A patient recently attended the clinic with a dental bridge placed by a previous dentist. He was unhappy with how it looked because the colour did not match his natural teeth. Additionally one of the natural teeth supporting the bridge had turned dark following a previous root treatment. If you are wondering why this happens I have previously written a detailed guide explaining why a root canal tooth turns dark and what can be done about it.
Planning For The Future
The patient is planning to have a dental implant in the long term. However he wanted a reliable and highly aesthetic solution to improve his smile in the meantime. We planned a new porcelain bridge to provide a strong and natural looking result while he prepares for his future implant.
The Treatment Process
The first step was to carefully remove the existing bridge. We then carried out some gentle reshaping of the gum. This recontouring helps the new false tooth look as though it is emerging naturally from the gum rather than just resting flat on top of it. We placed a temporary bridge for three weeks to allow the gum tissue to heal and settle into its new shape.
The Final Result
Once the gum had healed we fitted the final bespoke porcelain bridge. The new restoration was carefully shade matched to his natural teeth. The crown section of the bridge successfully masked the discoloured supporting tooth providing a bright and balanced final appearance.
Discussing Your Options
If you have an old bridge that you are unhappy with, a careful assessment may help us find a solution.
You can arrange a complimentary e-consultation with award winning dentist Matt Dash to explore your options and find out what might work best for your smile.
Helpful Resource
For more independent advice on replacing missing teeth and dental bridges you can visit the Oral Health Foundation website.
Frequently Asked Questions
Can an old dental bridge be replaced?
Yes an existing bridge can often be carefully removed and replaced with a new one to improve both function and appearance.
Can a bridge hide a dark root treated tooth?
Yes the crown portion of a bridge covers the supporting tooth completely and can be designed to mask underlying discolouration.
Why do gums need to be reshaped for a bridge?
Gentle gum reshaping helps create a natural emergence profile so the false tooth looks like it is growing naturally from the gum line rather than sitting on top of it.
About Matt Dash Dentist
Matt Dash is an award winning private dentist based at Edinburgh Dental Studio in Edinburghs West End. He focuses on natural and age appropriate cosmetic and restorative dentistry including composite bonding porcelain veneers and tooth straightening.
