Bridge went fubar

[Kennethk]

Just had a deep clean and during the process my bridge came right off. The dentist was able to cut half of it off and recement one side of it at least. Was hoping to hold it off as long as possible but guess it's main priority now. The dentist must've felt like the supporting tooth was good enough to be left alone which was a good sign from the previous dentist at least. Two weeks of agony waiting for insurance claims now.

Doc also mentioned my sleep apena could be exaggerating decay underneath the bridge causing it to loosen. Hard to say I felt like it was badly manufactured to begin with but since it was five years old not much I can do at this point. Still got two implant crowns and 24/25 to replace .

 

[Dr M]

Difficult to say if it was poor planning when the bridge was manufactured or just poor maintenance over a period of time. Don't really understand why the dentist had to cut half of it off, if the bridge came right off? Why could it not be recemented in full? Did one of the anchor teeth break off in the bridge? Even so, the bridge needs to be replaced as soon as possible. Depending on the length of the bridge, having only one anchor can cause the remaining anchor tooth to break or even to become loose over time, leading to tooth loss.
Sleep apnea does increase the risk of having a dry mouth, which leads to more bacteria accumulation, but any initial decay might have been due to improper seating of the bridge or not cleaning underneath the bridge as is indicated.

 

[Kennethk]

Difficult to say if it was poor planning when the bridge was manufactured or just poor maintenance over a period of time. Don't really understand why the dentist had to cut half of it off, if the bridge came right off? Why could it not be recemented in full? Did one of the anchor teeth break off in the bridge? Even so, the bridge needs to be replaced as soon as possible. Depending on the length of the bridge, having only one anchor can cause the remaining anchor tooth to break or even to become loose over time, leading to tooth loss.
Sleep apnea does increase the risk of having a dry mouth, which leads to more bacteria accumulation, but any initial decay might have been due to improper seating of the bridge or not cleaning underneath the bridge as is indicated.

It was a poor fit overall I assume the office was trying to scare trip me. The right anchor was barley trimmed downed which could indicate plaque build up. He assumes since zirconia broke pfm would be a better fit which I may argue about. I only despise pfm due to lack showing. I didn't like this bridge to begin with it was chunky and I couldn't get any floss underneath it.

 

[Kennethk]

Here's a most recent Pic I had of it in black is the problem bridge. You can almost see how wide it was hitting against the tongue. Should be rounded a bit more like the molar in yellow was over all a bad fit and match imo.

 

[Dr M]

Did it scratch your tongue? A lot of times the shape of the molar is determined more by the opposing molar and the bite forces and not by the molar on the opposite side

 

[MattKW]

If the remaining tooth structure underneath is sound and suitable for another bridge, then I would also suggest a PFM bridge. They will never break and you can get excellent margins.