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Question:
Lower Partial: Patient has only one lower canine remaining, #27 opposing upper porcelain bridge work.
Would a partial be indicated or better to extract remaining tooth and have a full denture for stability? ....Visitor from MO
Answer:
Having a porcelain bridge biting against a unilateral partial is going to create an unstable situation resulting in more damage to the bone and gum.
As a dentist, my goal is to save teeth, however, in a situation like this it would be more advisable to have a bridge opposing another porcelain bridge on implants.
Otherwise having a unilateral partial will put so much force on the single tooth it will either loosen, break, or abcess and bone loss that will result will not be symetrical requiring contouring and shaping later on.
With a complete denture, the force from an opposing bridge would reduce and resorb bone exponentially. Getting implants and a bridge on the lower arch may seem overwhelming in the beginning, however, it will be a more permanent, desirable, and functional type of restoration in the long run.
If you add up all the relines, repairs, and correction of bone loss with grafting, you will see that in the long run you would be saving money.
Ara Nazarian, D.D.S.
Michigan Reconstructive Implant Dentistry
1857 East Big Beaver Road
Troy, Michigan MI 48083
(248) 457-0500
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