Should You Remove a Dental Bridge for Further Examination?

Does a dental bridge need to be removed for examination?

Recently, I have been experiencing pain when biting down on three teeth that are part of a dental bridge, and I also feel sensitivity when drinking cold water.
I went to the clinic for an examination, and after an X-ray, the dentist said there were no cavities and the bridge was not loose.
However, they mentioned that they couldn't see inside the bridge and noted some mild periodontal inflammation.
I visited the clinic twice and took antibiotics for a total of 6 days, and I also had a dental cleaning.
During my second visit, the periodontal inflammation had resolved, but I still experience pain when biting or eating.
The key point is that when the dentist taps on the teeth, it doesn't hurt, and I don't feel pain when not biting.
However, according to information I found online, the cotton roll test does cause pain.
I have a third appointment scheduled; should I have the bridge removed for further examination, or can we continue to monitor the situation? Please advise, thank you!

Mr. Lin, 40~49 year old female. Ask Date: 2018/10/10

Dr. Zeng Guanghui reply Dentistry

If there are no apical lesions or apical inflammation visible on the X-ray, percussion should not cause pain.
However, it is not possible to determine whether there is caries within the abutment teeth of the dental bridge from the X-ray.
Additionally, the marginal integrity of the bridge should also be considered; poor fit can lead to recurrent gingival inflammation.
It is advisable to return for a follow-up appointment with a dentist for further evaluation and treatment.

Reply Date: 2018/10/10

More Info

When considering whether to remove a dental bridge for further examination, it's essential to weigh the symptoms you're experiencing against the potential risks and benefits of such a procedure. Based on your description, it seems you are experiencing pain when biting down and sensitivity to cold, but your dental bridge is not loose, and X-rays show no signs of decay. Additionally, you mentioned that your dentist has noted some periodontal inflammation, which has since improved with treatment.

First, let's discuss the nature of dental bridges. A dental bridge is a fixed prosthetic device used to replace one or more missing teeth by anchoring to the adjacent natural teeth or implants. Over time, bridges can experience complications, such as decay of the supporting teeth, gum disease, or issues with the bridge itself. In your case, the absence of visible decay and the stability of the bridge are positive signs, but the ongoing pain suggests that there may still be an underlying issue that needs to be addressed.

Given that your dentist has already performed X-rays and noted some inflammation, it may be prudent to continue monitoring the situation for a short period. However, if the pain persists or worsens, it would be advisable to discuss the option of removing the bridge for a more thorough examination. This could involve checking the health of the underlying teeth and gums more closely, which may not be fully visible through X-rays alone.

Removing the bridge can be a delicate process. It is crucial to ensure that the surrounding teeth are not damaged during the removal. Dentists typically use specialized tools to carefully detach the bridge, minimizing the risk of harming the adjacent teeth. If the bridge is cemented in place, the dentist may need to use a dental drill or other instruments to break the bond without causing trauma to the supporting structures.

If you decide to proceed with the removal, it's essential to have a clear plan in place for what will happen next. If the underlying teeth are found to be healthy, your dentist may recommend re-cementing the bridge after addressing any minor issues. If there are significant problems with the supporting teeth, such as decay or structural damage, further treatment options, including crowns or even implants, may need to be considered.

In summary, if your pain continues despite treatment, it would be wise to have a discussion with your dentist about the possibility of removing the bridge for further examination. This step can help ensure that any underlying issues are identified and treated appropriately, ultimately preserving your oral health. Remember, maintaining good oral hygiene and regular dental check-ups are crucial for the longevity of dental work, including bridges. If you have any concerns about the procedure or the health of your teeth, don't hesitate to voice them with your dental care provider. They can provide personalized advice based on your specific situation and help you make the best decision for your dental health.

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