Pain When Biting with New Dental Bridge: Causes and Solutions

It hurts to bite down on the new dental bridge?

When I was a child, my primary lateral incisor did not fall out until I was in middle school, which caused a gap between my canine and incisor.
As I grew older, the gap widened, but there still wasn't enough space for an implant, so I opted for a dental bridge.
I have been trying on the new bridge for almost two weeks now, and I experience pain when biting down on things.
I have had one adjustment during a follow-up visit, but the pain persists.
I do not feel pain when I am not biting down.
Is this an issue with my occlusion or the angle of the bridge? Additionally, I often feel a slight soreness in the teeth within the bridge.
Is this because the bridge is not yet secured, or could there be an issue with the teeth themselves?

Mandy, 30~39 year old female. Ask Date: 2022/04/25

Dr. Zeng Guanghui reply Dentistry

If there is pain when biting down after the dental bridge is placed, it may be due to high occlusion, periodontal issues with the supporting teeth, or poor marginal fit at the junctions of the bridge with each tooth, leading to sensitivity to hot and cold stimuli.
It is recommended to return for a follow-up appointment for further examination by a dentist.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/04/25

More Info

Experiencing pain when biting with a new dental bridge can be a frustrating and concerning issue. Based on the information provided, there are several potential causes for this discomfort, and understanding them can help in finding a solution.

Potential Causes of Pain When Biting
1. Occlusal Issues: One of the most common reasons for pain when biting down on a dental bridge is an occlusal (bite) issue. If the bridge is too high or not aligned properly with the opposing teeth, it can create excessive pressure on the supporting teeth when biting. This can lead to pain, especially when chewing. A dental professional can assess the occlusion and make necessary adjustments to ensure that the bridge fits comfortably within the bite.

2. Improper Fit: If the dental bridge does not fit properly, it can cause discomfort. This could be due to the shape of the bridge, the angle at which it is placed, or how well it conforms to the underlying teeth and gums. If the bridge is too tight or too loose, it can lead to pain and sensitivity.

3. Underlying Dental Issues: The discomfort you are feeling could also be related to the health of the supporting teeth. If there are issues such as decay, gum disease, or previous root canal treatments that have not healed properly, these could contribute to the pain when biting. The sensation of "soreness" or "acidity" in the bridge area may indicate that the underlying teeth are experiencing stress or inflammation.

4. Sensitivity: After getting a new dental bridge, it is not uncommon for the surrounding teeth to be sensitive, especially if they have undergone recent dental work. This sensitivity can manifest as discomfort when biting or chewing. If the bridge has not yet been permanently cemented, the temporary nature of the bridge may also contribute to this sensation.

5. Material Reaction: Some patients may experience sensitivity or discomfort due to the materials used in the dental bridge. If you have allergies or sensitivities to certain dental materials, this could lead to discomfort.

Solutions and Recommendations
1. Follow-Up with Your Dentist: It is crucial to return to your dentist for a thorough evaluation. They can check the occlusion and make adjustments to the bridge to ensure it fits properly. This may involve reshaping the bridge or adjusting the bite to alleviate pressure on the supporting teeth.

2. X-Rays and Further Examination: If the pain persists, your dentist may recommend taking X-rays to examine the underlying teeth and bone structure. This can help identify any hidden issues that may be contributing to your discomfort.

3. Temporary Bridge Consideration: If the bridge is still temporary, it may be beneficial to wait until it is permanently cemented before making any final assessments. Temporary bridges can sometimes lead to discomfort as they may not fit as securely as a permanent one.

4. Pain Management: In the meantime, over-the-counter pain relief medications may help manage discomfort. However, this should not replace professional dental advice.

5. Oral Hygiene: Maintaining excellent oral hygiene is essential, especially around the bridge and supporting teeth. This can help prevent any potential infections or complications that could exacerbate pain.

6. Seek a Specialist: If your dentist is unable to resolve the issue, consider seeking a second opinion from a prosthodontist, a specialist in dental bridges and crowns. They may provide additional insights or treatment options.

Conclusion
Pain when biting with a new dental bridge can stem from various factors, including occlusal issues, improper fit, underlying dental problems, and material sensitivities. It is essential to communicate openly with your dentist about your symptoms and concerns. With proper evaluation and adjustments, most patients can find relief and enjoy the benefits of their dental bridge without discomfort. Remember, your comfort and oral health are paramount, so do not hesitate to seek further assistance if needed.

Similar Q&A

Understanding Pain After Dental Bridge: Causes and Solutions

Hello Doctor: I had a dental bridge placed on my upper front teeth, consisting of six crowns. It has been over a year since the procedure, but recently, in the past few months, I have been experiencing pain in my upper teeth when biting down. The teeth adjacent to the false teeth...

Dr. Zeng Guanghui reply Dentistry
It is possible that the gums around the edges of the braces are inflamed. It is recommended to schedule an appointment with a dentist as soon as possible for a thorough examination and treatment. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Understanding Pain After Dental Bridge Installation: Causes and Solutions

Hello Dr. Huang, I had my lower right first molar extracted on June 28, and a dental bridge placed on September 21. However, I have been unable to eat anything because it causes severe pain under the bridge. The doctor suggested performing root canal treatment on the adjacent te...

Dr. Huang Tingfang reply Dentistry
Dear Ms. EVA: Hello! I am very sympathetic to your pain! It is important to conduct a thorough examination to determine if the issue is related to your teeth, gums, or bone. Please communicate more with your physician! Thank you! Wishing you peace! Sincerely, Dr. Huang Ting-Fang,...

Jaw Pain After Dental Bridge: Causes and Relief Strategies

After the left molar was fitted with a dental bridge, there was no sensation upon waking up in the morning. However, as time passed, the left temporomandibular joint began to feel sore and painful, accompanied by difficulty swallowing. Applying a warm compress provided some relie...

Dr. Lin Jiayong reply Dentistry
Hello: If you have a newly made dental bridge (within one month), it is recommended to return to the original clinic for a check-up with the dentist to see if any adjustments are needed. Thank you!

Understanding Gum Pain After New Dental Crown: Causes and Solutions

Location: Right lower second molar (new crown made five months ago, experienced pain for three months making it difficult to eat, but X-rays showed no abnormalities). Current condition (ongoing for one month): (1) No pain while eating, completely unaffected; applying pressure on ...

Dr. Huang Zhicheng reply Dentistry
Hello, based on the situation described, since there is no impact on eating and no pain, it is recommended to return to your original dentist for an examination. The process of making a dental crown is inherently complex, so please maintain good oral hygiene before your follow-up...