Bridge vs. Implant
Mr. Phung has gum disease. When he loses a top front tooth (Fig.1,2,5: #9), his previous dentist makes a bridge by grinding 4 of his virgin teeth (#7,8,10 and 11). The patient feels difficult to clean the bridge, since the 5-unit bridge joins together. He cannot floss at the connection (Fig.2 *). In contrast, the single-unit crown at #6 is separate from the bridge. There is no problem to floss (Fig.2 arrow). When Mr. Phung has a loose tooth in the bottom (Fig.1,3: #25) with an abscess (*), he comes to our office for an implant (Fig.4 I). He finds easy to clean the immediate temporary crown (Fig.5 (photo taken 3 week after surgery): T).
Furthermore, the teeth that have been ground and cut (such as #6-8, 10 and 11) are much more vulnerable to gum disease and cavity.
Xin Wei, DDS, PhD, MS 1st edition 07/09/2017, last revision 07/09/2017