Dental bridge. Me for ceramic or pmf.

Hello Ma’am After reviewing the OPG, I can see that multiple teeth are missing, and the remaining teeth have already undergone root canal treatment. The choice between PFM and ceramic should not be based only on aesthetics but also on the strength and long-term prognosis of the supporting teeth. If the teeth supporting the bridge have good bone support and are not significantly loose, a fixed bridge can be a suitable option. In such situations, PFM (Porcelain-Fused-to-Metal) generally provides better strength, especially when the bridge has to withstand heavy biting forces. Ceramic crowns are more aesthetic but may not always be the best choice for long-span bridges in patients with heavy functional loads. However, if the supporting teeth are already mobile due to bone loss or gum disease, even a well-made bridge may have a guarded long-term prognosis because it places additional stress on those teeth. In that case, periodontal treatment and assessment of tooth mobility are essential before proceeding. Looking at your X-ray, you also have multiple missing teeth in both arches. If your overall health and bone condition permit, implant-supported teeth would provide a more predictable long-term solution than relying on a few weakened natural teeth. If implants are not feasible, a removable denture may be a safer alternative than a long-span bridge.

I would recommend discussing the mobility of the supporting teeth, bone support, and all available treatment options with your prosthodontist before making the final decision. The best treatment is the one that offers both durability and good function, not just aesthetics.

Hello Mam. As per the attached OPG , the upper arch has only one canine on right and one first molar on left , if you have already under gone RCT in these 2 teeth . You can go for PFM crown . We usually advise PFM for grinding teeth ie posterior or teeth at the back but in your case since you don’t have any Molars in the upper arch and will continue to eat from the front teeth . Therefore your front teeth need to withstand all forces for tearing , biting as well grinding. Ceramics are good for aesthetic purposes but in your case we need aesthetic plus functional strength and support. I would even suggest to go for implant on the upper arch if you have a good budget.