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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:
Fixed Bridge causing cold sensitivity? What would cause the pain and sensitive sensation to cold water after having a bridge permanently cemented in?
I've had this problem 7 weeks since the time my 4 unit bridge was permanently cemented. The frequency has increased in the last couple of days. ...Visitor from TX
Answer:
Many things can cause cold sensitivity. Lots of teeth are just plain sensitive for a while after a filling or crown is placed. But, this shoud decrease with time instead of increasing.
The first thing I would ask is if the bridge is high and hitting before the other teeth. Your dentist should check this thoroughly with articulating paper (like tracing paper for dresses). You should bite on this paper in your regular bite, and then slide to the right, left, and forward to see if any of these movements shows spots where you are hitting too hard.
I like to have patients chew gum on one side while measuring the other to get a true look at how you bite and chew. Both sides need to be measured to be sure the teeth on the other side of your mouth touch properly.
If you feel like this is hitting first, or start to bite and then slide into another bite, it is high. This would cause constant pressure on the teeth under the bridge and cause increasing sensitivity. If an area is high, you are probably grinding on it during the night (whether or not you are aware of grinding), which would increase the insult the the teeth.
Another possibility is that the nerve of one or more of the teeth in inflamed. An ice test to each tooth and x-rays will help the dentist to diagnose this. If a nerve is inflamed or not alive, you could need a root canal. They should be able to do this through the bridge and not ruin the bridge.
Corinne Scalzitti, DMD, MAGD
Austin Reconstructive Implant Dentistry
3900 RR 620 South
Austin, Texas TX 78738
(512) 263-3330
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