Can I Get Dental Bridges with Swollen Gums and Mouth After Grinding?

Can a dental crown be placed if there are large gum wounds or swelling due to teeth grinding?

I have missing teeth in front of my lower left second molar, and the doctor suggested that I get a dental bridge, which means using the two healthy teeth on either side to support two artificial teeth in the middle where there are no roots, totaling four prosthetic teeth.
While preparing the second molar, the doctor injured my gums and the surrounding soft tissue, resulting in swelling on one side of my face.
The doctor mentioned that I need to have the prosthetic teeth placed in two days.
Shouldn't I wait until the wound heals before getting the prosthetics? My gums and face are still swollen, and the doctor said this way the gums will wrap around the teeth.

Ju, 50~59 year old female. Ask Date: 2023/01/01

Dr. Zeng Guanghui reply Dentistry

If you experience swollen and painful gums after tooth grinding, it is recommended to return for a follow-up appointment and have your dentist conduct an examination and treatment.
Only after the gums have reduced swelling and inflammation should a dental bridge be placed.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2023/01/01

More Info

When it comes to dental procedures, particularly the placement of dental bridges, the condition of your gums and surrounding tissues is crucial. If you are experiencing swollen gums and facial swelling due to grinding or any other dental trauma, it is generally advisable to wait until the inflammation subsides before proceeding with the placement of a dental bridge.

Swollen gums can indicate inflammation or infection, which may complicate the healing process after the dental bridge is placed. If the gums are not healthy, they may not properly support the bridge, leading to complications such as discomfort, improper fit, or even failure of the bridge. Additionally, placing a bridge over inflamed or swollen gums can exacerbate the existing condition, potentially leading to further complications.

In your case, since the dentist has already indicated that the bridge should be placed soon, it is important to communicate your concerns about the swelling. If the swelling is significant, it may be wise to postpone the procedure until the gums have healed. This will not only ensure a better fit and function of the bridge but also promote overall oral health.

The healing process for swollen gums typically involves good oral hygiene, possibly the use of antiseptic mouth rinses, and sometimes anti-inflammatory medications as recommended by your dentist. If there is an underlying infection, your dentist may prescribe antibiotics to help clear it up before any further procedures are undertaken.

Moreover, the dentist's statement that the swollen gums will help "wrap around" the bridge is somewhat misleading. While healthy gums do play a role in supporting dental restorations, swollen or inflamed gums do not provide the same level of support and can lead to complications. Healthy gum tissue is essential for the longevity and success of dental bridges.

In summary, it is advisable to wait until your gums have healed before proceeding with the placement of a dental bridge. This will help ensure that the bridge fits properly, functions well, and does not contribute to further oral health issues. Always feel free to discuss your concerns with your dentist, as they can provide personalized advice based on your specific situation. If necessary, seek a second opinion from another dental professional to ensure that you are making the best decision for your oral health.

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