Removing old dental bridgework does not always have to feel like you’ve dropped into a downward spiral.
Downward spirals make dentists feel there is no end in sight when problems are encountered.
One problem in particular is the necessity to cut away bridges from underlying healthy tooth structure.
This procedure is time consuming and must be well planned to not get backed up because of tight scheduling.
Tight scheduling is fine for routine dental procedures but not the case for the removal of old dental bridgework.
Removing permanently cemented or bonded bridges is no easy matter and are not classified as routine procedures.
Allow extra care and time for their removal.
Careful dissection of metal in the oral cavity finds a dentist operating in close proximity to living tissue.
What you need to be successful is a high speed hand piece and a series of fresh carbide 557 burs and various assortments of diamond burs.
Zirconium porcelain bridges are extremely strong and best dissected with industrial diamonds.
Bridges fabricated of precious metals are easier to cut due to the density of these metals.
Carbide burs cut through them like a hot knife plowing into butter.
On the other hand non-precious metals, nickel based alloys in particular require you pack a lunch and come prepared to put in overtime.
A patient was seen in my dental office for removal of a 5 unit bridge, porcelain fused to a non-precious metal.
The patient was given an anti-anxiety agent to reduce the stress and strain inherrant in long span removal of old dental bridges.
A special type of bridge removal instrument operates to remove bridges with a tapping motion.
Care is taken with this tool in order not to fracture teeth underneath the bridge.
Advise patients there is a risk involved removing old dental bridgework.
Recurrent decay underneath and around the margins of crowns can cause tooth fracture.
With this knowledge patients may also elect to receive endodontic therapy leaving the bridge in place.
The tooth is treated making an access preparation in the palatal or occlusal aspect of the tooth.
You save the bridge in this manner and repair reachable damage.
Intelligent conversations with your dental patients help to create workable options that become doable for the patient.
Spend quality time planning these procedures and save time by having on hand what is desired to perform the treatment.
Removing old dental bridgework can best be achieved after time is well spent planning your case.
From the Diary of my enlightenment,
A.L. Clark, D.D.S. http://www.dentist4yu.biz