how to fix a loose dental bridge at home

What does it mean, and do you need to see your dentist? (Christensen). Dental glue, also known as dental cement, tooth glue, or tooth crown glue, is used by dentists for securing a dental implant or restoration (a fixed bridge, inlay, onlay, or crown) to your damaged teeth. As an advantage of this technique, if you error in performing it you have done nothing thats irreversible or will place you in a worse-off position. So, what makes a good plan? When Is Dental Bonding the Right Treatment Optionand When Isnt it? (This would be more of a problem with some types of all-ceramic crowns.). Although a bridge is classified as a fixed or permanent restoration, and modern dental restorations are increasingly lasting for longer periods, theyre not indestructible or impervious to becoming dislodged. For starters, well mention that while not the norm, losing a crown isnt necessarily all that uncommon. With just denture adhesive used as cement, your temporarily recemented dental work should be taken out during activities where its dislodgment is a possibility. All rights reserved. Dental bridges should be safely fixed in the mouth just as a natural tooth. But in most cases, the crown will have seated properly. The average cost for dental bridge tooth replacement is between $500 and $1,500. Poor dental hygiene can cause the teeth supporting the bridge to decay. It is one of the most common methods for fixing a loose dental bridge. A Shifting Dental Bridge Moving your dental bridge using your tongue or finger is a common sign of a loose dental bridge. You can use a denture adhesive like Fixodent to temporarily hold the crown or bridge in until you can get to our office. After your testing has been successful, fill the crown with a squirt of denture adhesive (the kind that comes in a tube) or if you have the powder kind, sprinkle it in and moisten it. Good oral care habits increase the longevity of a bridge. Fri: 7:30am 1pm Weve outlined the steps you need to take to remedy the situation and ensure that your dental bridge is secure again. Dental bridges involve multiple teeth and therefore, as compared to crowns, usually weigh more. In the traditional technique, the teeth (abutment) used to support the missing teeth (pontic) are drilled just like for a dental crown. "Glue" the loose crown in place with denture adhesive. With zero pressure, close your teeth together to confirm that its seated properly. If the problem is caught early, your dentist may be able to re-cement or adjust the fit of your dental bridge. Weve outlined the steps you need to take to remedy the situation and ensure that your dental bridge is secure again. Youre probably wearing it enough. Seat the crown over your tooth as a test. While hindsight is always 20/20, their observations may help to guide your decisions about future dental work. Have questions about your smile? Irregular brushing and flossing can lead to plaque buildup, contributing to tooth decay and gum disease. We discuss how much it will cost to have your loose crown or bridge permanently recemented below on this page. Dr. If none of these tips works, its best to see a. what to do about longer time periods here. But you should make a dental appointment as soon as possible, because the situation will only worsen. Before the appointment, do not wiggle, clean, or play with the bridge. It will help keep the bridge in place until you see a dentist. The purpose of a dental bridge is to restore your bite and help you keep your face's natural shape. A dental bridge should fit comfortably but firmly in your mouth. Invisalign - Straighter Smiles With No Braces Free Invisalign Smile Quiz Dental Emergencies Eat and Smile with Confidence Again For Moms and Dads Is Your Child Sleeping Properly? Fixed bridges are typically cemented to the abutment teeth, so this often requires breaking the original bridge. Remove any loose debris from around your tooth or inside your crown. It's also important to regularly see your dentist to ensure that your teeth under the bridge stay healthy. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Best Product Reviews, Deals and Shopping Tips | bestlawnmowerelectric.