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Implant or bridge?

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  • brook2jack
    brook2jack Posts: 4,563 Forumite
    Any tooth prepared for a bridge or a crown has a 25% chance of dying off and needing root treatment. A root filled tooth is much more brittle than alive tooth and is at greater risk of breaking under the load of a bridge.

    Bridges should be cleaned with superfloss which is fluffy and has a waxed end to thread underneath the false tooth.

    Implants should be cleaned cleaned with a combination of Tepe brush , super floss , cross floss, waterpik that your implantologist/hygienist has advised you to use.
  • Mands
    Mands Posts: 847 Forumite
    Part of the Furniture 500 Posts Name Dropper Combo Breaker
    silvercar wrote: »
    Tepe brushes, making sure they go as far under the (implant) tooth as they can.
    brook2jack wrote: »
    Implants should be cleaned cleaned with a combination of Tepe brush , super floss , cross floss, waterpik that your implantologist/hygienist has advised you to use.

    Excellent, many thanks both.
  • Toothsmith
    Toothsmith Posts: 10,104 Forumite
    Part of the Furniture 10,000 Posts Name Dropper
    The implantologist I refer to really doesn't like Tepe brushes around his implants. I think that's based on the ADA guidelines. (American Dental Association)

    It's the metal twist in the centre that holds the bristles in that is the problem. They can scratch the highly prepared and very delicate coating of the implant. A scratched implant will attract much more plaque than one with the coating & polish intact.

    So, Superfloss or bridge floss down to the depths of the implant, or possibly fully plastic interdental brushes like Cleanbetweens

    Wisdom Clean Between Fine Blue Brushes - Pack of 2, Total 40 https://www.amazon.co.uk/dp/B005H8S5ZC/ref=cm_sw_r_cp_tai_Xcd3DbR6VDXYR

    Around expensive things like implants - please don't be tempted by cheapy look-alikes either, and also change them regularly. A brush that looks like a proper one may well be either more abrasive, or bits drop off it more readily, than the real ones. Scratches, or little bits of debris from the brushes will both spell disaster for the implant.
    How to find a dentist.
    1. Get recommendations from friends/family/neighbours/etc.
    2. Once you have a short-list, VISIT the practices - dont just phone. Go on the pretext of getting a Practice Leaflet.
    3. Assess the helpfulness of the staff and the level of the facilities.
    4. Only book initial appointment when you find a place you are happy with.
  • silvercar
    silvercar Posts: 49,555 Ambassador
    Part of the Furniture 10,000 Posts Academoney Grad Name Dropper
    Toothsmith wrote: »
    The implantologist I refer to really doesn't like Tepe brushes around his implants. I think that's based on the ADA guidelines. (American Dental Association)

    It's the metal twist in the centre that holds the bristles in that is the problem. They can scratch the highly prepared and very delicate coating of the implant. A scratched implant will attract much more plaque than one with the coating & polish intact.

    So, Superfloss or bridge floss down to the depths of the implant, or possibly fully plastic interdental brushes like Cleanbetweens

    Wisdom Clean Between Fine Blue Brushes - Pack of 2, Total 40 https://www.amazon.co.uk/dp/B005H8S5ZC/ref=cm_sw_r_cp_tai_Xcd3DbR6VDXYR

    Around expensive things like implants - please don't be tempted by cheapy look-alikes either, and also change them regularly. A brush that looks like a proper one may well be either more abrasive, or bits drop off it more readily, than the real ones. Scratches, or little bits of debris from the brushes will both spell disaster for the implant.

    That’s new to me. Would you say the same risk of the metal scratching applied to normal fillings too?
    I'm a Forum Ambassador on the housing, mortgages & student money saving boards. I volunteer to help get your forum questions answered and keep the forum running smoothly. Forum Ambassadors are not moderators and don't read every post. If you spot an illegal or inappropriate post then please report it to forumteam@moneysavingexpert.com (it's not part of my role to deal with this). Any views are mine and not the official line of MoneySavingExpert.com.
  • zagubov
    zagubov Posts: 17,938 Forumite
    Part of the Furniture 10,000 Posts Name Dropper Photogenic
    Had the seem sweet tooth as you, and a drill-happy and extraction-happy dentist.

    Had a tooth extracted as a teenager, then at uni, my pal who was studying dentistry offered to replace it with a bridge, for free.

    I went to see him at the dental hospital several times and he gave the two teeth behind the gap a crown and a three-quarters crown to support the bridge.

    Told me that it might last 20 years but if it fell out I had to keep the gold as it was worth about £300 back then and it was my property.

    It's lasted a good 40 years and never a moments problems. I totally forget I've got a bridge.
    There is no honour to be had in not knowing a thing that can be known - Danny Baker
  • Toothsmith
    Toothsmith Posts: 10,104 Forumite
    Part of the Furniture 10,000 Posts Name Dropper
    silvercar wrote: »
    That’s new to me. Would you say the same risk of the metal scratching applied to normal fillings too?

    No. They're fine round teeth & fillings, so long as you're not too over-exuberant!!
    How to find a dentist.
    1. Get recommendations from friends/family/neighbours/etc.
    2. Once you have a short-list, VISIT the practices - dont just phone. Go on the pretext of getting a Practice Leaflet.
    3. Assess the helpfulness of the staff and the level of the facilities.
    4. Only book initial appointment when you find a place you are happy with.
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