Teeth to be including in the bridge conception for longtime stability.


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The patient lost her upper first molar and adjacent premolars on right hemisector:( 16, 14,15) . Noting that she still have her wisdom tooth(18) intacted. Which are the teeth to be in the future brigde as pillars?;)
 
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MattKW

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Wisdom teeth are useless: short roots, long way back. To bridge from 17 to 13 is very risky. Better to consider implants.
 
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20181124_132639.jpg

The patient is materially unable to pay for implants. How about an extended bridge taking the wisdom tooth 18 and 17 and the other anterior teeth 13,12 and 11?
 

MattKW

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God no. Extending the bridge doesn't make it better; it simply involves more teeth and more risk. Also makes it harder to align the drilling of the teeth so the cuts have to be deeper. Sometimes you just have to accept you can't do what you want.
 

honestdoc

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Explore the option of partial denture. Most of my patients can't afford implants. In my opinion, bridges are too barbaric in drilling and permanently damaging so many teeth. Partial denture feels awkward and the hassle of taking in and out. But it provides for some function.
 
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The patient will be aware that in her case partiel denture will be the best option ;)thank you every one
 

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