Is it possible to put a bridge on a wisdom tooth?

Home » Articles » When you can’t put a crown on a tooth

September 23, 2021
A dental crown is designed to completely cover a damaged tooth. Consequently, it performs a strengthening and protective function. An additional benefit is the improvement in the appearance of the tooth and the correction of its shape. Prosthetic restoration is used to restore teeth after endodontic treatment. It is also possible to install a crown on an implant. Dental crowns can be metal-ceramic, ceramic, zirconium or acrylic - a temporary option.

Wisdom teeth. Is it possible not to delete them and live with them until the end of your days?

Are there those among you (over 45 years of age) who have not had their wisdom teeth removed and live peacefully, their teeth do not bother them?
Or will you still have to lose them sooner or later? I’m afraid to remove my wisdom teeth, one already has caries, but the doctor told me to treat it and then they will attach a bridge to it (I don’t know what that is). It’s just so that I don’t have to treat it first, and then vomit it anyway. Your doctor says everything is correct. If the doctor is not a dentist, he will save teeth as long as possible. Since they tell you about bridges, it means the condition of your teeth is not very good and you will have to make bridges and put on crowns.

It’s possible, but there are a lot of problems with them: the tooth often doesn’t come out completely and is covered on top with a “hood” of mucous membrane. Plaque and food accumulate under it, it is impossible to remove them with a brush, as a result inflammation begins, then pericoronitis, and if the tooth is lower, the process can go down, and this is already life-threatening. In short, clean them properly, and everything will be fine) And go to the doctor on time if something bothers you.

Wisdom teeth are not of very good quality, often bad and are removed. Doctors say that they are so inconvenient to treat that they do not give a guarantee. Well, that was a long time ago, maybe now they are successfully treating it. I have the last one left.

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A tooth is a tooth, there is no need to remove it if it came out correctly. My dentist in Russia didn’t double-clean it even when there was already pulpitis there - it’s been 12 years since it was healed, there were some problems with the hood, the doctor in England advised me to pull it out (his seers taught him in the USA that all wisdom teeth need to be removed) , I found myself on the edge, then he advised me to hold my gum - the hood doesn’t bother me anymore and food doesn’t get in

At 33, I had all 4 wisdom teeth removed. They came out halfway, that is, lower than the rest, they weren’t cleaned enough, they turned black, they didn’t hurt yet, but when I saw it, I immediately went to remove them. After a couple of days everything heals and you don’t remember about it. Usually, if a tooth has grown completely, it is not removed, but treated, and if not completely, then it is immediately torn out.

The doctor said everything correctly. think about the future. Otherwise, then there will really be nothing to hook the bridges to. And you will have to install only removable or implants. There will be no other option, so treat your wisdom teeth and take care of them.

not everyone heals in 3 days)))) 3 weeks with antibiotics and other amenities, such as: sleeping with ice. And this happened to all the guys. As a result, one tooth was removed, the rest were not removed out of fear. That's all. survived normally, have wisdom teeth, filled

I deleted it at 25 because... They interfered with me, they got stuck in my gums, they hurt, I had to.

The doctor told you everything correctly. A real dentist will fight for the tooth to the last. As my doctor told me, “when you are 80 years old, there will be something to hook the bridge to. I live with wisdom teeth. Everything is sealed. One current was pulled out so it grew not downward, but sideways and did not allow all the other teeth to live in the gum. The other one also had a hood. They cut me and I continue to live. That's why they are called wisdom teeth, because they don't grow like crazy and there are more problems with them.

I deleted it at 25 because... They interfered with me, they got stuck in my gums, they hurt, I had to.

Tell me, who had teeth removed, does it hurt? Very? Is it painful for children?

A happy person created the topic)) Why delete if they don’t interfere in any way? I think it's definitely not worth it. This is still a full-fledged operation! But I did, not only did I have pain, but everything went wrong. But I knew the doctor who to go to, my colleague talked to me at Selne and was very pleased. So I followed the closest reviews. Doctor Filippova Elena Alekseevna is simply a wonderful woman and a doctor with a light hand! She did everything amazingly and was able to put me in a fearless, joyful mood. Now I have a normal beautiful smile and nothing bothers me. I’m as happy as an elephant and I recommend the doctor, as well as the center, I think the whole department there is very strong! All conditions for patients have been created!

About the removal of wisdom teeth, a long-outdated approach. They hold the entire row without letting the rest of the teeth “go.” These are just as important teeth as any other, so take extra care.

Don't delete if it doesn't bother you. I removed the top eight on the recommendation of doctors who would only like to remove it. The tooth rested on the seven, but did not grow. As a result, sinusitis occurred; this is a fairly common complication after the removal of upper teeth. She was treated for several months and had her gums re-stitched. I spent a lot of time, nerves and money.

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prosthetics (bridge) + wisdom tooth

#1 tulen

Patients
15 messages

Hello, experts. I really need your advice and opinion..

