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Medical Forum / General / Dentistry / June 2007

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Are Removable Bridges Bad?

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REP - 08 Jun 2007 12:12 GMT
I'm back, and I have some more dumb questions. Again, I know no one can
see my teeth from here, so I am asking only for general opinons, not
specific treatment plans. I do have a treatment plan from my dentist,
and the only thing I have bad understanding of is replacing #4.

#5 has several large amalgam restorations, and is going to have another
small amalgam filling placed; #3 is a RCT awaiting a gold crown. #3 was
badly broken at a strange angle plus had many large amalgam restorations
that fell out when the tooth broke so, much of the tooth had to be
removed in the crown prep. In other words, #5 and #3 are iffy fixed
bridge anchors at best.

The other options offered were a partial plate with just #4 (I'm also
missing #2 and #15, as well as #1 and #16) which sounds like an awful
lot of appliance for just one tooth, or an implant which I know none of
regular doctors will allow - my last infection had to be treated with
Tobramycin through a PICC, and that was unpleasant.

I'd like to replace the tooth with a removable bridge, if that's the
right name for a little appliance that looks like a gold bug with a
tooth for a body that 'hooks' onto the adjoining teeth and can be
removed at will. Would this harm a gold (no enamel) crown? Is this type
of appliance a really bad idea, in general? Are there other
tooth-replacing alternatives that don't involve gluing something to the
roof of my mouth or screwing something into my sinus?

From what I understand, replacing #4 would help increase the lifespan of
the RCT/crown on #3; I'm also hoping that it might stop my teeth from
'drifting' apart any further.

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"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather

email: archaicnewelpeg at gmail dot com

Steven Bornfeld - 08 Jun 2007 21:35 GMT
> I'm back, and I have some more dumb questions. Again, I know no one can
> see my teeth from here, so I am asking only for general opinons, not
[quoted text clipped - 25 lines]
> the RCT/crown on #3; I'm also hoping that it might stop my teeth from
> 'drifting' apart any further.

    What you're describing is known as a Nesbit appliance.  While I have
known people who have worn these for many years successfully, it is
generally considered a bad idea.  For one thing, you hear these awful
stories about them being swallowed accidentally.  For another, a partial
made this way exerts forces along an axis between the two pairs of
clasps (ie: those on teeth # 3 and 5 in your case).  These rotational
forces are considered destructive to the teeth, and if #3 and 5 are
iffy, that increases the danger.
    A safer removable appliance would stabilize the replacement tooth by
placing a metal strap across the roof of the mouth and clasping one or
more teeth on the left side of your mouth.
    This seems like a lot of hardware to wear to replace just one tooth,
but most patients accept this pretty well, esp. on the upper jaw.

Steve
Steven Fawks - 09 Jun 2007 14:57 GMT
Agreed.

Distal rest and clasp on #14, and there should be great stability.
Lab bill isn't much higher, and safety is no longer an issue.

Steve

>     What you're describing is known as a Nesbit appliance.  While I have
> known people who have worn these for many years successfully, it is
[quoted text clipped - 11 lines]
>
> Steve
REP - 11 Jun 2007 09:26 GMT
> Agreed.
>
> Distal rest and clasp on #14, and there should be great stability.
> Lab bill isn't much higher, and safety is no longer an issue.

> >     A safer removable appliance would stabilize the replacement tooth by
> > placing a metal strap across the roof of the mouth and clasping one or
> > more teeth on the left side of your mouth.
> >     This seems like a lot of hardware to wear to replace just one tooth,
> > but most patients accept this pretty well, esp. on the upper jaw.

Thank you both! I have an appointment Tuesday, and will ask about this
option. If I desrcibe it as a removable bridge with distal rest and
clasp on #14, will my dentist know what I am trying to ask about?

Signature

"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather

email: archaicnewelpeg at gmail dot com

Dartos - 11 Jun 2007 13:43 GMT
There would also be clasps and rests on the teeth around the premolar
that you are missing, but yes, I think the dentists would know what
we are describing.

Good luck,
D

>>Agreed.
>>
[quoted text clipped - 10 lines]
> option. If I desrcibe it as a removable bridge with distal rest and
> clasp on #14, will my dentist know what I am trying to ask about?
 
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