I have a empress bridge in my upper front mouth the abutment is in on both sides but the middle tooth got knocked out.

Question

I have a empress bridge in my upper front mouth the abutment is in on both sides but the middle tooth got knocked out. I have the tooth missing from the bridge. Its in perfect condition I hope it can be fixed without having to buy new bridge

Sarah Thompson, DMD · Answer

Hello there,I'm sorry to hear that your bridge fractured.  Unfortunately, your missing tooth can not be permanently bonded to the abutments.  I would recommend that you schedule an appointment with your dentist to have a new bridge made. Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMDSt. Louis, MO area (O'Fallon, IL)Real Self 100

Steven Davidowitz, DDS · Answer

Unfortunately, it sounds like the missing tooth, known as the "pontic" fractured off of the bridge. Two options treatment options would typically include:1) Replacement of the Empress bridge (high aesthetics, so so strength) with a stronger cermaic bridge ie. Emax (Nice Aesthetics and good strength or Zirconia Ok Aesthetics and Great strength)or2) Replacement of missing tooth with an implant supported abutment and crown and replacement or possiblly keeping and polishing of the two abutment crowns.Good Luck!

Page Mansourian, DDS · Answer

Unfortunately your pontic tooth (middle tooth) can not be bonded to the abutments with anything that would be strong enough to hold it long term.  Porcelain is baked in the oven at high temperature and therefor can not be repaired adequately in the mouth. If the abutments are in good shape you may want to consider an implant to replace the missing tooth if esthetics permit. I would recommend seeing a dentist soon. At minimum a new bridge made with a zirconium base would be recommended. Hope this helps

Ira Shapira, DDS (in memoriam) · Answer

This is the pontic that was lost and it is why Empress is often not used for bridges in spite of the beautiful esthetic results that can be achieved.  You may be able to temporarily attatch the lost pontic but will need to replace the bridge.  E-max is probably the best choice but zirconia is stronger.E-max can gice esthetic results equal to empress zirconia usually not as esthetic.Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMPThinkBetterLife.com

I have a empress bridge in my upper front mouth the abutment is in on both sides but the middle tooth got knocked out.

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