Question:
Has anyone had or know of someone who had a bridge put in place of
their top 4 teeth. I am just curious if this is a long and painful
procedure or is it no different than getting a crown put in which one
of the top teeth already is. Must the 3 good teeth be removed or does
the bridge go over them somehow.?? What is the normal procedure for
doing this and what is the most common type of bridge used today?
Answer:
I have been a dental assistant for over 10 years, and have seen MANY a
bridge in my time.
You mentioned in your post that the Dr. wanted the bridge to span 4 teeth
for support...is this because you have periodontal (gum/bone) problems? Do
you have a bite that is not "ideal"?
When teeth are prepared for a crown (or a bridge), the dentist numbs up the
teeth, and takes off some of the tooth structure all the way around and
across the biting edge to make room for the crown (the crown/bridge is made
to fit over the prepared teeth.). They take some string (usually) and tuck
it underneath the gum all around the tooth to push the gum out of the way
(this is so the impression material can flow to where the edge of the crown
lays). A temporary will be made so you will have something smile with,
something to chew with, and to hold the space (teeth CAN move when there is
nothing to hold them!). A "master/final" impression will be made (and an
impression of the opposing teeth so the lab knows what you're hitting
against), as well as a record of how your teeth come together.
The final restoration is usually made of metal. Different dentists
recommend different metals depending on their preferences and the
particular case. Porcelain that matches your surrounding tooth structure
is baked onto this metal substructure. When it has returned from the lab,
the dentist will numb you again, remove the temporary and the remaining
cement, and will make any necessary adjustments before cementing it in.
As far as discomfort goes, I have found most complaints are due to where
the gum has been pushed back with the string. Some anti-inflammatory pain
med (ONLY if you can take such normally) taken BEFORE the numbness wears
off with warm salty water every few hours there after should help. Your
dentist may have other suggestions.
You may want to schedule a consultation visit with him to ensure that all
questions and concerns about your particular situation are addressed before
you proceed.
Another thing to remember: if your temporary bridge comes off or breaks,
it is very important to return to the office to have it recemented or
repaired (you would be suprised at how many people will run around with
their crowns or bridges off...even the front ones!). Those teeth can move
around making the permanant bridge difficult or IMPOSSIBLE to fit,
requiring additional visits before you're through!
