Fixed Dentures: Installation, Bite Force, and Care Tips - Dentistry

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Issues with Fixed Dental Prostheses


Hello Dr.
Huang: I would like to ask about the installation of a fixed dental prosthesis for two missing upper front teeth.
How is it done? What is the occlusal force like after installation? What are the disadvantages and what precautions should be taken after installation? Thank you!

Lao Chen, 60~69 year old female. Ask Date: 2011/12/06

Dr. Huang Zhicheng reply Dentistry


Dear Mr.
Chen,
Hello.
The treatment options for the missing upper front teeth include dental implants (2 teeth missing, 2 implants) or the placement of a dental bridge consisting of 4 or 6 teeth in the front (depending on the periodontal condition of the adjacent supporting teeth, generally 6 teeth is preferable).
The advantage of a dental bridge is that it is more cost-effective; however, it requires the grinding down of the adjacent natural teeth.
Additionally, after placement, it is important to regularly use dental floss to clean beneath the bridge and the triangular spaces between the connecting areas.
In contrast, dental implants can be maintained similarly to natural teeth with regular brushing.
Wishing you health and safety.
Sincerely,
Dr.
Huang Chih-Cheng
Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2011/12/06

More Info


When it comes to understanding fixed dentures, particularly in the context of missing upper front teeth, there are several important aspects to consider, including installation, bite force, potential drawbacks, and post-installation care.


Installation of Fixed Dentures
Fixed dentures, commonly referred to as dental bridges, are a popular solution for replacing missing teeth. In your case, with two missing upper front teeth, a dental bridge can be constructed to span the gap. This typically involves anchoring the bridge to the adjacent healthy teeth, known as abutment teeth. The process generally involves the following steps:
1. Assessment: Your dentist will first assess the condition of the surrounding teeth and gums to ensure they are healthy enough to support the bridge.


2. Preparation: The abutment teeth will be prepared by removing a portion of their enamel to accommodate the crowns that will hold the bridge in place.

3. Impressions: After preparation, impressions of your teeth will be taken to create a custom bridge that fits perfectly in your mouth.

4. Temporary Bridge: A temporary bridge may be placed while the permanent one is being fabricated.

5. Placement: Once the permanent bridge is ready, it will be cemented in place.


Bite Force and Functionality
After installation, the bite force exerted on the bridge should be similar to that of natural teeth, provided that the bridge is properly designed and fitted. However, it is crucial to ensure that the bite is correctly aligned to prevent undue stress on the bridge and the supporting teeth. If the bite is off, it can lead to discomfort, uneven wear, or even damage to the bridge or surrounding teeth.


Potential Drawbacks
While fixed dentures offer many benefits, there are some drawbacks to consider:
1. Alteration of Adjacent Teeth: The preparation of the abutment teeth involves altering their structure, which can lead to sensitivity or the need for future dental work.

2. Risk of Decay: The areas around the bridge and the abutment teeth require diligent oral hygiene. If not properly cared for, these areas can be susceptible to decay and gum disease.

3. Longevity: While dental bridges can last many years, they may eventually need to be replaced due to wear or changes in the mouth.


Post-Installation Care Tips
To ensure the longevity of your fixed dentures and maintain oral health, consider the following care tips:
1. Oral Hygiene: Maintain a rigorous oral hygiene routine, including brushing twice a day and flossing daily. Special attention should be given to the area beneath the bridge, as food particles can accumulate there.

2. Regular Dental Check-ups: Schedule regular visits to your dentist for cleanings and check-ups. This will help monitor the health of your bridge and surrounding teeth.

3. Dietary Considerations: Initially, you may want to avoid hard or sticky foods that could put excessive pressure on the bridge. Once you are accustomed to the bridge, you can gradually reintroduce these foods, but always be mindful of how your bite feels.

4. Watch for Changes: Be alert for any signs of discomfort, changes in bite, or issues with the bridge. If you experience any problems, contact your dentist promptly.

In conclusion, fixed dentures can be an effective solution for missing teeth, providing both aesthetic and functional benefits. However, it is essential to understand the installation process, maintain proper care, and be aware of potential drawbacks to ensure a successful outcome. Always consult with your dentist for personalized advice and treatment options tailored to your specific needs.

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