Can a good bridge be done on a 45 slanted molar?

[jayup98]

Hi all,

My elderly mum needs to do a lower first molar, and an option is to do a bridge from the second bicuspid to the second molar.

But the second molar has slanted 45° into the gap of the missing first molar.

Is a bridge still viable?

Thanks in advance

 

[MattKW]

Very poor resolution pic.
Really hard at that sort of angulation. Also have issues of opposing molar in upper arch is over-erupted, and the back (distal) surface of the tilted molar is a damned hard place to get clean. You would have to do a 2-part bridge with a crown on the tilted molar attached to a pontic that had a male connector. Then a single crown on the tooth at front of the gap with a distal female connector. Long term success rate - poor. I wouldn't do it.