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Crown and Bridgework - Getting it Right the First Time
Advancements in Cantilever Bridges
Cemented vs Screw Mount Implant Bridges
Pictures: Bad Bridgework
Dental Bridges - Pros and Cons
Super Glue Bridge Fix?
Question:
Restylane Injections for receding gums under bridge? I have a 3 tooth permanent bridge in the top front (my second), due to the fact that I was born with a "supernumerary" attached to my front tooth and it never came down when I lost my baby tooth.
A dental surgeon removed it from the gum, in childhood. I am now 60, and my gums are receding.
The middle tooth of the bridge now looks like it is suspended in air, a terrible fake look. My dentist suggests a new bridge or an implant to deal with this, along with a gum tissue implant.
Since my only problem with the bridge is receding gums, can Restylane injections or something similar, be used instead, to build up the gums, without a new bridge or implant? ...Visitor from DE
Answer:
As a fixed bridge gets older the cement to tooth margin begins to break down. The more meticulous the technique of the dentist, the longer the bridge will last.
However, patients think that if a bridge is in their mouth and it doesn't hurt it is good. As the margin breaks down the tooth under the bridge begins to decay. Bacteria grown and multiply as they cause more decay. The tooth becomes food for the bacteria.
Yet, there is not pain at this time.
If a patient gets pain, it is too late. So the best recommendation is to get the best level of dental care possible and as a bridge ages past 10 to 20 years, it is wise to replace it.
Root Canals are a huge dental health treatment that is avoidable if the dental work is replaced before it hurts.
Today, bridges continue to be bonded to the tooth and again the meticulous technique of the dentist is critical in the success of the bridge placement. The research tells us that today's bonding materials last longer and bridework will not leak or decay below as easily. Anti bacterial bonding material and flourides are now commonly used to fortify the bonding process, increasing predictability for long term success.
To address whether to replace the bridge or try gum surgery or restylane, none provide high predictability individually.
Restylane has only a temporary effect and will have to continuously injected probably about once or twice a year.
My recommendation is replace the bridge and get possible gum surgery with a temporary bridge in place that can be removed for better surgical access.
Editorial Staff
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