How to Address a Damaged Dental Bridge After Adjustment? - Dentistry

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The dental bridge has worn down?


Hello Doctor, I had a dental bridge placed on March 1, 2021.
When it was completed, the doctor adjusted the height but ended up damaging my bridge.
The white prosthetic tooth has developed a small black spot, and the doctor did not inform me about it at the time.
I only noticed it after returning home.
What should I do? Thank you, Doctor, as this is my first experience with dentures, I am not familiar with the process.

Xuanxuan, 30~39 year old female. Ask Date: 2021/03/03

Dr. Zeng Guanghui reply Dentistry


Hello, Xuan Xuan: The dental bridge you received is likely a metal-ceramic crown, which consists of a metal core covered with a layer of porcelain.
It is possible that during the occlusal adjustment, the porcelain surface was ground down, exposing the underlying metal shell.
If aesthetics are a concern for you, it is advisable to return for a follow-up appointment with your dentist for repairs.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/03/03

More Info


When dealing with a damaged dental bridge, especially after an adjustment, it’s important to take a systematic approach to address the issue effectively. Here’s a comprehensive guide on how to handle this situation, along with some relevant medical insights.

First and foremost, it’s crucial to return to your dentist as soon as possible. Inform them about the damage you noticed after the adjustment. It’s not uncommon for adjustments to inadvertently affect the integrity of a dental bridge, especially if the height or alignment was altered. The appearance of a black substance could indicate that the underlying material of the bridge is exposed, which may lead to further complications if not addressed promptly.


Steps to Take:
1. Schedule an Appointment: Contact your dentist immediately to discuss the issue. Explain what happened during the adjustment and the subsequent discovery of the black material. It’s essential to communicate clearly so that your dentist understands the urgency of the situation.

2. Assessment: During your appointment, your dentist will likely conduct a thorough examination of the bridge. They may take X-rays to assess the condition of the underlying teeth and the bridge itself. This step is crucial to determine if there are any underlying issues, such as decay or damage to the supporting teeth.

3. Repair or Replacement: Depending on the extent of the damage, your dentist may recommend repairing the bridge or replacing it entirely. If the damage is minor and the bridge is still structurally sound, they might be able to repair it by adding material or adjusting the existing structure. However, if the bridge is significantly compromised, a replacement may be necessary.

4. Material Considerations: If a replacement is needed, discuss the materials used in your dental bridge. Different materials have varying durability and aesthetic qualities. For instance, porcelain-fused-to-metal bridges offer a good balance between strength and appearance, while all-ceramic bridges provide a more natural look but may not be as strong in certain situations. Your dentist can help you choose the best option based on your dental health and aesthetic preferences.

5. Follow-Up Care: After any repair or replacement, it’s vital to follow your dentist’s aftercare instructions. This may include avoiding certain foods, maintaining good oral hygiene, and scheduling follow-up appointments to ensure that the new or repaired bridge is functioning correctly.


Understanding the Implications:
The presence of a black material on your dental bridge could indicate that the underlying metal or resin is showing through due to wear or damage. This situation can lead to several complications:
- Aesthetic Concerns: The appearance of the bridge may be compromised, affecting your smile and self-confidence.

- Structural Integrity: A damaged bridge may not distribute chewing forces evenly, potentially leading to further damage to the supporting teeth or the bridge itself.

- Oral Health Risks: Exposed materials can harbor bacteria, increasing the risk of decay or gum disease around the bridge and supporting teeth.


Conclusion:
In summary, addressing a damaged dental bridge requires prompt action and clear communication with your dentist. By scheduling an appointment and discussing your concerns, you can ensure that the issue is resolved effectively. Remember, your oral health is paramount, and taking care of any dental issues as they arise will help maintain your overall well-being. If you have any further questions or concerns, don’t hesitate to reach out to your dental care provider for guidance.

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