Sunday, March 14, 2010

Is it normal for a dentist to prep, and file down your teeth for a bridge immediately after extracting a tooth

I was in a lot of pain in my lower back tooth. I thought at the time it may be sinus problem. I went a partricular dentist who first gave me a rubber mounth peice and said that I was bitting to hard on my teeth. She stated my tooth appeared to be ok. The next week, I was in more pain in the same area. I requested the tooth be taken out. The tooth could not be pulled, it had to be broken and filed down. The pain was awful even with the injected numnous medications. On this same date, the same dentist stated I had to get a bridge made for my teeth. Not healed yet, in pain the dentist made a moler for a bridge. My question is. Is this normal routine or proper procedure of a dentist. That is to start working on a bridge in the same exact area where your teeth was pulled on the same day, before that area has healed?

Is it normal for a dentist to prep, and file down your teeth for a bridge immediately after extracting a tooth
As Dr Sam says above, sometimes a temp bridge will be made on the same day. But to do this, it is usual to grind back (prepare) the adjacent teeth first, BEFORE the extraction. After the extraction, the temp br is made up and fitted. I only do this for front teeth where looks are important, and it's a planned procedure because it needs some time. No need to do it for back teeth.


So, you should have a temp bridge in place that may stay there for 2-3 months to allow for complete healing underneath. After the healing period, the a touch-up preparation and impression for the REAL bridge can be completed.


The healing period is necessary for the bone and gum to close up and shrink. Then, the final bridge will fit much better and closer to the gum.


Your described treatment is a bit unclear, but could be OK if it follows as above.


However, if your NEXT appointment is for the fitting of the real bridge, then I would be wary of accepting it. Please discuss this issue with the dentist - we're guessing a bit here.
Reply:no, you can have it done anytime you want. you don't even need to have a bridge if you don't want. This is more money in their pockets
Reply:Nothing is "normal" in a clinical practice. There are just different ways to accomplishthe same thing and many choices to make. I suspect that your dentist was trying to help you get a replacement for this tooth as soon as possible.





Sometimes I make a temporary bridge on the same day as I take out the tooth that the bridge will replace and sometimes we let it heal. It is usually the PATIENT's preference to have the temporary bridge made the day the tooth is removed so they won't have to walk around with a missing tooth. It is usally MY preference to let the site heal for at least a couple of weeks before moving ahead with the bridge, but either way is possible.



konsole-devel

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