Molar tooth got chipped twice due to metal implant and buffed out. Underlying cause?
Patient: A new pfm bottom full bridge molar tooth got chipped due to the top metal implant just showing through the temporary top bridge, and was buffed out, then a couple weeks later that same bottom molar chipped again, can anyone be sure the structural integrity of that botttom molar is sound? Actually hasnt it now been compromised due to the repeated pecking of the top metal several hundred if not thousand times when some of the highest pressures are created? Even if a potential weak spot is not obvious, can anyone truely know how much damage was done to that molar? I wouldnt want a metal beaten ceramic tile installed on my floor, would you? Doctor: hello thanks for your concern the metal implant is putting pressure on your pfm bridge .you need to get your bridge replaced.. the implant should crowned with porcelain so that it does not harm the opposite crown. the structural integrity of molar will remain sound unless the tooth preparation was done ideally.. even if the molar becomes weak there is a option to place post in the distal root of the molar to make it stronger enough to hold the bridge and pressure as well.. please visit your dentist for further treatment...  hope it helps