Upgrading to Zirconia bridge?

Question

I have upper pernament acrylic bridge on 4 implants, would like to upgrade to zirconia. Went for consultation and the doctor told me that he can place zirconia bridge without the pink fake gums. I had bone graft during initial surgery. That would be ideal, but, I’m getting conflicting information online.

Baran Bardakci, DDS · Answer

If your dentist has approved it, you can get a zirconia bridge. If you share an x-ray of your jaw or a photo showing the current condition of your crown, we can help you better.

YeahSmile - Cancun · Answer

Upgrading from a permanent acrylic bridge to a zirconia bridge is a great option for improved durability, aesthetics, and long-term functionality. However, whether a zirconia bridge without pink fake gums is suitable depends on several factors:
Key Considerations for Pink Gums vs. No Pink Gums
1.- Bone and Soft Tissue Support:The amount of bone and soft tissue present is critical. If there is significant bone or gum loss, it might leave gaps between the bridge and your natural gums, causing aesthetic and functional issues without the pink portion.If you've had a successful bone graft during your initial surgery and your gums are in good condition, it might be possible to avoid the pink gums.
2.- Gum Display:How much of your gums show when you smile plays a big role. If you have a "high smile line" (showing a lot of gum tissue), the absence of pink fake gums might make any discrepancies more noticeable.If you have a "low smile line" (showing little to no gum tissue), it’s less of an issue.
3.- Zirconia Design:Full zirconia bridges can be designed to mimic natural teeth without pink fake gums, provided the conditions of your gums and bone allow it.Zirconia bridges are highly customizable and can be designed to closely match your natural teeth color and appearance.
4.- Implant Position and Angles:The position and angulation of your implants can affect whether a pink portion is needed. For example, if the implants were placed deeper or at an angle, a pink base may be necessary to hide these adjustments and create a natural appearance.
5.- Aesthetic Expectations:Without pink gums, your zirconia bridge will rely entirely on the natural appearance of your gums. If there is any unevenness, discoloration, or gaps, it may be noticeable.
Conflicting Information OnlineThe conflicting opinions you’re seeing online stem from individual variations in oral anatomy, surgical outcomes, and the goals of treatment. Some people can achieve a natural look without pink gums, while others require it for optimal results.
Recommendations:1.- Second Opinion: Since you're getting mixed messages, consult with another experienced implant dentist or prosthodontist who specializes in full-arch restorations. They can provide a thorough evaluation and let you know if avoiding pink gums is a realistic option for you.
2.- Smile Simulation: Ask the dentist to perform a digital or physical mock-up of what the zirconia bridge would look like with and without pink gums. This can help you visualize the final outcome.
3.- Consider Functionality and Long-Term Stability:Zirconia bridges are excellent for durability and aesthetics, but the design must ensure proper fit, chewing function, and hygiene. If avoiding pink gums compromises any of these, it might not be worth it.
4.- Customized Design:If avoiding pink gums is a priority for you, ensure the dentist is experienced in designing all-zirconia bridges that blend seamlessly with natural gums. Advanced techniques like Digital Smile Design (DSD) can help achieve this.
Ultimately, the best choice depends on your specific oral anatomy and aesthetic preferences.
Dr. Miller Vieira Paula

Upgrading to Zirconia bridge?

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Upgrading to Zirconia bridge?

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Our mission is to create a world where every investment in modern beauty is Worth It.