the Gritty Sensation of Your Dental Bridge: What to Do?

The feeling of roughness or grittiness in a dental bridge?

Hello Dr.
Zhu, I had a dental bridge placed last month, made of porcelain fused to metal, on teeth 15, 16, and 17.
Since the placement over a month ago, I've noticed that when I speak, my tongue touches the bridge and feels a bit rough on the lingual side, although it feels quite smooth to the touch with my hand.
I'm wondering if my tongue is just more sensitive? Will I eventually adapt to it, or should I return to the dentist who placed the bridge for a check-up? Thank you!

Niming, 40~49 year old female. Ask Date: 2017/09/22

Dr. Zhu Guanyu reply Dentistry

Hello, based on your description, it is difficult to determine the cause of the "gritty feeling" associated with the dental bridge, whether it is physical or chemical.
In other words, it could be related to the fit of the bridge or the adhesive material used.
Therefore, I still recommend that you return for an examination to alleviate any psychological concerns.
Thank you for your message.
Wishing you peace and health.

Sincerely,
Dr.
Kuan-Yu Chu
Director of Dentistry
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2017/09/22

More Info

The gritty sensation you are experiencing with your dental bridge can be quite concerning, especially after having undergone a significant dental procedure. It's important to understand that the sensation of "grittiness" or "roughness" on the tongue side of the dental bridge, despite the surface feeling smooth to the touch, can arise from several factors.

Firstly, it could be related to the fit and finish of the dental bridge itself. If the bridge was not polished adequately during the fabrication process, it may have micro-abrasions or rough spots that can cause a gritty feeling when your tongue brushes against it. This is particularly relevant for bridges made of materials like porcelain fused to metal, where the porcelain surface can sometimes have imperfections.

Another possibility is that the sensation is due to the interaction between your tongue and the dental bridge. Some individuals have more sensitive tongues, which can react to the materials used in dental work. If you have a history of sensitivity to dental materials, this could be a contributing factor. Additionally, if there is any residual cement or bonding material that was not completely cleaned off during the fitting, it could also lead to an unusual sensation.

In terms of adaptation, many patients do find that they become accustomed to their dental bridges over time. However, if the sensation persists or worsens, it is crucial to consult with your dentist. They can assess the bridge for any issues related to fit, finish, or material reaction. It’s also possible that adjustments may be needed to ensure that the bridge is comfortable and functions properly.

If you are experiencing discomfort or pain, or if the gritty sensation is accompanied by other symptoms such as swelling or changes in taste, it is advisable to seek a follow-up appointment sooner rather than later. Your dentist can perform a thorough examination and may take X-rays to ensure that everything is in order beneath the bridge.

In conclusion, while some adjustment is normal after getting a dental bridge, persistent discomfort or unusual sensations should not be ignored. It is always best to communicate openly with your dental care provider about any concerns you have. They can provide the most accurate diagnosis and appropriate solutions to ensure your dental health and comfort. Remember, your oral health is paramount, and addressing these issues early can prevent more significant problems down the line.

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