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What would cause pain & sensitive sensation to a fixed bridge?

 
What would cause pain & sensitive sensation to a fixed bridge?
Added: January 26, 2008 - 1:12 PM
By: Patient Email Withheld, Houston, TX
Need Dentist / Specialist: Yes  
Provide Cost Estimate: No  
X-rays Available: No  
Case Summary
Bridge
Teeth:  
Last Full Mouth X-Ray: sept 07
Last Cleaning: sept 07
Case Description
I had my fixed bridge permanently cemented 7 weeks ago and still in pain & sensitive to cold water. What would cause this? I did not have this problem during having a temp bridge.

Thank you.

Banny




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Reply: What would cause pain & sensitive sensation to a fixed bridge?
added: January 26, 2008 - 11:40 PM

A poorly occluded bridge will cause a movement, or a slide in the bridge and lead to strain on the periodontal ligament of the abutments. This in turn will fire the A delta fiber (nerve fiber) along the periodontal ligament and leads to pain and sensitivity. Many times we just need to adjust the bridge, especially if you cannot eat on it. Now, if you have a throbbing pain on bridge, then the abutment teeth may have nerve damage and required root canal therapy. It all occurs during swallowing, at time which you clench the upper teeth against the lower teeth. And you did this more than 100 times a day! Ouch. Hope I make it clear for you. The reason why the temp is better because it probably have different occlusion. The temp material is made in plastic, thus it gives or abrade away, unliked porcelain.

Sincerely,

Dinh Bui

   

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