Hi Suzie,
I've been in the dental profession for 35 yrs... so yes, I can tell you about dental bridgework, etc.
You are now giving more information than you had previously. The fact that both adjacent teeth are root canaled pose some concerns. Root canaled teeth are not healthy teeth which makes them fragile and prone to abscessing. For these reasons root canaled teeth are not good candidates for anchoring a bridge. When one or both of these rc teeth abscess and have to be removed, there will be nothing to hold this bridge in place. Some dentists will use rc teeth for anchor teeth and not inform the patient of what I just did. So if you are not concerned about long term results, then the bridge may be a "temporary" option for you.
Another thing that many dental patients are not informed of is that the bone surrounding root canaled teeth is often not healthy either due to the bacteria that spreads from the tooth into the jaw bone. So it is risky to place a dental implant next to root canaled teeth.
Unfortunately, this is not information that many conventional dentists, hygienists or assistants will share with their patients. In fact, many hygienists and assistants are not well informed about the infection in root canaled teeth because they have been told or taught that a root canal procedure "cures" the tooth. The word cure simply implies "retain".
Regarding the bone grafting issue.....Every dentist will have his own preference. However, I personally do not know of any oral surgeons or implantologists that do not offer synthetic bone grafting. They are used very successfully in various dental applications. Every patient should be given all the options available.
Regarding your regular dentist not willing to sit and discuss your replacement options with you... that is ridiculous. You should not be relying on an assistant to "show you her bridge" and listen to her tell you how she should have opted for the implant. If you are a patient in that office and that dentist is the one who will be doing the replacement work, he needs to sit down and explain your options to you.... irrelevant of how busy he is.
The risks of blowing your nose after a upper tooth extraction is that the pressure will dislodge the clot and/or perforate the sinus membrane. So although no one can stop you from blowing your nose following the tooth extraction .... it is up to you to not do it.
Why do you always have to blow your nose? Do you have chronic allergies and/or sinus problems?
Bryanna
Quote:
Originally Posted by Suzie0156
Hi again Bryanna,
Gosh I dont think I am a good candidate for implants then. I cant imagine not blowing nose for a couple of weeks. Anti-histamines don't work for me and I have high blood pressure so my doctor has always just told me to blow as needed.
I do now understand what you meant by the two surgeries. Makes sense now. Regarding the synthetic materials, my oral surgeon told me he and his partners dont offer them because while he knows it's an option, it isn't there as they dont believe they are a good choice so they choose not to offer that option. I have done alot of reading on the internet and read it isn't most oral surgeons #1 choice.
So I called my regular dental office and spoke to a dental assistant and I told her my concerns. She told me she had a bridge and while I wouldnt be able to see my dentist again, I went once to discuss bridges, but he was so busy seeing patients, I couldnt focus on my questions because he was so needed. He and wife have a very thriving practice. So this one dental asst. told me she would show me hers and talk to me about it. She told me if she had to do it all over again, she would go with implants but that a bridge might be best option for me since I wont go with cow or cadaver bone and she hadn't heard that you couldnt blow your nose. So......I dunno, maybe I should keep my extraction date of Sept. 10 and just go with a bridge. I am told I dont have to have a bone graft with a bridge.
Do you know much about bridges? Are they really that bad? I've read on the internet that most people wish they had gone with implants. I have crowns on both sides of the #3 that has to go. And root canals on all of them also. Anything you can tell me about bridges is much appreciated as I wonder, emotionally, a bridge might be my best bet. I wish I could wrap my brain around the cadaver thing but that wont ever happen. And even if I could, I cant go 2 weeks without blowing my nose, I cant imagine how that is healthy even.
What is your line of work to know so much? Thank you for all you do for all of us.
Suzie
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