At the end of summer, I had a question about prosthetics - the lower sixes were removed. The doctor suggested a bridge structure. At this point, all teeth are prepared. (canals are retreated, nerves are removed, stump inlays made of silver-palladium alloy are inserted)

But over the weekend my right side started to hurt. Perhaps some nerves were cold... now the pain is gone. I have an assumption that it could be a wisdom tooth erupting... it has already cut into the gum and is visible by 5 millimeters, no more. The photo was taken today. The doctor said that the tooth will return to its normal position when it finally erupts, and a crown will be made in that place so that it does not interfere with it. And if anything, the figure eight can be removed after prosthetics.

Preparation for prosthetics

Preparing to install a dental crown is a long process, but necessary if you want the denture to last for many years and not cause any discomfort. Classical training takes place in 7 stages.

Examination by an orthopedist
The doctor can give an opinion on the advisability of prosthetics using a dental crown at the initial appointment after a thorough examination of the oral cavity. He will assess the condition of your teeth and gums. Offer an individual treatment plan. Will inform you about which crown material is preferable in your particular case. He will select the optimal color for the future crown so that it cannot be distinguished from natural teeth. Finally, he will calculate the final cost of the service and the deadline for its completion.
X-ray
Having a targeted X-ray image of the problem tooth is the main condition when preparing for prosthetics. Based on the data obtained from it, the dentist will be able to decide whether it is in principle possible to restore the tooth with a crown or whether it is worth looking for alternative solutions to the problem.
Therapy
The third fundamentally important stage is the treatment of all foci of infection in the oral cavity. Before installing a crown, it is necessary to remove accumulated tartar and treat caries.
Pulp removal
In most cases, crown replacement is preceded by the process of tooth depulpation (or, as patients often say, “nerve removal”). Exceptions are possible if we are talking about prosthetics of lateral chewing teeth.
Preparation
In other words, the grinding of a tooth, when a layer of dentin equal to the thickness of the future crown is removed. It is performed using local anesthesia and takes 1 hour.
Taking impressions
In order for the crown to fit on the tooth as accurately as possible, impressions are taken from the teeth. If the clinic has its own dental laboratory, then making a prosthesis will not take much time.
Installation of an intermediate structure
A temporary prosthesis is necessary when it comes to teeth in the frontal zone. It will prevent you from walking around with an unaesthetic ground tooth in the period between fitting and fixing the permanent crown.

Features of wisdom teeth

The third molars are the last or outermost in the dentition. Often they do not erupt completely due to lack of space on the jaw - they can grow slightly into the cheek and be covered with a gingival hood. These factors negatively affect hygiene in this area - food debris gets stuck under the gums, the tooth is poorly washed with saliva, so inflammation and caries appear. And curved roots and their canals make high-quality treatment of pulpitis impossible. Also, an unerupted third molar can be located in the jaw at an angle, resting on the second molar (“seven”), injuring it, causing severe pain and swelling. Because of this, the “eight” often needs to be removed.

Indications and restrictions

Indications	Contraindications to implantation
End defects	Mental illness
Unsatisfactory condition of the outer teeth	Somatic pathologies in the decompensated stage
Segmental row defects	Endocrine disorders, oncopathologies
Multiple edentia (absence of more than half of the units)	Acute infectious diseases
Complete absence of teeth	Acute inflammatory processes in the oral cavity

Features of installing an implant instead of a “sage”

After removal, in most cases, the patient simply needs to recover and not undergo further prosthetics. After all, over the past hundreds of years, the jaw system has already adapted to softer and less fibrous foods, and, in simple terms, there is no particular need to replenish the “eights”.

If a person is still thinking about whether implants are placed in place of wisdom teeth, then he should know that not a single experienced implantologist will restore just 1 removed eighth tooth. But if several adjacent teeth are missing, then when installing an implant, the place where the roots of the wisdom tooth were previously located or the area next to them may well be “useful.” Let us consider further special cases.

How many implants are needed in the absence of “seven” and “eight” (with the remaining teeth intact)

Is it necessary to place an implant in place of a wisdom tooth if two outer molars are removed? To this question, any experienced dentist will answer that only the “seven” needs to be restored, but not the “eight”. It is important that if these molars were lost a long time ago, and the jaw bone in these areas has severely atrophied (sank), then before implantation, osteoplasty is often required - replanting of bone substance so that there is enough space for the implant itself.

“It so happened that in one year I had to pull out the eight and seven on the upper jaw. While it was healing, I was thinking about how to put a bridge there, since there was nothing left on the edge. In general, I have already decided on two implants. But my dentist made me happy and said that instead of the wise one, I don’t need anything, he is not needed there at all - there are only problems. But instead of the seven, they made a new tooth on the implant. Just great, by the way, looks like my own.”

Inna, 29 years old, review from the gidpozubam.ru forum

Dental segment prosthesis on implants

A segment is a prosthesis that restores several missing teeth in a row (in this case, if not only the “wise” tooth is missing, but also the seventh, sixth or even fifth tooth). It looks like a regular bridge made of crowns. Sometimes the bridge is supplemented with a small amount of acrylic gum along the edges - if the natural one has an unaesthetic appearance or a low level. In such a situation, the implant can be placed in the place of the wisdom tooth or next to it, especially if basal implants are used and they are placed at an angle. Then implants are also placed in place of other molars or premolars, and on top they are all united by a prosthesis.

