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Medical Forum / General / Dentistry / April 2005

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Dental bridge problem

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BigManRestless - 23 Apr 2005 03:10 GMT
I had a bridge ''installed'' about 10 years ago. (starts at tooth #12, no
tooth #13 & ends at tooth  #14) Recently I've noticed that when I bite on
anything with tooth # 12, it feels like that tooth is 'shifting'....like the
bridge that sits on that particular tooth isn't cemented, I also get a bit
of an ache in that tooth...no real pain, just a tinge of pain...tooth #14 is
fine and neither teeth are sensitive to hot or cold.

I know I have to see my dentist to find out for sure what is going on, but
it's Friday night and his office is closed till Monday. My question is,
other than a huge cost to me, what can I expect? Would the entire bridge
have to come out and be replaced? Any insight is appreciated.

Be well.
Joel M. Eichen - 23 Apr 2005 11:35 GMT
> I had a bridge ''installed'' about 10 years ago. (starts at tooth #12, no
> tooth #13 & ends at tooth  #14) Recently I've noticed that when I bite on
> anything with tooth # 12, it feels like that tooth is 'shifting'....like the
> bridge that sits on that particular tooth isn't cemented, I also get a bit
> of an ache in that tooth...no real pain, just a tinge of pain...tooth #14 is
> fine and neither teeth are sensitive to hot or cold.

REPLY

It may have come loose from that abutment.
Test it by threading floss through and pulling
slightly and looking for bubbles ...... this is how
I do it for patients.

If it IS loose, please get it hammered off and
recemented before it rots through!

Joel

> I know I have to see my dentist to find out for sure what is going on, but
> it's Friday night and his office is closed till Monday. My question is,
> other than a huge cost to me, what can I expect? Would the entire bridge
> have to come out and be replaced? Any insight is appreciated.
>
> Be well.
Bill - 23 Apr 2005 17:20 GMT
> It may have come loose from that abutment.
> Test it by threading floss through and pulling
[quoted text clipped - 5 lines]
>
> Joel

In my experience, a bridge retainer rarely just "comes loose" from an
abutment that has proper retention and resistance form.

It is quite common for a retainer to loosen after the abutment is
decayed. We can only hope that this is not the case here, but constant
pain in the abutment can mean fracture, or deep caries.

I agree, the sooner that bridge is removed to see what's underneath,
the better.

- dentaldoc
Joel M. Eichen - 23 Apr 2005 21:57 GMT
> > It may have come loose from that abutment.
> > Test it by threading floss through and pulling
[quoted text clipped - 8 lines]
> In my experience, a bridge retainer rarely just "comes loose" from an
> abutment that has proper retention and resistance form.

REPLY

We agree, however C&B Metabond (Parkell)
works for ice-cream cone preparations!

Joel

> It is quite common for a retainer to loosen after the abutment is
> decayed. We can only hope that this is not the case here, but constant
[quoted text clipped - 4 lines]
>
> - dentaldoc
W_B - 25 Apr 2005 17:12 GMT
>> In my experience, a bridge retainer rarely just "comes loose" from an
>> abutment that has proper retention and resistance form.
[quoted text clipped - 5 lines]
>
>Joel

We called them tepees.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen - 25 Apr 2005 18:19 GMT
> >> In my experience, a bridge retainer rarely just "comes loose" from an
> >> abutment that has proper retention and resistance form.
[quoted text clipped - 7 lines]
>
> We called them tepees.

REPLY

Yup as in high winds blow over TEEPEES.

Joel

> --
>
> W_B
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
Steven Fawks - 26 Apr 2005 13:12 GMT
> Yup as in high winds blow over TEEPEES.
>
> Joel

Tepees are very good shelters.  The conical shape deflects wind
and gives very little resistance.  They provide quite comfortable
accomodations in a wide variety of weather conditions.  My only
complaint is with the number of long poles needed to support them
and it is difficult to erect by oneself.  Since I'm usually camping
alone at 'rendezvous', I use a large 'bell-back' wedge tent.  Three
poles that fit in the back of the pick-up and no ropes.

Fawks
Joel M. Eichen - 26 Apr 2005 18:21 GMT
> > Yup as in high winds blow over TEEPEES.
> >
> > Joel
>
> Tepees are very good shelters.  The conical shape deflects wind
> and gives very little resistance.

DANG! We been setting them up upside down!

No wonder ......

Joel

> They provide quite comfortable
> accomodations in a wide variety of weather conditions.  My only
[quoted text clipped - 4 lines]
>
> Fawks
BigManRestless - 23 Apr 2005 23:18 GMT
Thanks for the reply Joel, once again I appreciate your advice and
knowledge.

I tried your floss ''test'' but saw no bubbles. That being said, the
structure around that tooth did shift and I got that familiar taste of 'goo'
one gets from infection. I don't suppose my dentist can just bondo the thing
back in place huh? I'm guessing the entire bridge would have to be broken
out, the decay fixed and a new bridge made?

Be well.

> REPLY
>
[quoted text clipped - 7 lines]
>
> Joel
Joel M. Eichen - 24 Apr 2005 10:38 GMT
Well, I would tap off the bridge, hopefully without damaging it.
What is my batting average with this? Over 95% but then again,
I am skilled in bridge removal. We have devices for that purpose.

Damage sometimes means the porcelain cracks which my lab will repair for
one hundred bucks or less, providing its their bridge in the first place.
That's
the advantage of long-standing relationships ~ things go wrong and
we need to MITIGATE the damage. That's our job.

One of the old standbys for removal is what I call a miniature reverse
dent-puller,
exactly like they use in an auto body shop for pulling out dents but
smaller.

A friendly, relationship-based dentist could try that for you,
but please understand its the dentist's call!

Joel

> Thanks for the reply Joel, once again I appreciate your advice and
> knowledge.
[quoted text clipped - 18 lines]
> >
> > Joel

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