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Prosthodontics/Bridge-FPD v/s RPD.

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Question
Dear Sir,

My bottom jaw teeth are extracted,leaving behind two Canine teeth.To start with temporary denture,I find gum-sores & not able to chew.
With frequent adjustment also,i have my doubts about using Permanent denture.
I discussed with Dentist & he advised to go for RPD in view of no support teeth available at back-side,in bottom jaw.
He proposed to go for bridge(RPD),with 3,3 teeth on either-side,as cantilever load on Canine teeth,with false teeth in between-with precision attachment.
I explore,about FPD on Net,as preferred option.Dentist foresee,issue of infection & also proper load distribution.
Sir,Inplants is not only very expensive,but time consuming calling for grafting as right-side jaw bone has slightly thinned out.Dentist could noticed on 3D images taken on wearing temporary denture.
I can't tolerate undergoing visits & pains of Inplants,at 77.
I could manage for last three years with three root-canaled teeth on right side of bottom jaw.
Fortunately all top teeth are intact,after having root canaled for couple of them.
I just desire to pull on for 3/4years with Fixed partial bridge,supported on Canine+False teeth in front.
Whether it is possible option against removable partial bridge with precision attachment.If not then ONLY option is to go for RPD as suggested.
In any case by way of Compulsion,I have to carry on but your advice will be of great help to decide about option.
Kindly respond & oblige.
With warm regards,
anil.

Answer
If the canines are solid and have good bone then I'd recommend either RPD with or without precision attachments. If the canines are decayed and/or have periodontal issues then you might need to get them removed and have complete denture.
I hope this helps.
Dr Elsafi  

Prosthodontics

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Mohamed Elsafi, DDS, MS, FACP

Expertise

I am a board-certified Maxillofacial Prosthodontist. I do head and neck prosthetic reconstruction for patients with congenital and acquired defects. This also includes trauma and cancer patients. I can answer questions about prosthetic rehabilitation of the head and neck area. I am also a board-certified prosthodontist and can answer questions about dental reconstruction including crowns, bridges, veneers, partial and complete dentures and implant restorations. I can also answer questions about TMJ problems. I can not answer about surgical reconstruction.

Experience

I am a board-certified prosthodontist and maxillofacial prosthodontist and have been practicing denitstry for over 15 years.

Organizations
American Academy of Maxillofacial Prosthetics. American College of Prosthodontists. American Dental Association.

Education/Credentials
I received my dental degree from University of Southern California. I did my prosthodontics residency at University of Florida and my maxillofacial prosthetics fellowship at MD Anderson Cancer Center in Houston.

Awards and Honors
Chief Fellow at MD Anderson Cancer Center.

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