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Dental Bridges
Prevention & Treatment of all kind of Dental Problems
Dental bridges reduce and connect the teeth with gap in between of them or keep in place the drifted teeth. It is made up of crowns for the teeth on either side of the void. These crowns are referred to as the abutment teeth with pseudo teeth in between.These false teeth being called as pontic. Apparently, sometimes the bridges are supported by natural teeth or in other cases implants.
Indications
Full mouth reconstruction is indicated when
Indications for Dental Implants
- Multiple missing teeth : Missing teeth causes decreased efficiency of chewing food which causes the patient to swallow large lumps of food which in turn impairs digestion of food and bad stomach.
- Gum disease : Gum disease causes bad breath, swollen gums, bleeding gums, receding gums and bone loss. The teeth become loose and shaky in the bone decreasing the chewing capability
- Improper bite : Improper bite is caused by excessive grinding of teeth, broken teeth, crooked teeth.
- Smile design : smile design is done with the help of veneers, crowns and bonding. This is done when patient does not like his or her smile.
- Crooked teeth : Crooked teeth causes food to be lodged in between teeth and becomes difficult to clean causing bad breath, gum disease and improper bite in some cases.
- Loose dentures : Dentures are worn by patients who don’t have teeth, but sometimes they are not satisfied with Dentures as they rock in the mouth and move as we eat food causing lot of irritation to patient and impaired efficiency of chewing food.
Advantages of Dental Bridges
The gains of switching to dental bridges are myriad like:
- It is always said prevention is better than cure and therefore dental bridges are the prevention that you can take for any further distortions in your teeth thus curing your future dental complications.
- With dentures, it becomes kind of embarrassing and difficulty in doing simple activities like chewing and speaking but if the dental bridges come into play all these complications are withered away.
- Teeth do give a shape to your face and drifted teeth are sure to give you a shape you won’t desire for hence dental bridges are quite helpful in maintaining your shape of the face and restoring your smile.
Types of Dental Bridges
Precisely there are four categories into which dental bridges are described-
- Maryland Bonded Bridges : They constitute porcelain, sometimes porcelain amalgamated with metal, plastic teeth and gums supported by porcelain framework.
- Cantilever Bridges : These are not so popular and recommended anymore because of their attribute of putting pressure on the back side of the mouth. However, they are put to the application when there are adjacent to one of the side of the teeth. They may also lead to the fractured tooth or loose crowns because of the support provided from one side.
- Traditional Bridges : Widely accepted and most commonly used a type of Dental Bridges. It involves developing a crown for the unavailable teeth with a pontic in between. It is made up of the same material ass Maryland bonded bridges or sometimes porcelain fused with ceramics. These bridges are even liable enough to replace molars. Their only disadvantage being that they require removal of enamel and since enamel doesn’t grow back traditional bridges require crowns for their protection.
- Implant-Supported Bridges : Their application is when more than one tooth is missing they are not supported by any crown or metal framework but by the implants themselves as their name suggests. It requires two surgeries with this kind of process First for the placement of implants then the establishment of the bridge.
Pulp Vitality Test
These are doen by applying hot and cold to the tooth and pain response is tested. Pulp vitality can be done with a pulp vitality tester also.
Dental X-rays
x-rays are taken for the affected tooth and seen for any periapical infection
Palpation
Intraoral palpation and extraoral palpation is done to confirm the diagnosis.
Risks and Complications
Root canal treatment is one of the least risky treatment with negligible complications. Root canal failure or re-infection can occur after some years of root canal treatment. This happens if filling or crown over the tooth which is root canal treated is not good or root canal filling is not sufficient. Sometimes root canal file can break while doing the procedure. Then we have to either take the broken file out of the tooth or if not possible then we have to bypass the file and continue with root canal.
Expected Outcome
Root canal treatment brings relief to pain and hot and cold sensitivity to the tooth. You can enjoy your food for many more years to come. The infection in the tooth and bone is healed which brings the end to the agony suffered for so long.
At Rohit Dental Clinic, we lay out a custom plan for you in long term which can help you have a healthy & untreated smile always. Our Dentists are completely equipped with all equipment required to provide completely pain-free treatments for dental problems. They have been trained on most strenuous of environment to give best possible treatment at affordable cost.
Process For Extraction
One must not panic with this situation thinking that even after taking good care of their teeth they are facing this dental problem because it is a natural phenomenon. You must trust your dentist and should take treatment and medicines recommended by him. It is not a prolonged treatment. The patient takes hardly a week to recover after the surgery if he follows his dentist’s instructions.
- Anaesthesia : The most widely accepted method is by making use of Anaesthesia.It may be local, general or sedative. Each of its type works profoundly in lessening the pain or rather making the patient simply unaware about the gruesome pain that they witness during extraction.
- Making Flaps for Exposure : The whole process followed involves making a cut on your skin which is near the tooth making flaps for the exposure. There might be a removal of the bone that is blocking the way to wisdom tooth if any such bone exists.
- Breaking in Parts : The tooth is generally separated into parts for effective removal part by part.
- Tooth Removal : The tooth is gradually removed and the area infected is cleaned.
- Suturing : There might be stitches around the area that was wounded.
- Final Dressing : Placement of a protective layer is done to prevent bleeding from the point of extraction.
