Dentistry focuses on diagnosing, preventing, and treating conditions of the teeth, gums, and oral structures, supporting oral health and overall well-being.
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The long-term success of a dental bridge is inextricably linked to the patient’s ability to maintain a plaque-free environment around the restoration. Unlike natural teeth, a bridge connects multiple units, making it impossible to use standard dental floss between the teeth. This unique architecture creates “blind spots” underneath the pontics and around the connectors where biofilm can accumulate undisturbed. If left unchecked, this biofilm leads to gingival inflammation (mucositis) and, more critically, secondary caries (decay) at the crown margins, which is the leading cause of bridge failure. At Liv Hospital, we provide customized oral hygiene instruction, equipping patients with the specific tools and techniques required to navigate the complex topography of their fixed prosthesis.
The most critical area to clean is the space between the pontic (false tooth) and the underlying gum tissue.
For many patients, especially those with larger embrasure spaces or limited manual dexterity, interdental brushes (proxabrushes) are superior to floss.
Selection: Choosing the correct size is vital; the brush should fill the space snugly but should not require force to insert. Using a brush that is too large can traumatize the tissue, while one that is too small will not effectively clean the root concavities.
Water flossers utilize a pulsating stream of water to flush out plaque, food particles, and bacteria from deep periodontal pockets and subgingival areas.
The margin where the crown meets the tooth structure is the “Achilles’ heel” of any restoration.
Adjunctive use of antimicrobial agents can support mechanical hygiene.
Fluoride Therapy: High-concentration fluoride toothpastes or varnishes are crucial for preventing decay on the natural tooth structure supporting the bridge, especially in patients with a history of high caries risk.
Home care must be supplemented by professional prophylaxis.
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Yes, if there is a gap between the pontic and the gum, food can accumulate; using interdental brushes or superfloss is essential to remove it.
Yes, water flossers are safe and highly recommended for cleaning under bridges as they flush out debris without damaging the restoration.
You should clean under your bridge at least once a day, preferably at night, in addition to your regular twice-daily brushing.
A non-abrasive, fluoride-containing toothpaste is best; avoid harsh whitening toothpastes that can scratch the ceramic glaze.
A hygienist can remove hardened tartar that you cannot remove at home and check for early signs of gum disease or decay around the bridge margins.
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