Chris Mc Farland, D.M.D.
Marie C. Schweinebraten, D.M.D.
Dental Bridge Repair Replacement
Decatur - Atlanta - Duluth
Georgia Dental Rehabilitation
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Georgia Reconstructive Dentistry
Bridgework Leakage: Implications for Bridge and Tissue FailureBone loss can occur for a variety of reasons, some that are natural or normal, depending upon a patient's history of treatment choices or perhaps a factor that is more recent, such as trauma or gum disease.
The patient had a "significant" sweet tooth that, unfortunately, wasn't matched with an aggressive oral hygiene regimen.
Implant Bridgework vs Cemented BridgeworkBridgework, both implant retained and non implant retained, does require a level of oral hygiene maintenance of the anchor supports. Bacteria and debris can accumulate at implant sites just as it does with natural teeth that are prepped to serve as anchor teeth.
As can be seen in our first photograph, there has been wholesale destruction of all anchor teeth that also involved peridontal and bone tissue loss.
Reconstruction ChoicesTooth replacement choices are usually numerous for most patients. One primary factor is a consideration of what type and level of reconstruction is desired.
Implants with Minimal Bone GraftingAn implant supported bridge was deemed by Dr. McFarland as the best treatment choice for the patient. Although special bone grafting treatments could be used to recreate a width and height of bone tissue that was lost, the use of custom implants and a unique bridge design was recommended that would minimize the need for additional bone graft surgeries.
As reflected in the adjacent photos, a healthy, plump ridge of bone and gum tissue was created to serve as a solid foundation for a custom implant bridge.
Traditional, full sized implants provide a level of bone stimulation that is not achievable with today's popular use of miniature or mini implants. Implants are also the only restorative treatment that actually thrives in a high bite pressure locations (i.e., molars, centrals).
Custom Titanium Milling
Notice how there is a "reach" or extension of titanium used to compensate for more bone loss on end end of the bridge (central incisor area) as compared to the opposite end.
Fine Tuning Occlusal AdjustmentsAdditional bite analysis with the bridge prototype mounted enabled a series of final adjustments along the entire bridge to assure the proper relationships with the opposing teeth in the patient's lower jaw.
Porcelain Bridge RestorationThe intermediate use of a temporary bridge (acrylic composition) provides for attention to detail and patient input during the final bridge design phase. Cosmetic values for the final porcelain bridge product (shading, translucency) are baked-in during the fabrication process and cannot be revised afterwards.
Occlusal ConfirmationWith the final porcelain restoration in place, bite characteristics are assessed for each pair of opposing tooth structures that assures proper alignment and biting pressure that complements the overall bite dynamics between the upper and lower jaw.
Final Abutment AdjustmentWhen using dental implants, the attachment of the bridge prosthesis can be screw retained or cemented, based on patient preference and any special considerations for achieving optimal endurance.
Abutments are adjusted as needed to create the best fit.
Prosthodontic Progession to Cosmetic Outcome
Unwanted surprises in comprehensive dentistry are more easily avoided when a specific rehabilitative protocol is followed that focuses on function primarily, with ample opportunity to create the best cosmetic match, as defined by the patient.
Call our office at (770) 623-0930 to schedule a consult if you suspect a leaking bridge problem. Early intervention, for most patients, minimizes tissue damage and potential loss of anchor teeth. Learn more about the options for bridge replacement that can incorporate a wide number of treatment choices for best tissue and dental function conservation.
Patients with specific questions about porcelain cosmetics, gum loss, bone loss or any other condition that can affect efficient use of bridgework are invited to contact us directly with our on-line Ask The Dentist form. Dr. Marie or Dr. Chris will respond directly with the answers and information you are seeking.