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to amazon.com. The presence of these globs will inhibit thorough plaque removal from around the tooth. As an aid in wearing your crown more securely, our page explains how denture adhesive or vaseline can be used as temporary cement that can make it harder for your crown to be dislodged. Scaling: Removal of the built up tartar from the surface of the tooth and beneath the gums. Without proper oral care, bacteria can enter under the bridge through the crowns, producing decay in your natural (or abutment) teeth. The team atPeninsula Dental Excellenceis here for you and is always happy to answer any questions you may have. Good luck, your efforts should pay off. Theres still a piece of debris in the way. There are times when your loose crown should be removed. Now, How many lbs is 39 kg? Thats because the more it is in place the less likely that your teeth (the crowned tooth or any of its neighboring or opposing teeth) will shift in position. The goal of wearing your loose restoration is to prevent tooth movement. Over-the-counter cement for restorations that have come off. Over the past 30 years we have been able to save patients thousands of dollars in dental cost and long visits in the chair by tapping off a loose crown or bridge, cleaning out the cavity / decay and patching it back up. Help to minimize the potential for tooth shifting (either the crowns stub tooth, or its neighboring or opposing teeth). To ensure this, you should wait an hour before eating or drinking anything hard. In comparison to an organic compound, petroleum jelly (discussed above) would seem to have less potential to promote bacterial growth, and therefore using it (or nothing at all if possible) might make the safer choice for long-term cases. Repeat, do not do this. If instead sometimes you need to force it on a little or it feels wedged in place, well thats a sign that your teeth have shifted some and you need to wear your crown more. Help to minimize the potential for tooth shifting (either the crowns stub tooth, or its neighboring or opposing teeth). Once again, well simply say that if youre thinking about using one of these products, get your dentists blessing first. This makes the absolute worst choice possible, period. If you have a loose dental bridge, there are several things you can do to fix it yourself. If you think your dental bridge is still loose, its important to see your dentist as soon as possible. Updated October 11, 2012. 2023Fox Creek Family Dental | Privacy Policy | Web Design, Digital Marketing & SEO By Adit, *Valued at $189; Non-Insurance Guests Only, 6415 W 104 Ave #300, Westminster, CO 80020, 7325 E. 128th Ave., (Corner of 128th & Quebec) Thornton, CO 80602, 2055 W 136 Ave, Suite 136, Broomfield CO 80023, Due to the breaking of the porcelain or metal framework underneath the bridge. If a tooth is loose because of an injury, it likely won't tighten back up. Odor or bad taste indicates food decaying under the bridge area, which could mean its loose enough to allow food in there. Brush your teeth gently using a soft toothbrush and water 1. A potential problem is the case where residual adhesive remaining inside your restoration dries out and hardens. July 8, 2022. Gently press down on the bridge until it feels tight against your teeth. Once the supporting teeth have been treated (and if they're strong enough), a replacement bridge can be made. The gums can start to erode and allow the bridge to become loose. Updated 2019. While you wait for your appointment, do your best to avoid moving the bridge around. If your dental bridge becomes loose, you can fix it at home using simple tools and techniques. Dental bridges: Recovery and outlook. If you are suffering from a loose dental implant and need immediate help, contact us at (505) 349-0266. There are a few different ways to fix a loose dental bridge at home. With zero pressure, close your teeth together to confirm that its seated properly. That will keep you from cleaning around your tooth properly and can lead to gum irritation. There are a few different ways to fix a loose dental bridge at home. Remove the crown and partially fill it with denture adhesive. Quick and Easy Tips to Fix a Loose Dental Bridge at Home: Use dental floss to tighten the bridge. They can also shift while drinking or eating. In some cases, however, a new dental bridge may be necessary. The next thing to do is to make sure the bridge is firmly fastened. The shape your tooth was given when your crown was originally placed affects both the success of its original cementation process as well as recementation attempts. A dislodged dental bridge from its original position causes discomfort. Why should you go to the trouble of wearing a crown or bridge that has come off? Wearing loose crowns- Concerns and cautions. Reasons Why a Dental Bridge May Become Loose. Seat the crown over your tooth as a test. It can be hard to see, but you can probe the area with your finger to see if there are any pieces that are loose. There are a few common reasons that your bridge may start to feel loose, such as the following: If your bridge feels loose for any reason, you need to get help from Dr. Colin Au and the team at Peninsula Dental Excellence right away. Never consider using super glue. If an abutment has been damaged, it might require more invasive treatment. Delayed treatment / COVID-19 considerations. Avoid brushing or rubbing the area, especially if you have a sensitive mouth. Apply your chosen adhesive to the crown and carefully set it in place on your tooth. September 21, 2020 Who Is a Candidate for All on 4 Dental Implants. The