I have been missing my number #8 tooth (sporting injury) for roughly 15 years (bridge from #7 to #9). I have been considering an implant. I was wondering if it is possible to place a bone graft without removing the bridge I have in place? This is a really nice, solid bridge and I want to retain this bridge. My goals are either to (1) have more bone in place to minimize gum recession or (2) go ahead and get ready for an implant. Thank you for your time
Possible to Graph Bone Underneath a Bridge?
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Doctor Answers 5
Bone Grafting Underneath A Bridge
If you are considering a bone graft I would definitely remove the bridge before doing the procedure. Your surgeon will be able to get a much better result by having the access and visibility to the area being grafted. A nice temporary bridge can be made for you while you are healing. Good luck.
Yes, it is possible to do with out removing existing bridge. But, much more difficult and can possibly limit a superior result. Probably better to make a temp bridge and have the bone graft performed at the same time. By the way, having all individual teeth is better for hygiene and teeth longevity. Best of luck, Martin Gorman, DDS
Bone Graft Underneath a Fixed Bridge
If you are commited to treatment, it would be in your best interest to have the bridge removed and temporized whether you decide to have an implant or not. If the fixed bridge is to remain in place, the surgeon will NOT have proper access to the surgical site. He needs to methodically place the bone along with the soft tissue and sutures in a certain way. It is more complex than one would realize and I would not diminish these procedures if you want the best result possible. Good luck and let us know how things turn out.
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You can graft under the bridge without removing it. However if you are going to get ready for an implant and you are committed to the treatment, then you will have to remove the bridge to do the implant. So if this is your choice then removing the bridge first, doing the grafting and placing a temporary bridge is the best option
Place bone graft under bridge?
Yes it can be done but not the best way or best results I suggest removing bridge place temporary bridge then do surgery with bone graft and may need a couple of new temporary bridges and in 8-12weeks place the new bridge good luck
Kevin Coughlin DMD, MBA, MAGD CEO Baystate Dental PC
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