Breaking a tooth like this probably points to night-time clenching (what I
like to refer to as isometric-grinding). Clench with great force and rock
the jaw back and forth with the teeth clamped down really hard. Eventually
the weakest point will let go. The forces we are talking about here are
enormous and you can do this while sleeping for many hours every night.
Usually, the patient does not even know they are doing this until the
dentist points out all the other effects which are evident.
I have seen bridges supported by an implant on one end and a tooth on the
other end hold up well long term. However, literature tells us this is not
the wisest way to restore function. There is too much difference in
compressibility of what is supporting the bridge on each end.
You would probably be better served with two implants supporting a new
3-unit bridge and cutting the crown off the back end of the old bridge and
leaving it on the back tooth so that you do not have make a new crown there.
Regardless of what plan of action you pursue, you need to protect your teeth
while sleeping.
www.nti-tss.com
--
~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................
This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here. Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................
"The Real Paul" <
no@no.no>wrote in message
Quote
Unfortunately, the old bridge is a loss. To try to place an implant and
retrofit some kind of abutment into the implant that would serve as
support
for the existing bridge...well it would be quite an experiment! To be
honest
with you, I don't think it would be wise to have an implant serve as the
sole abutment on one end of a five unit bridge. You may need two implants
placed to support a new bridge. Also, I'm not sure that a natural tooth
abutment with its ability to move on biting and the implant on the other
end
of the bridge affixed to the underlying bone with no give is a great idea.
Maybe have the part of the bridge that was on #18 sectioned from the old
bridge and reseated permanently as a single crown. Then have a couple of
implants placed to support a new bridge from 19-22. I'm sure others here
will have other great ideas/options for you.
Why did #22 break off to start with???
"Michael T" <anonymous@sbcglobal.net>wrote in message
news:rJkZd.18619$Pz7.14280@newssvr13.news.prodigy.com...
>Last year I had teeth 18 & 22 (17 was extracted years ago) prepped to be
>used as anchors for a 4-tooth porcelain fixed bridge. The bridge was
>later
>attached to span teeth 18-22.
>
>Unfortunately the bridge came loose and a trip to my dentist revealed
>that
>tooth 22 was fractured and I was told he would have to basically start
>all
>over and replace the bridge with an appliance. Not an attractive option
and
>not well received I might add.
>
>Anyway it recently occurred to me that perhaps the fractured tooth #22
could
>be replaced with an implant - thus allowing me to have the original
>bridge
>reattached.
>
>So my question is simply "Is this doable?" If so, what are the pitfalls,
if
>any? Presumably I must see an oral surgeon for this.
>
>As always, thank you for your time.
>
>Michael T.
>
>
-
