Treatment FAQ

how to treatment plan a telescopic bridge

by Heber Gutkowski Published 2 years ago Updated 2 years ago
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How do you take care of a temporary bridge?

Whether you've had a permanent or temporary crown or bridge placement, it's important that you do the following until the anesthetic wears off:
  1. Diet.
  2. Floss carefully.
  3. Avoid chewing gum.
  4. Brush your teeth regularly.
  5. Stay away from hot food/beverages.
  6. Chew on the opposite side of your mouth.

How do you take care of a permanent bridge?

Tips to Maintain Your Dental Bridge
  1. Brush twice a day. It does not take long for plaque deposits and tartar to accumulate around the teeth and along the gum line. ...
  2. Floss once daily. Your entire bridge is supported by the natural adjacent teeth. ...
  3. Clean underneath the bridge. ...
  4. Attend routine checkups.
Dec 4, 2018

How do you treat an infected bridge?

Floss underneath your dental bridge and between your teeth at least once a day to remove bacteria and trapped food particles. Rinse with an ADA-approved mouthwash to flush out anything left behind that flossing and brushing missed.Feb 26, 2020

How do you treat a cavity under a bridge?

If your cavity is deeper and you have crowns it is better to do an X-ray in order to see the decay underneath your bridge. If a cavity has spread to the root, the bridge may need to be removed to treat your root canal and fit a filling in the decayed tooth.Apr 27, 2014

Can I use mouthwash with a dental bridge?

As you floss, use an easy-to-use product, like waxed dental floss. Make sure to floss every crevice of your smile. –Rinse: Rinse your mouth once a day with fluoride or antibacterial mouthwash.Dec 8, 2016

How often should you floss under a bridge?

Flossing. Floss all of your teeth, including your dental bridge, at least once a day. Make sure that you insert your floss in between each tooth.

What are 5 typical antibiotics used in dentistry?

What Are The Antibiotics Used In Dentistry?
  • Amoxicillin.
  • Azithromycin.
  • Cephalexin.
  • Clindamycin.
  • Penicillin.

Can you get an infection under a bridge?

The good news: dental bridges cannot become infected. The bad news: the natural teeth underneath the crowns of a dental bridge are still vulnerable to tooth decay and other oral health issues. Tiny bits of food can get stuck in between teeth and a poorly fitted dental bridge, leading to tooth decay.Jun 3, 2020

How do you floss under a bridge?

Part of a video titled Flossing around bridge - YouTube
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Under the contact point with the floss threader that acts like a needle to feed the floss under theMoreUnder the contact point with the floss threader that acts like a needle to feed the floss under the contact point the area of missing teeth. Can now be flossed by moving the floss as usual.

Can decay under a bridge be fixed?

Once decay starts at the margin of the bridge due to lack of proper dental hygiene, it then can progress under and inside of the crowns that make up the bridge. If the decay is detected and treated before it reaches the nerve of the tooth, the bridge may simply need to be replaced.Mar 7, 2020

Why does my tooth hurt under my bridge?

Decay or Infection

Sometimes food or debris can get stuck in between your teeth and cause decay. This can cause pain around the gum area of your bridge. If your bridge does not fit properly, this may allow bacteria and plaque to enter underneath or between teeth, and cause pain or an infection.
Jul 1, 2021

What happens when you need a root canal under a bridge?

Any necessary root canals or root canals or extractions will get performed. Then, your dentist will take impressions of the necessary areas to create a bridge that fits into your mouth appropriately. While the bridge gets made, the dentist will give you a temporary bridge to wear until the permanent one is ready.Apr 18, 2019

Can telescopic crowns be used for mandibular overdentures?

While telescopic and conical crowns have been used for decades to connect natural teeth to overdentures, not many cases have been reported in the literature of telescopic crowns placed on implants to support overdentures. This article describes 7 patients with overdentures supported by telescopic crowns who received 65 implants (ITI Straumann). The cases presented in this report have been in function for up to 4.5 years. During that time no adverse events were reported. The use of telescopic crowns as attachments for implant-supported overdentures may be a viable treatment option.

What is a telescopic crown?

The use of telescopic crowns on natural teeth (ie, a double crown system in which an interior crown with a cylindrical shape is placed on the tooth to support a removable crown), is a treatment concept that has been widely and successfully used to support dentures since telescopic crowns were introduced in the 1970s. 1–18 They allow for easy access for oral hygiene around the abutment teeth as well as easy handling of the overdenture. 4 The comparatively high retention obtained leads to good mastication and phonetics. Therefore, they often offer more advantages than other types of attachments. 4, 6

What is implant supported overdenture?

The use of implant-supported overdentures is a treatment approach with a very high long-term success rate. 19–22 The use of implants to support overdentures increases patient comfort by improving retention and chewing ability.

What is the use of implants?

The use of dental implants to support mandibular or maxillary overdentures is a widely used treatment modality. Advantages are an increase in retention, an increase in chewing ability, and easy access for oral hygiene procedures. While telescopic and conical crowns have been used for decades to connect natural teeth to overdentures, ...

Dental crowns

When planning for dental crowns, the treatment plan is somewhat simplified since crowns are small prosthetic restorations that basically restore a single tooth.

Dental bridges

When dental bridges are concerned, devising the treatment plan is one of the most important clinical stages. At this point, the dental bridge is designed, a process that requires total attention.

What is a temporary bridge?

