Experiencing Sensitivity After Getting Dental Bridges: What to Do? - Dentistry

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The dental bridge has just been completed, but it feels sensitive when rinsing?


I recently had four dental bridges placed, but the last bridge becomes sensitive and uncomfortable whenever I rinse with cold water.
Doctor, do I need to have the bridge redone?

Ms. Li, 30~39 year old female. Ask Date: 2022/01/20

Dr. Lin Jiayong reply Dentistry


Hello: If it is only temporarily bonded, the dental bridge can still be removed.
It is recommended to return to the clinic for further examination by the dentist.
If it is indeed permanently bonded, you may need to observe the situation for a while before reassessing.
However, any sensitivity or discomfort should definitely be reported to the original dentist, and regular follow-up appointments should be scheduled.
Sincerely, Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/01/20

More Info


Experiencing sensitivity after getting dental bridges can be concerning, especially if it occurs with specific stimuli like cold water. It’s important to understand that sensitivity can arise from various factors related to the dental bridge itself, the underlying teeth, or even the surrounding gum tissue. Here’s a comprehensive overview of what might be happening and what steps you should consider taking.


Possible Causes of Sensitivity
1. Improper Fit or Occlusion: If the dental bridge is not properly fitted or if the occlusion (the way your teeth come together when you bite) is off, it can lead to discomfort. A high occlusion can cause pressure on the supporting teeth, leading to sensitivity when exposed to temperature changes.

2. Gum Irritation: Sometimes, the edges of the dental bridge can irritate the gums, especially if there is a slight misalignment. This irritation can lead to sensitivity, particularly when exposed to cold or hot substances.

3. Underlying Dental Issues: If the teeth supporting the bridge have underlying issues such as decay, cracks, or previous root canal treatments, they may be more sensitive to temperature changes.
4. Material Sensitivity: Some patients may have a sensitivity to the materials used in the dental bridge, particularly if it involves metal components. This can sometimes manifest as discomfort when exposed to temperature extremes.

5. Temporary Cement: If the bridge is temporarily cemented, it may not provide the same level of protection as a permanently cemented bridge. This can lead to increased sensitivity until the final cementation is completed.


What to Do Next
1. Return to Your Dentist: The first step is to return to your dentist for a thorough examination. They can assess the fit of the bridge, check for any occlusal issues, and evaluate the health of the supporting teeth and gums. It’s crucial to communicate your symptoms clearly, including when they occur and their intensity.

2. Adjustments: If the dentist determines that the bridge is too high or misaligned, they can make necessary adjustments. This may involve reshaping the bridge or adjusting the occlusion to alleviate pressure on the supporting teeth.

3. Check for Gum Health: Your dentist will also check the health of your gums around the bridge. If there is any inflammation or irritation, they may recommend treatments to improve gum health, which can help reduce sensitivity.

4. Consider Sensitivity Treatments: If the sensitivity persists, your dentist may suggest using desensitizing toothpaste or other treatments to help manage the discomfort.

5. Monitor the Situation: If the bridge is permanently cemented and sensitivity continues, your dentist may recommend monitoring the situation for a short period. Sometimes, patients adapt to new dental work, and sensitivity can decrease over time.

6. Further Evaluation: If sensitivity does not improve with adjustments and monitoring, further evaluation may be necessary. This could include imaging studies to check for underlying issues with the supporting teeth or bone structure.


Conclusion
In summary, experiencing sensitivity after getting dental bridges is not uncommon, and it does not necessarily mean that the bridge needs to be redone. The best course of action is to consult with your dentist, who can provide a thorough evaluation and determine the appropriate steps to alleviate your discomfort. Remember, open communication with your dental care provider is key to addressing any concerns you may have about your dental health.

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