One of my two front teeth was extracted. The oral surgeon was concerned about me replacing it with a dental implant since I have been on Fosamax for over a decade. So, I have a dental flipper in now. I hate it because I seem to always have this nasty taste in my mouth. I was wondering if you agree about the caution with the dental implant? If it’s not an option, I started looking at some other options. I found information on an Encore or Maryland bridge. The tooth next to the empty tooth already has a crown on it. So, does that mean I can get a bridge? When I mentioned this to my dentist he advised against it because he said the other one would need to get a crown too and that he didn’t recommend it.
I would love to hear your feedback.
-Janet in Nevada
Thank you for your questions. The first thing that is worth mentioning is that taking Fosamax shouldn’t be a deal breaker regarding the possibility of a dental implant. There may be a small increase of bone issues since you are on Fosamax. This is mainly because the oral surgery does involve placing the surgical post in the bone. The risk is small but it does have rather serious consequences. So without seeing your case in person and knowing your history, it is difficult to give you specific recommendations. But, it is possible to stop taking the medication for a short time to work with the oral surgeon on the placement of the implant. So, it isn’t out of question.
Now, if you agree that the risk isn’t worth it or it is determined that is the case after continued conversations with your oral surgeon, a dental bridge is the next best solution. As far as the type of dental bridge (Maryland or Encore) that isn’t something you need to decide on your own. You should yield to the experience and recommendation of your dentist. For example, it would be a bad idea to walk in and insist on a Maryland bridge if your dentist has never done that type before. Stick to whatever treatment is within your dentist’s skills and experience. You never want to push a dentist out of their comfort zone.
A regular, conventional dental bridge will work just fine. And he is correct that it will require placing another crown on the neighboring tooth in order to anchor the bridge in place. His hesitation probably revolves around placing a bridge on an otherwise healthy tooth.
So, if a dental implant is not an option, it sounds like a traditional dental bridge would work best, unless your dentist has a liking toward a certain type of bridge. Don’t hesitate to discuss your concerns and preferences with your dentist. Together, you should come up with a treatment plan that is best for you.
Thank you for reaching out.
This post is sponsored by York PA dentist Donald H. Currie, DMD.