My new implant bridge replaced two upper left teeth. Biting on that side of my mouth feels weird, like my bite is off. I did not have the issue before I got the bridge. My dentist tried to correct my bite twice, and after that, she suggested that I need orthodontics. She said that she does Invisalign, and we can discuss it during my next appointment. I feel like my dentist is trying to sell me something that I do not need. I am not sure what to do about it. How should I answer my dentist? Thanks. Luke, Austin, TX
With or without a dental bridge, your upper and lower teeth should touch simultaneously when you bite. If the problem continues, you can develop TMJ disorder.
What Causes Bite Misalignment with a New Implant Bridge?
When your bite is off with a new implant bridge, two possible causes are:
- The dentist restored the implants incorrectly
- The implant dentist or surgeon placed the implants in the wrong place
Dental implants restored incorrectly
A dentist must correctly attach implant crowns, a bridge, or a denture to implants. Also, the dentist must ensure the new replacement teeth harmonize with your bite.
Dental implants in the wrong place
If a dentist and oral surgeon do not communicate closely, the surgeon may position the implants in a way that makes it challenging or impossible to place your bridge correctly. This problem occurs if the dentist does not give the oral surgeon a surgical guide for your mouth. A surgical guide is a template for your implants’ exact angle and position.
Schedule a Second Opinion
Please do not consider orthodontic treatment. Although your dentist may want you to get Invisalign, it does not seem that orthodontic treatment is the solution to your issue. We recommend getting a second opinion from an implant dentist with advanced training or who partners with an oral surgeon to place dental implants. The implant dentist will determine if the location of your implants, your bridge—or both—must be corrected to fix your bite.
Best wishes for a speedy resolution.
Lowell, Massachusetts, accredited cosmetic dentist Dr. Michael Szarek sponsors this post.