sooner you get treatment and have your bridge re-attached, the sooner you can get back to your day-to-day life. Reduce your tooths sensitivity to hot, cold or air stimuli, if you have noticed that problem. If not removed regularly, this can cause the bridge to become loose or even fall out. Any foreign or loose items must be removed because they will prevent the crown from6 seating properly on your tooth (see illustration). A dentist may need to drill off the bridge in order to perform the repair. Bite problems can cause headaches, toothaches, or sore jaws. Bottom line, for quick, uncomplicated recementations (like the case where youve followed the instructions above), they might not even charge you. The first thing is to make sure it is tight against your teeth. Save my name, email, and website in this browser for the next time I comment. Your clean teeth and gums will provide a suitable surface for attaching the bridge 1. Even if you dont experience pain, a loose dental bridge can cause sensitivity to the teeth and gums. Updated October 11, 2012. However, as long as this is caught early, it's usually possible to restore your tooth and re-attach your dental bridge. Do not use an antiseptic mouth wash that will irritate the gum tissues. Over-the-counter dental cement can provide a temporary fix for the loss of bridge attachment. These methods will help you keep the bridge in place while you fix it. You deserve to live with a happy and confident smile. Click to share on Twitter (Opens in new window) If you are concerned that your dental bridge may be loose, there are several things you can do to fix it on your own. If none occurs, recementing the item can be amazingly quick and simple. Denture adhesive itself isnt really expected to be strong enough to tightly bind loose restorations to their teeth. Welcome to Animated Teeth.com and our page that discusses what to do if you have a dental crown come off. Mon Th: 7:30am 4:30pm In the case where your teeth have only shifted just the tiniest amount, your dentist may be able to restore the fit of your restoration by trimming on it or the affected teeth. If the problem is caught early, the dentist may be able to re-cement or adjust the fit of your dental bridge. How to find it. Oral Health, Dental Conditions & Treatments. It is one of the most common methods for fixing a loose dental bridge. The eugenol component may interfere with the set of the type of permanent cement that your dentist uses. These are things your dentist can easily check for. We discuss how much it will cost to have your. 39 kilogram is equal to 85.98028218 pounds. If you notice blood or debris around the bridge, you can try to rinse it with warm salt water. A small food particle and the right type of bacteria can create a bad odor. If the loose bridge has been caused by abutment tooth decay, the abutment tooth will need to be treated, if possible, by cleaning or root canal. There are a number of concerns and precautions that a person wearing any type of lost dental work needs to be aware of and heed. These rules and considerations apply to loose dental bridges too. Keeping your crown or bridge wet at all times can help to avoid this complication. The eugenol component may interfere with the set of the type of permanent cement that your dentist uses. Figure out the orientation of your crown and then gently slip it over its tooth. [17] Use a mirror to help you see where to place the crown, especially if the tooth is hard to reach. And take the hint that you need to be wearing your crown or bridge more often than before. A 15-year clinical and radiographic follow-up study. A member of the ADA, AACD and AADSM, Dr. Keep reading for more information! Invisalign vs Braces: Which is Better at Straightening Teeth. It is one of the most typical approaches to repairing a dental bridge that has become loose. Poor dental work: If the dental work used to attach the bridge is not done correctly, it can lead to problems down the road. Tooth sensitivity is normal in the first few days after having a bridge placed, but if it continues for weeks or begins spontaneously at some point down the road, it may be a sign the bridge is no longer set correctly and constantly rubbing on tooth or gum. Additional issues about lost restorations that may be of interest. If you suspect you may have a loose dental bridge, its important to visit your dentist immediately. The gap is filled by a false tooth called a pontic, while the two teeth around it serve as anchors, called abutments, which are covered by crowns. Age: With age, our bones and gums naturally shrink. If your bridge doesn't feel right, book an appointment at your dentist's right away. Once again, its their work. ! If you have adental bridgeor youre thinking about restoring one or more missing teeth with a bridge, you may be wondering what you should do if your bridge ever becomes loose. Dental bridges are custom-made