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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had A Permanent Cap For 3 Missing Teeth. Dentist Suggested For New Porcelain Bridge. Only Option?

hi, i had a bridge (permanent cap) for three missing teeth for 12 yrs and recently popped off. No pain involve. My dentist told me i needed a new porcelain bridge and before that can be done he needs to build-up on one tooth structure because it broke and he said my gum had receeded-the reason the bridge popped off (nothing to hold onto). Is getting a new porcelain permanent bridge the only option. He has not mentioned any option. Thanks
Tue, 5 Mar 2013
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Dentist 's  Response
dear friend.

thanks for sharing your concern.

i think whatever your dentist has suggested is right.

when an old bridge pops off , it breaks some tooth structure also with it. exactly the same as happened in your case.

in that case it cannot be cemented back on the previous location. The broken tooth has to be rebuilt so that it can support the crown and bridge placed on it.

I would suggest you to take a x ray and check for bone support around these teeth,if there is adequate bone support and your medical conditions are favourable, then you can go for implants also.

Treatment with implants is little costlier than bridge.you will have to check with your oral surgeon regarding its placement,duration and durability.

hope it helps .

thanks
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2 Doctors agree with this answer

Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hello,
Thanks for posting your query,
There are three basic ways to fix a missing tooth or teeth.
A fixed bridge
A removable appliance
A dental implant
Something removable can be used to replace a missing tooth. This can be anything from a budget "dental flipper" or a Nesbit, to a more sturdy metal and acrylic removable partial denture.
A dental implant is an artificial "root" that is implanted in your jaw after a tooth extraction, and then a tooth is placed on it. Biologically, it is like placing an entirely new artificial tooth in your mouth.
I hope this information has been both informative and helpful
Regards
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Dentist Dr. Bindiya Bhaskar's  Response
HELLO AND WELCOME,

Since you had permanent cap 12 yrs.back.there is chance of gingival recession of the teeth with cap.

If you need permanent porcelain cap again,the dentist has to build up the crown.

Or else you have to go for removable denture,by extracting the respective teeth.

pLAcing implant is another option which is an expensive treatment.

You can select the options,based on your aesthetic requirement and financial status.

The bone support of adjacent teeth to place the crown has to be intact,for its placement.

TAKE CARE.
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Had A Permanent Cap For 3 Missing Teeth. Dentist Suggested For New Porcelain Bridge. Only Option?

dear friend. thanks for sharing your concern. i think whatever your dentist has suggested is right. when an old bridge pops off , it breaks some tooth structure also with it. exactly the same as happened in your case. in that case it cannot be cemented back on the previous location. The broken tooth has to be rebuilt so that it can support the crown and bridge placed on it. I would suggest you to take a x ray and check for bone support around these teeth,if there is adequate bone support and your medical conditions are favourable, then you can go for implants also. Treatment with implants is little costlier than bridge.you will have to check with your oral surgeon regarding its placement,duration and durability. hope it helps . thanks