Expert: Lawrence Spindel DDS, www.lspindeldds.com - 11/30/2008

Question
Dear Dr. Spindel,

I had one of my molars removed by my dentist several months ago and have been recommended by my dentist to get a bridge. He quoted me at roughly $1000 USD.

However, I contacted a dentist in China who said that he can do it for half the price at the equivalent of $500 USD.

In your opinion, how much risk does a dental bridge procedure carry? Is it a complicated procedure that carries a high-risk of accident if performed by dentists in, perhaps, less medically-developed countries? I will be traveling to China anyways for a visit, so the ticket and such is not an issue. Is it worth risking the procedure in China to save $500?

Thanks,
Ed.

Answer
Dear Ed

In my opinion, It is not a good idea to have a bridge done over seas.  Fabricating a three unit bridge requires skill, a good lab and time for trial fitting the bridge. It is a 'complicated' dental procedure.

The teeth have to be prepared carefully and shaped properly to hold the bridge.  If the teeth are over 'reduced' then the bridge may not stay on or the teeth may develop sensitivity. The bridge should be tried in in the metal work stage, before the porcelain is added, in order to check the fit.  If it fits, then the porcelain is added.

Although I think I am capable of fabricating excellent  three unit bridges in my office, It usually takes me about a month to 6 weeks, to allow for try ins and good quality lab work.  I am not always comfortable to treat patients from out of the country ,who are visiting on vacation in NYC, if they expect to have the work done perfectly in one week( Having fixed time restrictions does not allow me to have work done over if it is not fitting properly).

Also, having teeth prepared by a dentist carries a risk of irritating the pulp and some patients require root canal treatment afterward. I do believe the likelihood of this happening is less with a skillful and careful dentist.

Lastly, When work is done over seas, there is no opportunity for an adequate follow up in the event that there is an issue with the bridge. If the porcelain breaks or the gum is irritated, who is going to care of it?

For all of these reasons, I would opt for having the bridge done close to your home. It is possible to have the work done adequately overseas, but I have witnessed plenty of substandard foreign dental work done for US patients traveling abroad.  

When contemplating having a dental bridge, I personally would not think that price itself would be the most important consideration.  A well made bridge can last from ten to thirty years without any problems. On the other hand a poorly done bridge can be a failure the moment it is inserted and cause many problems.

For all of these reasons, you should choose a dentist you know and has a good reputation for fabricating 'trouble free' restorations. If you dentist has this reputation, than $1000 is extremely reasonable.

I hope I have answered your question and please feel free to contact me in the future with any dental queries.