I’m concerned about something my dentist has been having trouble with. She’s got a congenitally missing tooth which we eventually plan on placing a dental implant on. She’s not old enough yet and I understand that. Originally, our dentist bonded a Maryland Bridge on with zirconia wings. They fell off. She tried a different type of cement and it fell off again. Now she wants us to come in to do it again with metal wings. Here’s my concern. She’s at a tender age. Will the metal wings make her teeth look different? I don’t want her insecure.
You are right to be concerned, for a few reasons. Your dentist doesn’t quite understand how a Maryland Bridge works. If she did, she wouldn’t consider it a good temporary replacement for your daughter.
In order for this type of bridge to be properly bonded, the tooth needs some groves made for proper preparation. The reason your daughter’s bridge kept falling out is not because of the type of cement or the type of wings. It was because of inadequate preparation of the tooth.
However, this isn’t what you want for your daughter. One of the many benefits of dental implants is that you don’t have to damage any of the structure of the adjacent teeth.
I’m going to recommend instead your daughter gets a dental flipper. This is can look very natural and will serve your daughter well. Even if they need clips, they won’t be visible.
When Your Daughter is Ready for her Dental Implant
Once your daughter is ready for her dental implant, I want you to be prepared ahead of time for a couple of important precautions to take.
First, make sure you go to see a dentist who has training in placing dental implants. Be sure to ask where they received their training. You’ll also want to know how many procedures they’ve done and what their success rate is, which should be at least 98%.
Secondly, because it is a visible tooth, you want to make sure the dentist is an experienced and artistic cosmetic dentist. Matching a single porcelain crown to other teeth requires expertise. You want her false tooth to match with the rest of them. You can check the mynewsmile.com website to find qualified cosmetic dentists in your area.
This blog is brought to you by Lexington Dentist Dr. Fred Arnold.