Risks and Complications
Contact your dentist if you have any problem regarding medication. If you face any strange symptom do not be afraid to visit him. Some of the risks & complications involve:
- Pain & Fever : Fever and two three days persistence of slight pain are common symptoms.
- Dry socket : Sometimes there is no development of blood clot which leads to formation of dry socket.
- Nerve Injury : Some patients experience numbness for very long periods due to nerve injury.
- Infection : Some patients also develop infections which can lead to delayed healing and yellow discharge from the extraction site.
- Bleeding : High amount of bleeding is one specific complication which needs to be addressed by the denstist Other than these if you face some painful symptoms like bleeding in nasal passage, numbness, pus in medicated area and prolonged swelling your dentist must be contacted. You should not delay visiting him.
Procedure To Get Dental Bridges
The first visit to your dentist involves examining the area where the dental bridge is required for it being eligible enough to support a bridge. Then the preparation of abutment teeth starts which involves allowing a room for the crown to be placed there. A temporary bridge is installed by your dentist to protect the exposed gums and teeth.
In your second visit, your temporary bridge will be replaced with the permanent porcelain bridge made keeping in mind the size and structure of your adjacent teeth. You have to pay a certain number of visits in the beginning for maintenance of your bridge varies from person to person. The doctor may cement it in further visits for proper fittin
Self-care advice
- You can use safe painkiller like paracetamol or ibuprofen if you feel uncomfortable.
- Avoid Gyming or extentsive exercise for few days.
- You should avoid rinsing, spitting, hot drinks which could disloge the blood clot.
- Say ‘No’ to drinking and smoking.
- Avoid driving for first 24 hours especially if you were give some sedatives.
- Keep you head high while sleeping for few days.
- Try to take maximum liquid diet or chew from the other side only
Removable partial dentures
Removable partial dentures use plastic teeth to replace missing teeth. These plastic teeth are fixed on an acrylic plate and clasps are placed in the plate to take support from adjacent teeth.
- Basic Procedure : In this technique impressions are taken and then bite record is done on second sitting, then a try in is done to check the prosthesis before final insertion
- Time Required : 3-5 days
Full mouth reconstruction involves various techniques to reconstruct the mouth which may involve aligning of teeth with invasiline, metal braces. Smile correction with veneers, crowns, bonding. Reconstruction of mutilated teeth with tooth colored fillings, inlays, onlays and crowns.
Time required
- Time required depends upon the procedure of reconstruction to be done.
- If full mouth implants has to be done we can finish the treatment in 3-5 days from placing of implants to fixing of teeth.
- Bridges require 3-4 days from taking of impression to fixing of teeth.
- Veneers requires 2-3 weeks from taking of impressions to final fixing on to the teeth.
Endosteal Implants
Process comprising of surgically placing the implants directly into your jawbone.As soon as the gum tissues have healed upto a significant level further step of surgery that connects the post to the implant is done. Lastly an artificial tooth(teeth) is attached to the post individually or grouped on a bridge.
Subperiosteal Implants
The only difference from Endosteal implants is that this process involves placing of a metal frame instead of directly the implants. This frame gradually fuses with the jawbone and then the same process is followed.
Post Operative Care
- Avoid hard foods- In order to lessen the pressure for the beginning days on your newly placed implants avoid chewing of Hard food. Prefer more of a liquid diet.
- Avoid hard foods- In order to lessen the pressure for the beginning days on your newly placed implants avoid chewing of Hard food. Prefer more of a liquid diet.
- Good Oral Hygiene- Be responsible enough regarding your brushing habits.Use interdental brushes that will help you to clean the hard areas around your implants.
- Round of Monthly Check ups- Frequent Appointments with your dentist can be beneficial in helping you to maintain your implants and will ensure longevity for them.
At last the healing process may take 6-12 weeks so you must not panic or anticipate pain just because it is taking long enough. Be in constant touch with your dentist and report him if you develop any side effects like Bleeding in gums, Pus in the medicated area, fever, infection and flap breakdown etc.
Recovery After Dental Implants
Implants must be cleaned after their placement with a Teflon instrument in order to remove any kind of plague. The crowns may be expected to discolour, fracture or may require some kind of repair in and around 10 years. Connections must be changed and modified every one or two years
Dental Implant FAQs
How do I maintain my Dental Bridge?
The patients are mostly focussed on cleaning for its proper maintenance but another important factor which leads to the dental bridges go on for years is proper nutrition. A healthy diet ensures that there is no need for any further bridges in your teeth. Good oral hygiene involves brushing your teeth twice a day with floss or medically recommended mouthwash.
What is the expenditure involve in Dental Bridges?
The cost of the treatment differs from place to place but if you are in possession of a medical insurance then you are sure to get some extra benefits.
How will my speaking and eating habits be effected?
There is hardly going to be any change in the speaking and as for eating you have to get accustomed to soft foods and healthy drinks for the beginning days. Once they are permanently cemented you can enjoy all the delicious food available without any worries.
What is the maximum time a dental bridge can last?
A dental bridge if maintained properly can last upto 15 years. Once you get your treatment done it is just in the few beginning months that you have to pay often visits to your dentist. Although having monthly check ups is also good for your health but no compulsion of visiting to dentist on regular basis for all your life after getting the dental bridges. With so many advances in Dental field you can be assured with your dentist providing you the appropriate confidence to give a perfect smile and develop a remarkable way of speaking.