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Immediate bridge placement with an active infection

User Level:
Patient
Posted by: highIQ  (8 years ago)

I had a root canal done on tooth #9 about five months ago. Two weeks later, the tooth was infected. The endodontist performed root canal retreatment but the infection did not go away. He then sent me to an oral surgeon to have the tooth extracted.

I went back to my general dentist to ask for his opinion. He said I have to see an oral surgeon to have the tooth pulled. He prepared a temporary bridge and asked me to go back to him after the extraction to have the bridge put in. I now have the temporary bridge and so far, it has not given me any problem yet. I was just wondering if it is okay to place a bridge right after an extraction even if there is an active infection in the tooth. How long does it take before the final bridge will be put in? Any help would be much appreciated.
User Level:
Student
Posted by: ghnane  (8 years ago)
Hello highIQ,
A temporrary bridge is fabricated in order to protect the teeth and soft tissues around the area where the permanent bridge would be put in while it is being made.

After the extraction your gums will heal and a pontic will eventually fill the empty area where the tooth was extracted. The pontic sits on top of the gum.
The two adjacent teeth next to the extracted tooth will be reduced and prepared to have crowns cemented on them to close the gap of extracted site.
Your inflammation will subside within a week after the extraction and you may be given antibiotics after the extraction.
Temporary bridges are usually put in for 1-2 weeks until the permanent bridge is fabricated and is ready to be installed on the teeth.

Were you offered the option of having an implant instead of the bridge for #9? Implants last much longer. The downside with a bridge is that you have to compromise two healthy teeth to have the bridge. You must also keep good hygiene with bridge and floss using a floss threader.
I hope this helps.
User Level:
Student
Posted by: Novocaine  (8 years ago)

I had a root canal done on tooth #9 about five months ago. Two weeks later, the tooth was infected. The endodontist performed root canal retreatment but the infection did not go away. He then sent me to an oral surgeon to have the tooth extracted.

I went back to my general dentist to ask for his opinion. He said I have to see an oral surgeon to have the tooth pulled. He prepared a temporary bridge and asked me to go back to him after the extraction to have the bridge put in. I now have the temporary bridge and so far, it has not given me any problem yet. I was just wondering if it is okay to place a bridge right after an extraction even if there is an active infection in the tooth. How long does it take before the final bridge will be put in? Any help would be much appreciated.


Well, after an extraction, the gum tissue usually takes around 2-4 weeks to heal completely (tenderness could still be present), regardless of active infection in your extracted tooth or not. How soon was your temporary bridge fitted? Regarding your permanent bridge, they should arrive as soon as they are fabricated by the dental lab and sent over to your dentist. I'm guessing that could be around 1-2 weeks. So, you'd probably be out in a month with the permanent set.

That said, just make sure you follow your oral surgeon's post-op instructions and you will be just fine. Good luck!
User Level:
Dentist

I had a root canal done on tooth #9 about five months ago. Two weeks later, the tooth was infected. The endodontist performed root canal retreatment but the infection did not go away. He then sent me to an oral surgeon to have the tooth extracted.

I went back to my general dentist to ask for his opinion. He said I have to see an oral surgeon to have the tooth pulled. He prepared a temporary bridge and asked me to go back to him after the extraction to have the bridge put in. I now have the temporary bridge and so far, it has not given me any problem yet. I was just wondering if it is okay to place a bridge right after an extraction even if there is an active infection in the tooth. How long does it take before the final bridge will be put in? Any help would be much appreciated.


First, make sure a socket preservation graft was placed in the extraction site, so the option of an implant will exist in the future should something happen to the bridge.

Then wait AT LEAST 3 months before final bridge fabrication. If you don;t, the gum tissue will shrink under the artificial tooth, and it will look bad.
Posted 8 years ago
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