I have a dental bridge on the upper left of my mouth. It is attached to tooth 4 and 6 to fill the gap left after extraction of number 5. I now have a problem with tooth 6 which requires root treatment. My dentist has given me two choices:
1) Try to do RCT through the crown of tooth 6 leaving my bridge intact apart from drilling, or
2) cut the bridge in front of tooth six, complete RCT and replace the crown leaving me with a crown on a free standing tooth 6 and in effect a cantiliver bridge to replace five which is attached to crown on tooth 4.
I am confused as to what to do because I have no idea what is the best thing. I am concerned that the cantiliver will make tooth 4 crack but want to do the best thing to make sure the RCT is successful.
Cantilever bridge … hmmm. A cantilever bridge is supported/attached at one end only and this puts a lot of stress on the supporting tooth. Rarely used and then limited to areas that don’t have much stress during chewing and eating. It would be a bad day indeed if/when the supporting tooth broke.
Root canal treatment is often performed through bridgework/crowns. But … the main thing is … does your dentist have specialist root canal skills? Although more expensive initially it might cost you a lot less in the long run, and you might save your tooth. Root canal treatment if poorly done will be curtains for the “poorly” tooth.