Change a bridge be repaired in the mouth?

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®©®@©.®©® - 20 Feb 2007 10:03 GMT

I have a 5 tooth permanent bridge and one of the anchor teeth is
getting darker. The porcelain is tan/brown and does not match any
of my new front teeth.

Is there a way to fix that crown in my mouth by using a veneer or
something? I would rather not have the bridge removed if any way
possible. Any advise would be greatly appreciated. TIA

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Dartos - 20 Feb 2007 15:33 GMT

How about a big "maybe"?

If the bridge is otherwise sound (decent occlusion, contacts,
and free of decay), a facing may be able to be removed and replaced
with a more esthetically pleasing substitute.

However, if this is a 'porcelain to metal' bridge, the new facing will
not be bonded with the same strength as the original. If it is
an old acrylic facing, it won't be much of a trade-off.

This type of procedure is not 'everyday' work that can be
predictable for a long term repair.

JMO,
D

> I have a 5 tooth permanent bridge and one of the anchor teeth is
> getting darker. The porcelain is tan/brown and does not match any
[quoted text clipped - 3 lines]
> something? I would rather not have the bridge removed if any way
> possible. Any advise would be greatly appreciated. TIA

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Steven Bornfeld - 20 Feb 2007 17:13 GMT

Are you sure this tooth is part of the bridge? Any stain on the
porcelain ordinarily should be polishable. I don't remember ever seeing
real darkening of porcelain in a PFM bridge. Fracturing is a problem;
I've heard of telescope crowns being done over bridges, but more likely
to be possible with a pontic (replacement) than an abutment crown.

Steve

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