Not a great idea: Of course, you can do anything you want to. It's your mouth. But that is a large space to have empty and it will put additional pressure on 14. All your jaw biting force will go onto 14 and it will probably eventually break. Why not just get a new bridge or some implants? Modern dental material that bridges are made of are very strong and rarely break. It also depends on the condition of 11&14.
Answered 10/19/2015
5.3k views
Bridge/crowns: Why would you want a gold crown on tooth #11? Porcelain will look much better. Best not to leave #12/13 empty if you have teeth below it. The bottom teeth will super-erupt into the space, and other teeth will shift, as well. The bone support on teeth #s 11 and 14 need to be examined to make sure they are strong enough for a 4-unit bridge. Also need to determine what caused the bridge to break.
Answered 10/19/2015
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Yes: While having an intact dentition is ideal you can certainly restore the teeth that you have and leave the missing tooth areas empty.
Answered 10/19/2015
5.3k views
Yes: Yes can perform this option, however teeth #12, 13 are in your smile and hence compromised your smile. In addition, missing teeth may cause your opposing teeth to shift (move up where the teeth are missing). Best option is 2 individual crowns #11, 14, and 2 implants, positions #12, 13 to replace missing teeth.
Answered 10/19/2015
5.3k views
Yes: If you don't mind the missing teeth. 12 and 13 are in most people's smile so cosmetics play a role here too.
Answered 10/19/2015
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You can with caution: First of all, i believe the key is too find out why the bridge broke. If you are electing to place two crowns and not a bridge, atleast have a retainer made to maintain the position of the missing teeth, that way if one say in the future you decide to place implants, that option will not be list and the teeth with crowns will be stable. A ceramic crown would probably be a better option for #11.
Answered 10/19/2015
5.1k views
Yes, place implants.: Great idea. Place implants on # 12 and 13. Bridges break usually because there is not enough material, which means the teeth have been underprepared. Bridges can break if the occlusion is not adjusted properly as well. A person who grinds their teeth at night can also put extra pressure on their teeth. I think your idea for 2 single crowns and 2 implants sounds good.
Answered 10/19/2015
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Possible: There are many reasons why a bridge can break. The span from teeth #11 to 14 is relatively long so the bridge will continue to break overtime. For a better long term solution, consider placement of dental implants/crowns at sites #12 and 13 and crowns on teeth #11 and 14. Dental implants is the best option. However, every patient is different. Discuss these options with your dentist.
Answered 10/19/2015
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Not ideal: Best thing for you is to have either a bridge or implants. Bridges break for a reason. The occlusion is part of the problem. I would get a second opinion , because you probably need a more sophisticated look at this situation.
Answered 10/19/2015
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Why not gold bridge?: Your thinking is good! cast dental gold is a strong and highly biocompatible material! my suggestion would be to carry your idea one step further and just fabricate a cast gold bridge! leaving that space open (#12 & #13) could create serious problems with your occlusion down the road. Your space would be filled in, no porcelain to break off and your bite would be balanced!
Answered 10/19/2015
4.9k views
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