Thursday, November 10, 2011

Pain in her porcelain fixed bridge

A 56 year old female came to my office and complain of pain in her tooth no. 34 and 35.

Upon dental check-up, there's a 3 unit porcelain fixed bridge on these two teeth. It was the main support that resulted in a cantilevered bridge. As you can see in my first x-ray, there's an overhang unit after tooth no 35. That cantilever or the unsupported unit had put pressure on tooth no 34 and 35. It caused microscopic leakege sipping to the abutment tooth due to the seesaw effect during mastication. There was no dramatic seesaw effect but the movement was in microscopic effect.

I removed the unit and did a root canal therapy on tooth no. 35 (AH Plus). On tooth no. 34, I did the pulpotomy using the new medicaments Pulpotec from Switzerland. I prepared those teeth for their porcelain cap. My patient is still pain free and problem free with her new unit since 2009. I gave her oral health instruction to follow and do religiously to maintain a healthy gums.






















2 comments:

John Moran said...

Nice Post.I never read such interesting and full of information blog.thanks for sharing.

Sterling Heights Dentist

Renee Yurovsky said...

Thanks for sharing the incredible work that you do. This was amazing to see and read all the details that you provided and the photos helped also to see the before and after. Have a great rest of your day.
Dentist Center City Philadelphia