Monday, April 20, 2009

Is a dental bridge possible with two missing adjacent teeth?

Two of my rear bottom teeth are missing.. but my last one in the rear is still there. Is a bridge possible for two missing teeth that are right next to each other? In other words I have two gaps together but I do have supporting teeth next to each gap if that makes sense. Can one bridge do the trick?

Is a dental bridge possible with two missing adjacent teeth?
yes, you%26#039;ll need a two pontic bridge (meaning two fake teeth supported by two real teeth.) Completely do-able, and much recommended before the teeth start to shift.
Reply:It will depend upon several things; the condition of the remaining or abutment teeth that will support the bridge; if they have drifted or are leaning, exactly which teeth are remaining, the supporting bone structure and any if there is any periodontal disease involvement. This will also depend on %26quot;which teeth%26quot; are remaining; 1st and 2nd molars, leaving the 3rd or wisdom tooth and both bicuspids, or missing both bicuspids leaving a 1st molar (with 2nd and 3rd molars missing) and the cuspids or K 9, or is there a 2nd molar, missing 1st molar and 2nd bicuspid, or one of each or some other combination of teeth that are missing and remaining. Not everyone has all of the correct teeth due to orthodontics, cognitively missing teeth or extractions that aren%26#039;t remembered. The point to this is the larger the tooth, the longer the root system and the better the support for an abutment tooth. Also, there are some dentists that won%26#039;t use the wisdom tooth or 3rd molar for an abutment tooth. In any case, when replacing 2 missing molars or premolars, the pontics will require added support from the surrounding teeth since these teeth carry most of the weight bearing chewing force. Usually a long span bridge replacing two or more missing molar teeth, will require one to two extra abutment teeth for this added support. What this means is your dentist will most likely want to use the cuspid and the bi cuspid next to it, or both premolars or bi%26#039;s with the molar and two pontics. The addition of one or two extra abutment tooth is for the support and longevity of the bridge. Without needed additional support the bridge would likely torque the two abutment teeth during chewing and initially cause hypersensitivity, bridge failure, then eventually a root fracture. Its better to do the bridge correctly rather than try to get by without the support.





Discuss all options with your dentist. It may be advisable for you to look at a removable appliance or partial denture which could replace just these missing teeth or any others that may be missing in this arch.
Reply:yes
Reply:YES I will be a 4 unit fixed bridge. Expensive Doc W



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