Complete denture on implants

A complete denture replaces all missing teeth in a row. In appearance, it is a “light version” of a conventional removable denture. Those. it contains crowns and artificial gums, but the dimensions of the acrylic imitation mucosa are greatly reduced, and the palatal septum is completely absent. A metal frame or bar is also included in a complete denture to increase service life and to splint implants. A suitable option for installing implants when there is a need to involve the area of wisdom teeth is basal implantation.

Basal implantation is used in cases of pronounced atrophy of bone tissue, when teeth have been removed for a long time, or late stages of periodontal disease/periodontitis are observed, accompanied by inflammatory processes.

What implantation methods can be used

Here everything depends on the anatomical features of the jaw bone (there is atrophy or not), on whether the wisdom tooth has already been removed (or needs to be removed), and how many teeth need to be restored. Therefore, implantation techniques that involve the area of the “wise” tooth may look like this:

classic two-stage with delayed prosthetics: the implant is placed in a sufficient amount of bone and left alone while it heals. Permanent crowns are installed when secondary stability is achieved - after 3-6 months. The peculiarity is that in 95% of cases, osteoplasty is performed before implantation[1], which in 40-60% of cases does not give the desired result, i.e. have to do it again
with early loading of the prosthesis: permanent prostheses can be installed 2-4 weeks after the surgical stage, and not after 3-6 months, as in the previous case. Feature - modern models from Nobel Biocare or Straumann are used here with active surfaces that accelerate healing (bone growth on the implant, i.e. its secondary stabilization),
one-stage with immediate loading of the prosthesis (express implantation): prosthetics occurs immediately after implantation - within a maximum of 7 days. And with such dentures you can immediately chew your favorite food,
One-stage implantation: the implant is installed immediately after tooth extraction. Feature - you must undergo preparation for implantation (pass tests and computed tomography of the jaw), i.e. removal should be planned, not emergency.

Why can an implant fail?

Problems with the survival of implants installed in the figure eight area can occur in the following situations:

before the operation, no thorough preparation was carried out: no tests were prescribed, they were guided by ordinary x-rays (and not tomography), there was no competent 3D planning of the operation and virtual placement of implants,
Installation errors: Dental-related complications usually appear within the first three years. This could be the wrong choice of implant, installation with errors (infection or a major nerve in the jaw was touched), a prosthesis that was too heavy or poorly made. It is possible that it was very inconvenient for the implantologist to place the implant in the most inaccessible area of the dentition,
failure to comply with oral hygiene by the patient: more food debris and bacteria accumulate in the distant parts of the row, and if they are not removed (by rinsing, brushing or using an irrigator), then an infectious focus appears, provoking peri-implantitis,
violation by the patient of the rehabilitation and nutritional regime: if a person does not take prescribed medications, inflammation occurs around the structure, if he eats very hard food (when this cannot yet be done) - the implant may begin to wobble,
acquired diseases: such complications can begin 3-5 or more years after implantation. Diabetes mellitus, hormonal disorders, periodontitis, and periodontal disease have a negative impact on the condition of the jaw bone. As a result, the implant loses its fixation and becomes loose.

Warranties and service life

It is necessary to distinguish between different types of guarantee. The first (for implants) is issued by the manufacturer and ranges from 15-20 years to life. The second (for the work of a doctor) is issued by a dental clinic, but not every one, and ranges from 1 year to a life sentence - the latter in our country is generally issued in 1-2 medical centers. The third (for prostheses) is again issued by the clinic and ranges from 1 year to 15 years - it all depends on the material of the prosthesis and the method of its manufacture - the better they are, the longer the guarantee. And in order not to lose the guarantee, the patient must take a responsible approach to caring for his health - follow all the doctor’s recommendations and undergo regular examinations.

The service life of high-quality implants has no expiration date - with proper care, they will last a lifetime without any complaints (even if the warranty on them was 15 years). Dentures on implants also have a “margin of safety”, i.e. can last much longer than the warranty period. And if it is necessary to replace the prosthesis, there is no need to change the implants - they remain in place, they are simply fixed with new bridges or crowns, which again will be under warranty.

[1] Beniashvili R., Kulakov A., Gurin A. Gum and bone grafting in dental implantology, 2022.

Digital protocol - for maximum accuracy

A digital impression, a 3D image of the jaw, and a computer model of the future smile are digitally transferred to the laboratory. Manufacturing accuracy up to 1 micron.

Obtaining optical impressions using a 3D scanner
Virtual modeling of WaxUp crowns and MockUp fitting
Automated production on a ZirkonZahn milling machine

It's better to have a bridge than to go toothless.

How tired of these removable dentures. Although this is a necessary task, they need to be looked after, removed, and washed. I feel like an ancient grandmother, all I need is to put my dentures in a glass at night