I got a PFM bridge for teeth # 2, 3, 4 done. After 3 times, it still came back from the lab with the cusps too tall, causing interferences when chewing (bridge was temporarily cemented). The bridge was adjusted quite a bit during fitting and at a later visit. The last time it caused me pain from excessive pressure on the surface along the outer tips. I wanted it sent back to the lab to redo but the dentist refused. He adjusted it more but the bridge now had had cusps, just slope. Your opinion?
Dentist Refused to Send Bridge That Had Been Heavily Adjusted Back to Lab?
Doctor Answers (3)
Sending a Heavily Adjusted Bridge Back to the Lab
In my practice, I do whatever it takes to insure my patients' health, comfort and satisfaction. If I can do that in-house, I do it. If I cannot, then I send it back to the lab to re-make.
Adjusted bridge being sent back to the lab
In my office if I have to adjust a crown or a bridge excessively it will automatically go back to the lab to be redone, and then returned corrected. I would speak to your dentist and see why he refuses to send it back.
Don't always have to send the bridge back to the lab
I don't really have that problem since I have an in-house lab that can resolve those issues. However, if a bridge had to be adjusted so much that it exposed metal or opaque porcelain, then I would send it back. If the metal framework is fitting well, they can reaply porcelain and re-glaze it.
Sometimes it is possible to get a very high polish at the office and this is OK as well. If you are not satisfied with the looks and feel, then it should be sent back or re-done.
Hope this helps.
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