth may move into the space left from the lack of lower teeth, causing a problem when making the bridge for the implants. If you can afford the more permanent partial, get it because you will hate the temporary. Good Luck > I am 59.. uppers are fine on that side. It would be my first removable > appliance. How often would I need to remove and how would it effect my [quoted text clipped - 34 lines] >>>Thank you, Ken >>>Happy Easter to All |
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