Regret having dental bridges?
Due to severe dental decay throughout my mouth, I have experienced fractures and cavities in every tooth, which has made me self-conscious and reluctant to speak or smile.
Therefore, in recent months, I have actively pursued a complete overhaul with dentures.
Initially, the doctor recommended that I get a full dental bridge.
In October of last year, I had three hopeless teeth extracted (the upper left second molar and the two adjacent premolars), which resulted in an oral-nasal fistula, and I sought treatment from an oral surgeon (I only discovered this in December, and the dental bridge was already made and is currently in the trial fitting stage).
The oral surgeon was shocked to see that I was getting a full dental bridge, stating that I still had many tooth roots and that it was a pity to cover them all with a bridge.
He suggested that I consider individual crowns instead, as a dental bridge can lead to complications in the future.
Prolonged use of a bridge can cause gum recession, making it easier for food particles and bacteria to get trapped in the extraction sites, which can lead to decay of the remaining natural teeth.
This makes overall oral hygiene difficult, and the bridge may eventually become loose and fall out.
Hearing this made me regret my decision to get a bridge, and I have been contemplating whether it is possible to switch to individual crowns.
However, since the bridge has already been made and I have paid the full cost, I am unsure if it is feasible to ask the doctor to change everything to individual crowns.
yunshin, 30~39 year old female. Ask Date: 2023/01/29
Dr. Lin Jiayong reply Dentistry
Hello: It is recommended not to bond everything just yet.
Discuss with your original dentist the pros and cons of switching to individual crowns, considering that the initial decision to connect the entire arch together must have had its advantages.
Once you fully understand and agree with the information, then decide whether to change to all individual crowns.
Reply Date: 2023/01/29
More Info
Regretting the decision to opt for a full dental bridge instead of individual crowns is a common concern among patients, especially when faced with the complexities of dental health and aesthetics. Your situation, where severe decay and structural issues have led to the extraction of multiple teeth, is indeed challenging. The recommendation from your oral surgeon to consider switching to single crowns instead of a full bridge is worth serious consideration, especially given the potential long-term implications of your current choice.
Firstly, let’s address the feasibility of switching from a full dental bridge to individual crowns at this stage. Since you mentioned that the bridge has already been fabricated and is currently in the trial phase, it is technically possible to modify your treatment plan before the bridge is permanently cemented. However, this decision should be made in consultation with your dentist, who can evaluate the specific conditions of your oral health, the integrity of the remaining tooth structures, and the overall alignment of your bite.
One of the primary concerns with a full dental bridge is the potential for gum recession and the accumulation of food particles and bacteria in the areas where natural teeth have been extracted. As your oral surgeon pointed out, the long-term wear of a bridge can lead to complications, including the risk of decay in adjacent teeth and the potential for the bridge to become loose over time. Individual crowns, on the other hand, can provide better access for cleaning and maintenance, which is crucial for long-term oral health.
Moreover, the aesthetic aspect of individual crowns can be more favorable, as they can be designed to match the natural contour and color of your existing teeth, providing a more seamless appearance. This is particularly important for individuals who are self-conscious about their smiles, as you mentioned.
In terms of cost, while you have already paid for the bridge, it may be worth discussing with your dentist the possibility of a refund or credit towards the cost of individual crowns. Many dental practices understand that patient satisfaction is paramount and may be willing to accommodate your request, especially if you express your concerns clearly.
It’s also essential to consider the longevity and maintenance of dental restorations. Bridges typically last between 5 to 15 years, depending on various factors such as oral hygiene, the materials used, and the patient's overall dental health. Individual crowns, particularly those made from high-quality materials like zirconia or porcelain fused to metal, can also last a long time but may require more frequent replacements if not properly cared for.
In conclusion, while it is possible to switch from a full dental bridge to individual crowns, it is crucial to have an open and honest discussion with your dentist about your concerns and the potential benefits and drawbacks of each option. Your oral health and comfort should be the top priority, and a tailored approach that considers your unique dental situation will yield the best results. Remember, it’s never too late to advocate for your dental health and make choices that align with your long-term well-being.
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