Bridge work behind central incisors

Joined
Jan 11, 2017
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I am seeing a restorative dentist but would like a second opinion.

I was born without upper lateral incisors. I was given Maryland bridges attached to my canines. They went through a lot.

One of them came out around 11 years later after it experienced a knock. The other one is still in over 12 years later.

There have been two failed attempts to replace it. The first replacement was a direct composite bridge, which lasted only for half a year and was attached to both the canine and central incisor. The second was a normal Maryland bridge and was again attached to the canine, like the first time. This only lasted 4 days before falling out!

I'm seeing a specialist restorative dentist who wants to replace both teeth at the same time, and build one long composite metal bridgework that runs behind the lateral incisors. There would therefore be a metal bar attaching the structure along the inner side of the front teeth.

I have many concerns about this method, which I was unable to dicuss in depth becuase I felt pressured because of appointment times. The dentist has etched a horizontal groove at the back of my central incisors to guide the technicians on what to do. I didn’t expect the groove to be that deep so close to the bottom of the front teeth, where I've been told by a dentist that I have slightly weak spots of enamel. Obviously I will never have that enamel back and feel sad that it was done just to aid the technicians.

As I said, I have many doubts about the mechanics of all of this and the adverse effdcts on my front teeth. If all of them are attached together, won't that make the whole structure more vunerable isntead of weak? One false tooth is damaged and so that means the rest of the structure is upset becuase it's all attached together?

I have no idea what do :(
 

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