The temporary. The temporary bridge is made of the same material as a temporary crown or veneer for that matter. If it is made on an impression of the diagnostic wax up, it will mimic the shape of the final bridge. This is important for a re-organised approach to see how it functions in the mouth.

How long do you have to wear a temporary bridge?

Otherwise, if it is just a routine bridge- the temporary will simply be put on for a week or two whilst the lab make the real thing in order to maintain the space and protect against sensitivity.

Can you eat with a dental bridge?

A dental bridge will allow you smile, eat and chew as normal assuming it is the fixed-fixed type. You need to be extra careful with the resin retained bridges as these are notoriously weaker, so you should be careful about putting lots of pressure on them.

How many crowns are in a fixed bridge?

Since a traditional fixed bridge essentially contains two crowns, there will be a certain % of teeth that actually die off from the trauma of preparing the tooth. The chances are minimised if the dentist is not overly destructive when preparing the teeth and places a good temporary in between appointments.

What is the first appointment for a dentist?

The first appointment involves: Temporaries crowns or bridge. The second appointment involves: Each dentist is likely to have their own preferred way of doing each of these things so whilst the general concept is the same, the details will vary from dentist to dentist.

What is super floss?

Superfloss was designed with this in mind and has a firmer plastic end, which can be threaded beneath the bridge. This is then pulled through from the other side until the thicker part of the floss rests on the gum under the bridge.

How long does it take to fix a bridge?

Patients who are considering a fixed implant bridge should be aware that full treatment may take several months or up to one year to finish. The length of treatment time will depend on whether or not additional procedures, ...

Can you replace teeth with a bridge?

Any failing teeth must be removed and the clinician has to decide whether to immediately place dental implants or if the area will be left to heal before implant surgery. When teeth are removed, they may need to be replaced with an immediate denture or a temporary bridge, which should be fabricated before removal.

What are the precursory diagnostic tests for dental implants?

Precursory diagnostic tests include a cone beam CT scan and digital dental x-rays. The 3-D images produced by a CT scan allow an implant dentist to meticulously plan each implant placement. Great care must be taken to avoid essential structures, particularly nerves, sinus cavities, and blood vessels. The implants must be located in a manner that yields full restoration and provides good esthetics and functionality. Diagnostic images will also determine the quantity and quality of available bone, allowing clinicians to conclude whether bone grafting is necessary or not.

Can bone grafting be done at the same time as dental implants?

Often, a minimal amount of bone grafting material may be placed at the same time as dental implants. Otherwise, a stand-alone procedure is required. If a stand-alone procedure is performed, the grafting site must be left undisturbed for several months- until the bone has sufficient quantity and density to support dental implants.

What to do after dental implants are healed?

After the dental implants have fully healed and osseointegration is complete, the final restorations can be made. Any healing caps or temporary restorations are removed and impression copings can be placed onto the implants. After this step, an impression is taken. Using the impression, abutments and the implant bridge framework can be created on a soft tissue model. Sometimes this framework will be tested for fit. The permanent bridge may be checked again at the bisque-bake stage before being finished and cemented or screwed in place.

Can you load dental implants immediately?

Prior to surgery, clinicians will decide if the implants will be left undisturbed until osseointegration is completed, or if they will be suitable for immediate loading. It is becoming more common to immediately load dental implants, usually with temporary restorations that hold the dental implants firmly in place and prevent unwanted movement. In other cases, restorations are left out of occlusion. These temporary restorations are generally for esthetic purposes, as care needs to be taken not to place too much pressure on the dental implants while healing. If the implants are not to be immediately loaded, a temporary restoration can still be made prior to implant surgery or where a denture was previously worn. This may be adapted to fit.

How many implants are needed for an ovoid arch?

In the case of ovoid arch, more forces are distributed in the anterior maxilla. A minimum of three implants in the premaxilla, two in the position of the canines and one in the position of central or lateral incisors are indicated here.

What is a surgical guide for implant placement?

The fabrication of a surgical guide during implant placement is a very important step in implant therapy. The diagnostic wax-up provides us the information regarding the placement of the teeth and hence the implants. This information has to be transferred/translated via some form of guide to the surgeon during the surgical phase of treatment. For this purpose, a surgical guide is used which is fabricated using information obtained from all diagnostic procedures previously performed 29, 30. With the help of a surgical template, not only the position of fixture/fixtures, but also their correct angulation is achieved.

How far apart should implants be placed?

Buccolingually, the implant should be placed at 2 mm to 3 mm distance from the cervical height of contour.

What is FP-1 restoration?

FP-1 fixed restoration is the most favorable replacement of the tooth by an implant form functional as well as esthetic point of view. Especially in the maxillary anterior area where the esthetic is a prime concern FP-1 fixed restoration provides very good results. In this situation, the remaining alveolar bone is sufficient to allow the placement of the implant in almost the same position as that occupied by the tooth.

Do central and lateral incisors have cantilevers?

In this shape, the central and lateral incisors do not present a marked facial cantilever, as compared to canines. Less occlusal forces are distributed in the anterior region and implants at canine region can well distribute the forces. So, Misch indicates a minimum of two implants in the canine position.

Can you splint teeth to implants?

Splinting teeth to implants provides more treatment options, especially, when anatomic limitations restrict insertion of additional implants (e.g., maxillary sinus, mental foramen), when the bone is lacking for implant placement and when patient refusal to undergo a bone augmentation procedure .

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