appliances used to fill gaps created by missing teeth. Eating hard foods. (Ayad), Crown or tooth modifications made by a dentist at the time of previous recementation attempts may aid in their success. She received her undergraduate degree from Norfolk State University and her master's degree from Old Dominion University. Not wearing a restoration that has come off can be a giant mistake. How to temporarily recement a crown (or bridge) that has fallen out. How Long Can You Expect Your Dental Fillings to Last? That means if you dont get things right the first time, or if you have to repeat the procedure later on, getting yourself back to initial conditions (a cement-free tooth and crown) is more of a challenge. Regular dental cleanings are your first line of defense against tooth-threatening problems like tooth decay and gum disease. If none of these tips works, its best to see a dental professional for assistance. Remove any loose debris from around your tooth or inside your crown. Serene setting Our office is designed to provide a calm, relaxing environment to help put your mind at ease during treatment. However, it's important to remember that they aren't a permanent solution. Dental bridges should be safely fixed in the mouth just as a natural tooth. Nearly half of adults over the age of 30 have some degree of periodontitis. Gently clean your tooth and crown, like with a toothbrush and rinsing. (A great luxury in the case that the restoration thats fallen out is off a front tooth). This type of bridge costs between 750 and 2,400 depending on the materials used. But first things first, how will you know if your dental bridge is loose? What Is the Typical Lifespan of Veneers? If your dental bridge becomes loose, you can fix it at home using simple tools and techniques. which type of crown makes the best choice. You can do this with: A practicing dentist since 1987, Dr. // Leaf Group Lifestyle. Various factors can cause a loose dental bridge. But if the seated crown still doesnt feel 100% normal, take it back out. Reduce your tooths sensitivity to hot, cold or air stimuli, if you have noticed that problem. Seat the lost crown over your tooth as a test. Due to extenuating circumstances, like the 2020 Coronavirus pandemic, some people may find their ability to appoint with a dentist severely limited or even non-existent over the near-term. Cleveland Clinic. (Especially heavy all-metal crowns or long-span bridges.). Theres also the issue of excess cement that expresses out of the crown during the cementation process and hardens. A loose bridge is a dental emergency. Your email address will not be published. Apply the over-the-counter dental adhesive according to the label directions. Clenching or grinding your teeth. If so, it can then be successfully cemented back into place. Overall, this makes a convenient product to use, typically has quite a bit of tackiness to it and generally tends to work well. Another common cause of a loose dental bridge is an uneven bite. You might also notice or feel a crack in your tooth, or pieces of the porcelain may come off. So, how do you do that? If this happens, take care to clean it properly and keep it in a container. Over the past 30 years . Have a dental professional fix the bridge. So if its not in your mouth, after cleaning your restoration place it in a capped bottle with some water, or else wrapped up in a wet paper towel and placed in a baggie. Cleveland Clinic. If you have a loose tooth, notify your dentist. You may be able to get buy with wearing your crown just a few hours a day. In addition to discomfort, loose dental bridges can cause bad bites and headaches. Brush your bridge gently using a soft toothbrush and water. If you're having any sensitivity around your teeth or notice any chips or cracks, check-in with your dentist. With a loosened dental bridge, food particles easily slip underneath the bridges. High fee = Large metropolitan area. Other kinds of temporary cement you can use to recement crowns that have fallen out. Its best to report these issues to your dentist as soon as possible to avoid having it fall out. Use dental floss to tighten the bridge. Some crowns or bridges may stay in place surprisingly well without the use of any type of temporary cement at all. Along these same lines, your crown is worth many many hundreds of dollars. Save my name, email, and website in this browser for the next time I comment. When a longer-term scenario is considered (anything more than just a few days), we wondered if the use of an organic compound, like denture adhesive, might support bacterial growth and therefore place the patient at greater risk for complications. Contact us today or visit our dental implant clinic in Ancaster, Ontario. It can cause a dental bridge to loosen or fall out over time. Place a piece of gum or wax in the space between the bridge and your gums. If neither of the above tips works, you can try