This is one of the very few times I demand a double abutment. It is extremely difficult to keep function totally off the lateral or the pontic. They will chip soon or later…both not good…especially soon. I’m not sure that double abutting is going to prevent chipping or fracture but it will prevent total fracture of the tooth. Of course my dear deceased mother, who swore by Lord in Heaven that she did not clinch, broke a double abutted 6-7 off of 1-7-8-10-11. Sheared that puppy off like nothing. Split the root to the cuspid half way down the buccal. My great young perio guy put us two implants in as abutments and that was the first case I tied natural teeth to implants. A future dental student will be looking at that skull and say, they should not have tied these implants to natural teeth. It lasted twelve years. It was one of the first implant cases my surgeon did…and he didn’t charge her. He got a cake a month which easily paid off the debt if you’d ever had one of my mother’s cakes.
But now, this is one of the few times I absolutely demand an implant. It is just not economically feasible to place a fixed bridge when you extrapolate it out. I’ve got it down where I can usually show them that. Mila has done some magnificent implant cases in the anterior for me.
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
912-384-7400
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From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Rick Coker
Sent: Wednesday, February 27, 2013 10:42 AM
To: 'Dr. Jack P. Weiss'
Cc: Ace
Subject: Re: [ACEsthetics] Anterior bridge
Just be sure to tell the patient it probably won't last more than forty years, and you should be good!
You and the patient will be fine, just don't have much function on the lateral or the pontic when you design the case.
Rick
On Wed, Feb 27, 2013 at 9:35 AM, Jack Weiss <drjackpweiss@gmail.com> wrote:
I have a patient coming in this morning for an extraction of #9. He doesn't want an implant so we are going with a bridge. #8 has an ML and a DL composite and #10 has an MI composite. I hate having #10 as an abutment, but both look structurally sound. Any problems with a bridge 8-10?
Thanks
Jack
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Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
http://www.google.com/profiles/riccoker.
903-581-1777
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