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Advanced cosmetic and general dentistry

My New Dental Bridge Broke and Insurance Won’t Pay

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I paid $2,200 for a partial denture to replace my left canine tooth. My dentist first did a root canal on the tooth that failed. Afterward, she said she needed to extract the tooth and do a bridge. The bridge broke within two weeks. My dentist said I should have worn a night guard (the first I’ve heard of it) to prevent the bridge from breaking. She will repair the dental bridge for $1,500 if I sign a release. I have other dental issues with the teeth under the bridge my dentist placed, so my insurance company will not pay for the bridge. I’ve had jaw pain and earaches since I got the bridge last November. Do I have to file a lawsuit to get a refund? Thanks, Jehu from AZ

Jehu

Tell your dentist you will not sign the release, nor will you attempt to sue her if she refunds you. If your dentist is unwilling to issue a refund, consult a lawyer.

Diagram of a dental bridge

Dental bridge

You can also report the case to the state dental board and your dental insurance company. If the dental insurance company refuses to pay for your dental bridge, they recognize your dentist’s negligence. Explain to your dentist that you will not take legal action or report the issue if she refunds you.

Still, replacing your dental bridge and protecting your teeth is essential. Schedule an exam with an experienced cosmetic dentist to evaluate the condition of your bridge and teeth. You can get a bridge with a durable foundation and high-strength crowns that look natural. The cosmetic dentist will harmonize your bite, relieving jaw pain and earaches.

 

Lowell, Massachusetts, accredited cosmetic dentist Dr. Michael Szarek sponsors this post. Read how Dr. Szarek strives to give his patients the best dental care in Lowell.

Why Does My Temporary Bridge Make My Face and Jaw Hurt?

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I have had a dental bridge since 2017 that includes my lower right first premolar through my second molar. Although the bridge was still comfortable, my dentist recommended replacing it before I began to have problems. She took impressions of my mouth and placed a temporary bridge. I take ibuprofen every day because the bridge hurts. The entire left side of my mouth and jaw hurt. It hurts to speak and chew more than anything, and my gums are slightly swollen. My dentist took x-rays and said they looked okay. She cannot explain my pain. Of course, I am not allowing my dentist to order the final bridge because this temporary bridge hurts so badly. My dentist recommended an endodontist, but I do not have an appointment until early next month. Why would I suddenly need a root canal? Based on my description, why would a temporary bridge cause ongoing pain? Thank you. Kurt from NH

 

Kurt

Thank you for your question. One of our dentists would need to examine your bridge, teeth, and X-rays for an accurate diagnosis. However, we will explain three factors that might cause a temporary bridge to hurt.

Why Would a Temporary Bridge Hurt?

Diagram of a dental bridge

Dental bridge

A temporary bridge can hurt because your teeth are sensitive after preparation, irritated by bacteria, or the bridge is not optimal.

  • Sensitive teeth after preparation – Placing a bridge requires shaving down teeth on the sides and top so the bridge ends will fit over them. Teeth prepared for a bridge can ache and be sensitive to cold and hot temperatures, food, and drinks. Removing a bridge and preparing teeth for a new one are traumatic events.
  • Irritation from bacteria – If a dentist finds decay beneath a dental bridge or its components, bacteria could have infected and irritated your teeth.
  • Bridge position – A bridge that does not fit well can affect your bite. When you eat, the opposite teeth (upper or lower) can hit the bridge teeth harder than usual and make them ache. You can feel jaw or neck pain and get headaches, too.

Referring You to a Root Canal Specialist

When a dentist cannot identify the cause of your pain, they may refer you to a root canal specialist (endodontist). The endodontist will examine your teeth, possibly x-ray them, and test their sensitivity.

Although some dentists delay making the permanent bridge, others place it with temporary cement. It gives the dentist time to observe your teeth and see if the sensitivity resolves. An X-ray will show whether the tissue inside the tooth is infected or died and requires root canal treatment. Prompt care can help preserve the tooth, preventing the spread of an infection or the need for a dental implant.

Lowell, Massachusetts, accredited cosmetic dentist Dr. Michael Szarek sponsors this post.

Is It Too Late to Switch Dentists for Bridgework?

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African American man thinking - portraying concern over whether to switch dentists for bridgeworkI got a new Maryland Bridge last October and have had it replaced three times. I need more dental work, but I am afraid that this family dentist will be unable to correct the bridge or complete the other work I need. Is it too late to switch dentists in the middle of my bridgework? – Thank you. Patrick from Freeport, Bahamas

Patrick,

We understand your concerns about your dentist’s inability to provide a stable dental bridge. Problems can occur when a dentist lacks training and experience in cosmetic dentistry. It is wise to switch dentists.

What Is a Maryland Bridge?

A Maryland bridge is a tooth replacement option with replacement teeth suspended between two wing-shaped anchors. A dentist bonds the anchors to the backs of each tooth on either side of the missing one(s).

What Causes a Maryland Bridge to Fail?

When a Maryland bridge fails, possible causes include:

  • Flawed design – Inadequate tooth impressions or faulty construction can cause the bridge to fail. Sometimes, the dental lab can re-etch the metal and correct the flaws.
  • Poor bonding techniques – If your dentist’s bonding techniques are flawed, the wing-shaped anchors will not adhere to the backs of your teeth.

When you tell your dentist you want to switch to another dentist, they have an ethical obligation to send your dental history and records to your new dentist. Your new dentist may decide to take X-rays to ensure your anchor teeth are stable. If your new dentist recommends treatment other than a dental bridge, such as dental implants, please consider the reasons and decide what is best for your long-term oral health.

How Can You Find a New Dentist?

Look for a dentist with post-graduate training and experience in cosmetic dentistry. The dentist can determine why your Maryland bridge failed repeatedly and whether the bridge is the ideal solution for your missing teeth or whether a dental implant is the best solution for your oral health.

Lowell, Massachusetts, accredited cosmetic dentist Dr. Michael Szarek sponsors this post.

Bleeding gums

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There are several reasons that your gums might bleed. A new flossing routing can cause your gums to bleed until they adjust to the routine. Aggressive tooth brushing might be the problem.

Gingivitis, the beginning stage of periodontal disease, can also cause your gums to bleed. You might notice this when you brush your teeth, even if you don’t brush them aggressively. If you don’t floss, or if you have teeth that are difficult to floss, plaque can build up and make gums swell and bleed. People with a dental bridge should take extra care to floss around and beneath the bridge to keep food from getting trapped and irritating the gums.

Pregnancy gingivitis results from hormonal changes during pregnancy and can cause gums to swell and bleed. Also, certain medications, such as blood thinners can make gums bleed.

If your gums are persistently bleeding, make an appointment with your dentist. Early detection of a problem can make treatment easier.

This post is sponsored by Lowell cosmetic dentist Dr. Michael Szarek.