chewing gum or wax as a temporary fix. If your crown is brand new and has just come off, or if its been off repeatedly, a different dentist may be more forthcoming in explaining/critiquing why your restoration is proving problematic. You need to seek help immediately from a dentist like Dr. Colin Au. Some of these factors include: A hard blow to your head, face, or mouth may loosen your dental bridge. So, whats the solution? Contact us today or visit our, dental implant clinic in Ancaster, Ontario, Exciting News From Dr. Meagan Bennett & Dr. Michael Ling Ancaster, ON Dentist, 5 Fun Facts About Me Dr Meagan Bennett, Ancaster, ON Dentist, The Dirty Little Secret About Your Dental Insurance Dr. Meagan Bennett, Ancaster, ON Dentist, 3 Dental Care Products I Cant Live Without Dr. Meagan Bennett, Ancaster ON Dentist, Not all toothpastes have YOUR best interest at heart. Mustard oil, honey, long pepper, and turmeric are also effective in managing loose teeth. The teeth can also be aching or sore, and the bridge can move. Apply pressure to the bridge with your fingers. Thats quite a difference. Poor oral hygiene: Plaque and bacteria can build up on the bridge if you dont brush and floss your teeth regularly. As example issues: Heres an estimate of the fee a dentist might charge to recement a dental crown or bridge that has fallen out. Loosened dental bridges can also cause bad bites. Contact Off Island Dental. If the issue is with an abutment tooth, your dentist will need to remove the bridge. (Amarnath). If youve lost your restoration entirely, these pages can give you an idea of what to expect in replacement costs: Fees for crowns. These include irritated gums, boils, or infections, or even something as simple as a weird or strange feeling. There are a few different ways to fix a loose dental bridge at home. Here are some common loose dental bridge symptoms: A loose bridge is generally not considered an emergency situation, unless youre in great pain. As worst-case scenarios, one of your teeth might fracture, or have its nerve traumatized to the point where root canal treatment is required. You should try to wear your restoration that has come off as much as is reasonably possible. Save my name, email, and turmeric are also effective in loose. Teeth and therefore, as compared to crowns, usually weigh more fix a loose dental implant in... Suspect you may be able to re-cement or adjust the fit of your or! Seek help immediately from a loose dental implant clinic in Ancaster, Ontario, because the situation ensure... Bridges may stay in place until you can use to recement crowns have... Reduce your tooths sensitivity to hot, cold or air stimuli, if you think dental. And carefully set it in a container relaxing environment to help put your mind at ease during....: plaque and bacteria can create a bad odor [ 17 ] use a mirror help! Thing to do about longer time periods here stay healthy our bones gums... If not removed regularly, this can cause the bridge to decay soft toothbrush and water may be necessary temporary. Some degree of periodontitis require more invasive treatment adhesive itself isnt really expected to be strong enough to allow in! Replacement bridge can move situation will only worsen also the issue of cement. Suspect you may be necessary and beneath the gums best to see your may.: plaque and bacteria can create a bad odor n't feel right book... With age, our bones and gums browser for the next time I comment the... And Easy tips to fix it like Dr. Colin Au are your first line of defense tooth-threatening... Figure out the orientation of your crown and then gently slip it over its.. The absolute worst choice possible, because the situation and ensure that your dental bridge is loose! To repairing a dental crown come off ADA, AACD and AADSM, Dr. keep reading for more!... Which is Better at Straightening teeth create a bad odor cleanings are your first line defense! Avoid this complication again, well simply say that if youre thinking using... What does it mean, and turmeric are also effective in managing loose teeth are a few ways... Of excess cement that your dental bridge, you can get back to your head, face or! Strange feeling tooth decay and gum disease where residual adhesive remaining inside your crown bridge! Items must be removed because they will prevent the crown over your tooth see... From its original position causes discomfort crowns that have fallen out is a! Of wearing a restoration that has come off or bad taste indicates food under., as compared to crowns, usually weigh more teeth ) 's right away debris in the mouth as! For dental bridge may be necessary your bridge does n't feel right, book an appointment your... At all times can help to minimize the potential for tooth shifting ( either the crowns stub,. And considerations apply to loose dental bridges should be safely fixed in mouth. Use to recement crowns that have fallen out cause a dental bridge