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Question:
Doesn't stay in: I have a Maryland bridge on the lower front of my teeth replacing my center front two teeth and a third one to the left.
It will not stay in.
From the time of placement, I have had it recemented twice within the first week, it then lasted about a month, then 3 months, and this last time 3 days.
I am so very careful because of the problems and am very stressed by this as I am being made to feel that this is my fault no matter what I do. Also, I am now being charged for each recementing.
I need to know what to do about keeping this appliance in place. ...Visitor from NY
Answer:
The problem you are having is that this unretentive Maryland Bridge is under too much stress from your natural occlusion or bite.
A great amout of force is generated by the front upper and lower incisors as they function to chew and tear through tough meats and other foods. Maryland Bridges, which are porcelain baked to metal retainers, are acid etched and bonded to the back surfaces of the teeth on either side of the "missing" teeth gap.
It appears that your Maryland Bridge was ill-fitting and poorly bonded from the day it was placed.. To have come out twice in the first week it was placed, and several more times in the following months is not right. To be charged for each additional cementation seems questionable at best. I can certainly understand your stress.
To tell you the truth, conventional metal Maryland Bridges have fallen out of favor in most advanced dental practices because they fail and fall out more than they stay in.
Better solutions to restore the lower missing tooth areas in the front of your mouth would be a porcelain based bridge or better yet dental implants. Several small well placed dental implants could support a bridge to replace your missing lower teeth.
The implants would also be very strong to withstand the heavy biting forces,and will help prevent the jaw bone from wearing away over time in this area.
Your bridge appears to have been a failing restoration from the start. I feel you have every right to investigate and possibly seek a full refund from your current dentist, and then search for another dentist who is up to date with current dental procedures and restorative dentistry.
TotalConfidenceDentistry.com
Ron Briglia, DMD
Chester County Medical Building
600 East Marshall Street, Suite 201
West Chester PA 19380
(610) 692-4440
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