Dental Restorations

1 00:00:06.842 --> 00:00:11.875 Dental bridges are a tooth replacement 2 00:00:11.967 --> 00:00:15.417 that is anchored by a tooth on either side. 3 00:00:16.025 --> 00:00:18.108 So if you think of two teeth, 4 00:00:18.942 --> 00:00:23.475 it's a little bit like peeling an orange and each of the teeth on either side, 5 00:00:23.476 --> 00:00:27.399 and then there's an artificial one in the middle. 6 00:00:27.683 --> 00:00:30.108 That gets cemented on permanently, 7 00:00:30.290 --> 00:00:34.367 and so when you leave, it feels like you have a tooth again. 8 00:00:34.368 --> 00:00:36.167 It never comes in and out, 9 00:00:36.483 --> 00:00:39.733 and that is a great option for a lot of patients. 10 00:00:39.875 --> 00:00:45.125 A crown is a service that we use to repair a single tooth. 11 00:00:45.193 --> 00:00:50.317 When we fabricate the crown, it holds all the parts of the tooth together. 12 00:00:50.490 --> 00:00:53.425 So a crown is to repair a single tooth, 13 00:00:53.680 --> 00:00:57.083 and a bridge is to replace a missing tooth. 14 00:00:57.625 --> 00:01:05.567 In my view, there are some patients that are excellent candidates for bridges, 15 00:01:06.008 --> 00:01:10.233 and they are typically not great candidates for an implant. 16 00:01:10.440 --> 00:01:11.783 What do I mean by that? 17 00:01:12.000 --> 00:01:15.570 Some patients who show a lot of gums in the front. 18 00:01:15.600 --> 00:01:21.992 If they're missing a front tooth, a bridge can be more reliable cosmetically. 19 00:01:22.242 --> 00:01:28.575 Second candidate is maybe somebody with a very large sinus, 20 00:01:28.576 --> 00:01:30.550 who's missing a back tooth. 21 00:01:31.400 --> 00:01:36.442 In that case, we have to do quite a bit of work to prepare the site for an implant. 22 00:01:37.010 --> 00:01:41.033 So that patient maybe isn't an ideal candidate for an implant, 23 00:01:41.034 --> 00:01:44.699 even if we can do it, and a bridge seems suitable 24 00:01:44.700 --> 00:01:47.967 because it avoids a significant sinus surgery. 25 00:01:48.408 --> 00:01:53.930 Other candidates for a bridge, and I've had this recently, actually. 26 00:01:53.960 --> 00:01:56.900 I had a patient| who had an autoimmune disease, 27 00:01:57.183 --> 00:02:00.883 and her soft tissue was very unreliable, 28 00:02:01.408 --> 00:02:05.033 and she had a tooth that needed to come out. 29 00:02:05.520 --> 00:02:09.692 I was not confident in how the soft tissues would heal. 30 00:02:10.083 --> 00:02:12.758 So rather than attempt an implant, 31 00:02:12.917 --> 00:02:18.400 we decided to anchor the artificial tooth on hard teeth, which is a bridge. 32 00:02:18.633 --> 00:02:21.208 Dental bridges do not impact speech. 33 00:02:21.375 --> 00:02:23.175 If it's impacting speech, 34 00:02:23.267 --> 00:02:27.525 something was done incorrectly or poorly planned.