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Is gum cut necessary for providing support to a bridge?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had tooth pain and consulted a dentist near me and had two of my premolar teeth on my left downside removed and a root canal done for two more teeth, planning a bridge.

Now, the doctor says I need a gum cut because the teeth are deep in the gum so that the bridge can stand strong. Is it fine to have a gum cut? I need a second opinion on whether I can have this gum cut.

Please advise.

Thank you.

Hi,

Welcome to icliniq.com.

I understand your concern.

Yes, it is a procedure called crown lengthening to increase the crown length or to obtain more space for the crown to be placed over the underlying tooth. In my opinion, it depends on the physical opinion and examination by your dentist who is doing the bridge. Though without gum surgery, crowns or capping can be done, it is still advisable to be on the safer side. I suggest that you get a second opinion from an in-clinic dentist before you go for the procedure if you are not sure.

However, in my view, it is always safer to get the crown lengthened and gum surgery done so that the crown fits correctly. Because you are going for a bridge, it would definitely be an essential procedure that most of us surgeons follow. Also, because your teeth are deep in the gum, as per your information, the bridge will have less support from the underlying tooth. So, the safe way would be to go for the gum or crown lengthening procedure.

I hope this helps you.

Revert in case of queries.

Regards.

Patient's Query

Hi doctor,

Thanks for the confirmation.

It was very helpful. One more question: I had a root canal and teeth removal last week, and I am still on medication, taking Ketorolac. The doctor has said to take thrice daily with other antibiotics. Is it fine to take Ketorolac for four hours once, as I am having pain in the removed area and on the left neck and forehead; gradually, I can feel the pain is reducing. I wanted to know whether taking Ketorolac for four hours once is fine, and if the pain is more, the doctor advised me to take Ketorolac.

Please advise.

Thank you.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Ketorolac dispensable tablets control the pain temporarily. Do not take it every four hours. You can take it three times a day for pain control after food. Only in the morning after breakfast, you can take two Ketorolac dispensable tablets dissolved in a glass of water to prevent pain all day. The rest of the time, you can take one orally with a gap of at least eight to ten hours.

I hope this helps you.

Revert in case of queries.

Regards.

Patient's Query

Hi doctor,

Thanks for explaining.

Hi,

Welcome back to icliniq.com.

I am happy to help.

Revert in case of queries.

Regards.

Medically reviewed byiCliniq medical review team

Published At June 14, 2024
Reviewed AtNovember 11, 2024

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