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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:
Maryland Bridges: My son is 16 years old and has two missing teeth in the front
that never came in the ortho put braces on and left the baby teeth on during the 2 years he wore them.
When they came off he recommended a two maryland bridges to be glued on each side. So the dentist also recommended this and put two maryland brides on. The problem is every other week or couple of days the one on the left keeps getting loose. He reglues it every time. It lasts a couple of days and a week and back again.
It has not even been a year yet and missing school and time to take him back is getting old. The last time we was in he put a brace on the back of the tooth to hold better, it lasted three weeks and now it has fallen out and broken. I am pending an appointment. I am at my last straw please help?
If there something else I should have done? We did not put a retainer on him with false teeth because he would have to take it out everytime he ate and with going to high school that would be hard. Should I have done that or is there something else you can recommend to my dentist maybe he is not aware of?
Also implants when he is old enough and who do you go see for this? I was told not until 18. I also was told the maryland bridges should last him until 18-21 years old or longer. Do you have any suggestions on why this has not lasted? He has never had one cavity yet. He takes good care of his teeth and they are straight. Any help or suggestions would be greatly appreciated. Please help!! ...Visitor from TN
Answer:
You pose one of our most interesting questions.
The Maryland Bridges are tough.
Implants are the answer... But as you are aware he needs to quit growing before you place the implants. And there are ways to tell that when the time comes. 17 to 19 is the general age for young men.
If it were me I would be trying another design for the Maryland style bridge. I would use a slot type system where I placed a slot in the tooth for the bridge to "rest" in and then bond it in place. I think the bridge needs to be replaced anyway now so that would be something I would do. I would also really check the bite to be sure what is happening when your son moves sideways.
Sometimes we go with just a composite tooth there and use the laser to increase the bond strength. It just depends on the torque that is being placed there.
The system you are trying to use is the right system to give you time to do the implants. The real deal will be whether you will have the bone there when you are ready for the implant.
James Sanderson, DMD
Alabama Teeth In An Hour
Alabama Sedation Dentist
1633 Montgomery Highway
Birmingham, AL 35216
(205) 979-6005
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