Godeok-dong molar bridge replacement: if it has reached this state, it is already too late.
Hello.
I am the director of Seoul Bardi Dental Clinic.
There are quite a few people who have already had molar bridge treatment for 5 years,
or even well over 10 years, right?
You may have used it without any major issues until now,
but you may have suddenly wondered whether it is really okay to keep using it like this.
Perhaps because of that concern,
you are reading this post now.
You may hesitate about whether you should go to the dentist
because you are worried,
it is also natural to put it off
when there is no particular pain.
But just because it looks fine on the outside,
can we really say the inside is healthy too?
Today, through a case of someone who had no major discomfort and came to our clinic only later,
we would like to explain the hidden risks of an old bridge.
Does a bridge really need to be replaced?
Godeok-dong molar bridge replacement: if it has reached this state, it is already too late.
Many people think that once a prosthesis is placed,
it can be used for life.
However, a bridge also reaches the end of its lifespan as time passes.

The adhesive that firmly bonds the prosthesis to the tooth
slowly dissolves over time
from saliva.
It is similar to how the silicone between bathroom tiles
gets old and lifts up.
What happens when bacteria get into those tiny gaps?

The prosthesis may look fine on the outside,
so you may feel reassured...
But in fact, a frightening thing can happen inside,
where the tooth gradually decays away.

It is like mold growing under flooring,
while you cannot see it from the outside.
When should a bridge be replaced?
Godeok-dong molar bridge replacement: if it has reached this state, it is already too late.
There are several signs that tell you it is time for replacement.
First, when the gums around the prosthesis
swell up or bleed often,
and when you notice an unpleasant smell near the prosthesis
even though you brush thoroughly.

Food getting stuck a lot all of a sudden
is also a very important sign.
If these symptoms are left untreated,
when the prosthesis is removed later,
even the neighboring teeth that seemed fine may be lost.
A patient case involving food impaction and odor
Godeok-dong molar bridge replacement: if it has reached this state, it is already too late.
This is the story of a patient who recently visited our clinic.
A long time ago, they had the lower right molars restored with a bridge,
251110
and came in because the area smelled bad
and food kept getting stuck there too much.
After carefully examining the inside of the mouth, we found that the very last molar (#47)
had already been extracted a long time ago,
and they were wearing a bridge that connected three teeth (#44~46) into one.
A closer look showed that the tooth root was slightly exposed toward the gum line,
251110
and food was seen getting stuck in that gap.
An X-ray showed that the situation was
more serious than expected.
251110
The inside of the prosthesis had already decayed badly,
so the tooth crown and root were completely split apart.
In addition, around the upper right molars (#18, 17),
there was significant bone loss in the gums due to inflammation.
251110
Why didn’t the bridge come off?
Godeok-dong molar bridge replacement: if it has reached this state, it is already too late.
If this had been a single crown,
what would have happened?
It probably would have lost the crown portion long ago,
and the patient would have rushed to the dentist much sooner.
251208
But because this patient had a bridge firmly connected to the front teeth,
even though the back tooth had completely decayed,
the prosthesis stayed in place.
However, in this situation, the front tooth (#44) has to bear all the force by itself.
In the end, even the tooth that seemed fine could become overloaded
and be damaged along with the others, making this a dangerous situation.
Treatment plan and method
Godeok-dong molar bridge replacement: if it has reached this state, it is already too late.
We first carefully removed the old bridge,
and decided to extract tooth #46,
which had already lost its function and was left with only the root.

Instead, in the #45 and #47 spaces, where teeth had been missing for a long time and the gaps were empty,
we placed sturdy implants to create new roots.
251208
There was also some good news here.
It was the front tooth #44.
Since there was no inflammation at the root tip and no severe decay,
we decided not to extract it and instead reshape it neatly
before restoring it with a zirconia crown.
Saving even one more natural tooth is truly rewarding and satisfying.
But wait...
Would making only the lower teeth strong be enough to make eating comfortable right away?
To chew food properly,
we absolutely need the upper partner teeth that can meet the lower teeth comfortably.

So we also examined the upper molar area (#18, 17),
which was in poor condition due to periodontitis.
After consideration, we decided to extract them
and place an implant at #17.
However, the upper jaw had somewhat insufficient bone,
so we planned to reinforce the bone securely through a delicate procedure called sinus lift surgery
before placing the implant.
▼If you are curious about sinus lift surgery?
Treatment results
Godeok-dong molar bridge replacement: if it has reached this state, it is already too late.
The lower implants (#45~47) fortunately had very strong bone,
so the procedure was done without additional bone grafting.
One month later, we completed the zirconia prosthesis perfectly.
260213
The upper tooth that had undergone sinus lift surgery was given a little more time.
After four months, we confirmed that it had settled firmly in place,
and finished the treatment by placing the prosthesis.
251110 (Before) 260213 (After)
Are you simply blaming the discomfort around your bridge on time and enduring it?
Even moving the treatment time forward a little can change how many teeth we can save.
Before it gets any later, it is best to undergo a detailed examination and accurately check your current tooth condition.
If you have any discomfort,
please feel free to come in for a consultation anytime.
We will think together about the most suitable solution for you.
Thank you.^^
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Godeok-dong molar bridge replacement: if it has reached this state, it is already too late.
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| This post was written directly by Seoul Bardi Dental Clinic for the purpose of providing medical information in compliance with Article 56, Paragraph 1 of the Medical Service Act. The information provided is for reference only, and we recommend that you visit a medical institution and receive guidance from medical professionals for symptom assessment and accurate management methods. All procedures/surgeries performed at the dental clinic may carry risks depending on the individual (inflammation, bleeding, swelling, etc.). Please make a decision after sufficient consultation with medical professionals in advance. The treatment cases in this post were photographed with the consent of patients who completed treatment at our clinic, and the before-and-after photos were taken under the same conditions. |