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Medical Forum / General / Dentistry / March 2008Partials or Bridge
I'm missing four teeth in the lower right quad. If counting from the beginning of the right quadrant, the missing teeth start at the fourth tooth from the beginning of this quad. My question is should I get partials or a bridge? I'm 50 years old Thanks If you are missing 4 teeth in a row, you *probably* should get either implants or a partial denture. What does your regular dentist say?  Signature/ Amatus / > I'm missing four teeth in the lower right quad. > [quoted text clipped - 6 lines] > > Thanks Its always better to have not remove prosthodontics appliancess. If there is not possible becouse of many reasons including economy take RPD. among RPD you have many kinds of dentures etc Your dentist shoul give You right advise ] best regards kris Polanowski DDS > I'm missing four teeth in the lower right quad. > [quoted text clipped - 6 lines] > > Thanks On Feb 27, 4:13 am, "krzysztof polanowski" <hsm.a.polanow...@neostrada.pl> wrote: > Its always better to have not remove prosthodontics appliancess. > If there is not possible becouse of many reasons including economy take RPD. [quoted text clipped - 13 lines] > > > Thanks Thanks, but what is RPD? Here's another question: A year and a half ago I got a crown for tooth #8. Two weeks ago the crown fell out and my new dentist told me the stump had decayed so bad that the only option was a root canal and post for the new crown. The new dentist also informed me the original crown had fallen out because I'm missing teeth 28,29,30, 31; thus, #8 is bearing more force when chewing than it should. My question is since 28,29,30,31 where missing when I had #8 crowned, why wasn't I informed by the original dentist that the crown might not hold because of the lower missing teeth? Had he told me, I'd have avoided the root canal and post subsequently required on #8 and used the money instead for a bridge for 28-31. ric > On Feb 27, 4:13 am, "krzysztof polanowski" > [quoted text clipped - 39 lines] > > ric by the way, I should add that when the crown fell off, it was in perfect condition; that is, it was not fractured. Apparently, the abutment had decayed to a point where it could no longer support it. To me this suggest the missing lower teeth only played a minor role in the crown falling off. ric > Thanks, but what is RPD? Removable partial denture. > Here's another question: > [quoted text clipped - 11 lines] > why wasn't I informed by the original dentist that the crown might not > hold because of the lower missing teeth? Hindsight is always 20/20. Besides, your new dentist can NOT know if the missing teeth had anything to do with the loss of the crown. Just based on your story, I find it much more likely that the primary reason the crown was lost is because the root began to decay around the margin of the crown, which undermined the structural integrity and led to the fracture of the crown. It is true that missing all those lower right teeth might tend to put additional stresses on the remaining teeth involved in the bite. This can lead to fracture; it can also lead to periodontal breakdown. It would indeed have been a good idea (as it generally is) to have missing teeth replaced. Steve > Had he told me, I'd have avoided the root canal and post subsequently > required on #8 and used the money instead for a bridge for 28-31. > > ric SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 On Feb 27, 6:16 pm, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> wrote: > > Thanks, but what is RPD? > [quoted text clipped - 39 lines] > Brooklyn, NY > 718-258-5001 I notice you used the term "fracture." But the crown actually popped out. There were no fractures in it. It was in pristine condition. Therefore, is the term "fracture" meant to mean a crown that simply pops off too? Also, since the second dentist noticed the stump was decayed, is this a sign the crown wasn't properly fitted? ric > I notice you used the term "fracture." > [quoted text clipped - 3 lines] > Therefore, is the term "fracture" meant to mean a crown that simply > pops off too? I was actually referring to the remaining tooth structure on which the crown was built fracturing off the rest of the tooth structure. > Also, since the second dentist noticed the stump was decayed, is this > a sign the crown wasn't properly fitted? A poorly fit crown will more likely decay, esp. if there is percolation of saliva at the margin of the crown. However, I have seen decay around even very finely-made crowns. Unless there is x-ray evidence of a poor margin before the decay, there is no way to tell, I'm afraid. Steve I bet the OP has a tooth which snapped off at the gum-line. Hopeless situation more often than not. Often the result of un-balanced forces applied on the teeth by a night-time habit--made worse if there are no back teeth to support the occlusion. Signature/ Amatus / >> >> I notice you used the term "fracture." [quoted text clipped - 17 lines] > > Steve
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