Re: Problem with bridge prep

On Oct 18, 2:19 pm, Mark & Steven Bornfeld
<bornfeldm...@xxxxxxxxxxxxxxx> wrote:
peterc_7 wrote:
Back in January 2007 I had number 31 extracted. It broke, got an
inlay, inlay broke, got infected, root cracked, got extracted. On
September 25 2007 (9 months later) I went to my dentist to start the
preparation for a bridge for 30,31,and 32. Tooth 30 and 32 would be
prepped for a crown. I was told a bridge would be ideal because 30
has fractures and needs a crown anyway. I expected some pain after 30
and 32 were prepped simply because of the nature of the prep. The
level of pain turned out to be way more than I expected. I am in very
intense pain, especially with 32 which was normal tooth with no sign
of decay or infection prior to the prep. After just 3 days the
temporary bridge came out. I tried to replace it myself but the pain
was so intense that I ended up going back to the dentist. The dentist
fixed it but the pain continued. I'm taking ibuprofen 600 every 5
hours for the pain. The ibuprofen resolves the pain totally. On
Monday October 15 I went in to get the metal part of the bridge
fitted. The dentist took x-rays but did not report any abnormal
findings. He told me that when the bridge is placed he will use a
temporary cement. He said that the metal fused to porcellan should
help stabilize the teeth and resolve the pain. If after a few weeks
the pain is still present he will recommend a procedure to resolve
it. He didn't say what but I imagine it would be a root canal on 32.
My question is this - how much pain and for how long is a "normal"
bridge prep ? I expected some pain but not this much for this long.
Is it possible that the dentist messed up the prep ? Should I seek
another opinion ? The dentist put a crown on 19 for me and did an
excellent job so I trusted him to do the bridge. I have ZERO problems
with 19. Maybe a little sensitivity to hot/cold but nothing intense.

Transient sensitivity to hot and cold would be normal. Pain of the
severity you describe strongly suggests a problem with the pulp.
While it is of course possible he "messed up" the prep, there is always
a chance of pulpal involvement with a crown prep. Wisdom teeth also
tend to have short clinical crowns (the part of the tooth above the
gumline) and an adequate preparation with enough space between the
prepared tooth and the one it normally bites against is often difficult
without getting close to the tooth. The shape of wisdom teeth and their
pulps are also variable, which increases the chances of running into
trouble. They are tough root canals to do sometimes, because of both
access issues (being so far back) and the tendency to have funky canals
with lots of twists and turns. So if root canal is planned, make sure
it is a good candidate for success before committing to rely on this
tooth as an abutment (holding tooth) for a bridge.

Steve

--
Mark & Steven Bornfeld DDShttp://www.dentaltwins.com
Brooklyn, NY
718-258-5001- Hide quoted text -

- Show quoted text -

wow ! an actual dentist ! Thanks for the reply ! It sounds like my
dentist is taking a conservative approach in that he is using a
temporary bond in case the pain continues after placement of the
bridge. If I do experience pain after the bridge it sounds like the
consensus is RCT for 32. If 32 is not a good candidate for abutment
for the bridge, what options other than an implant would I have ? My
insurance does not cover the cost for implant surgery. They will
cover the post-implant crown installation. I've already paid out of
pocket $2,500 for the bridge and that's exactly HALF the cost !

Thanks again !


.

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