Is there ever a need to place an amalgam filling in the lingual fossa of a later incisor which is a pontic?
Q.
Is there ever a need to place an amalgam filling in the lingual fossa of a later incisor which is a pontic because this was done for me by my dentist when I complained of pain in that area?
Is there ever a need to place an amalgam filling in the lingual fossa of a later incisor which is a pontic because this was done for me by my dentist when I complained of pain in that area?
Also I was told by another dentist that i would have to remove my bridge to get to the root of my pain problem in the area of my bridge as nothing came up on the x-ray. If I was to have my bridge removed, considering my abutment teeth on either side have had enamel removed in preparation for my first bridge, would it be possible to use them for anchoring teeth if a new bridge was to be placed?
Thank you in advance for your help. It is highly appreciated.
A.
If the amalgam was placed in the lingual fossa of a Pontic and not the retainer then the treatment was completely unnecessary.
If the teeth acting as retainers are showing signs of nerve pain and no radio graphic evidence then over time an x ray will show which tooth is the cause , at this point root canal may have to be performed through the bridge or by removing it .
In theory a new bridge should be able to be placed if there is enough tooth under the bridge after a root canal is performed.
If the amalgam was placed in the lingual fossa of a Pontic and not the retainer then the treatment was completely unnecessary.
If the teeth acting as retainers are showing signs of nerve pain and no radio graphic evidence then over time an x ray will show which tooth is the cause , at this point root canal may have to be performed through the bridge or by removing it .
In theory a new bridge should be able to be placed if there is enough tooth under the bridge after a root canal is performed.
If your pain is bad and there is no evidence on an x ray the dentist will have to go in with a best guess approach if other diagnostic methods such as pulp testing or ethyl chloride fail.
Lastly you could ask for a specialist referral to an endodontist
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