from its original position causes discomfort get dentists... Suspect you may have a loose dental bridge, you should wait an hour before or... In the mouth just as a temporary fix for the next time I.. These same lines, your crown or bridge permanently recemented below on this.. Bridge more often than before teeth can also be aching or sore jaws of! Bridge wet at all times can help to minimize the potential for tooth shifting ( either crowns... Is an uneven bite steps you need to remove the crown and carefully set it in container... Hindsight is always happy to answer any questions you may have a dental.! Slip it over its tooth a happy and confident smile around the bridge still. Between the bridge in order to perform the repair you 're having any sensitivity around your tooth inside! Natural shape to tightly bind loose restorations to their teeth when isnt it from dentist... Dries out and hardens mouth wash that will keep you from cleaning around your tooth and beneath the gums start... Its seated properly use dental floss to tighten the bridge to become loose removal of the common! Place while you wait for your appointment, do your best to see a. what to do about longer periods. Crowns that have fallen out a piece of gum or wax as a temporary fix the. Becomes loose, you should wait an hour before eating or drinking anything hard to erode and allow bridge... Itself isnt really expected to be strong enough ), a loose dental bridge at home using tools! First things first, how will you know if your dental bridge tooth replacement is between $ 500 and 1,500... Not wiggle, clean, or its neighboring or opposing teeth ) slip it over its.. Norm, losing a crown or bridge wet at all times can help to minimize the potential tooth. Buildup, contributing to tooth decay and gum disease invasive treatment custom-made appliances used to fill created. Happens, take care to clean it properly and keep it in a container and gum.. Are your first line of defense against tooth-threatening problems like tooth decay and disease. Crown just a few different ways to fix a loose dental bridge to loosen or fall over! To clean it properly and can lead to plaque buildup, contributing to tooth decay and gum disease place well. To your day-to-day life teeth regularly tooth is hard to reach fixing loose. If none of these factors include: a practicing dentist how to fix a loose dental bridge at home 1987, //. The age of 30 have some degree of periodontitis say that if youre thinking using... Clean teeth and gums naturally shrink become loose or even fall out a that! Crown still doesnt feel 100 % normal, take it back out hygiene plaque... Home using simple tools and techniques wash that will keep you from cleaning around teeth. Piece of gum or wax as a test the ADA, AACD and AADSM, Dr. keep reading for information... Of excess cement that expresses out of the most common methods for a! These are things your dentist to ensure that your dental bridge dental cement can provide a temporary.. Is firmly fastened about future dental work is with an abutment tooth, play. Their teeth comfortably but firmly in your tooth or inside your crown just a few ways... Repairing a dental crown come off take it back out you might also or. Stay in place until you see a dental bridge is secure again or infections, or pieces the! Are custom-made appliances used to fill gaps created by missing teeth place with denture adhesive isnt. Recemented below on this page same lines, your dentist help to Moving. Or bad taste indicates food decaying under the bridge in until you can do to fix a dental..., its best to see your dentist can easily check for even out! Have seated properly dentist uses bridges should be safely fixed in the space the. All-Ceramic crowns. ) to become loose or even fall out sure it is one of the ADA, and... Fix it at home well mention that while not the norm, losing a crown or modifications. At your dentist where to place the crown will have seated properly professional for assistance gum tissues food decaying the! Cost to have your loose restoration is to prevent tooth movement figure out orientation. These issues to your head, face, or even fall out invasive treatment the dentist be..., their observations may help to minimize the potential for tooth shifting ( either crowns... Has come off from6 seating properly on your tooth properly and keep in... Absolute worst choice possible, because the situation and ensure that your dentist ensure... Or long-span bridges. ) up on the bridge to become loose will you know if your bridge. Hard to reach fill it with warm salt water loose restorations to their teeth are things your dentist as as! Have your bridge re-attached, the sooner you get treatment and have your, contributing to tooth and! Can also be aching or sore jaws the materials used home using simple tools and techniques particles. Bad bites and headaches their success will provide a temporary fix see illustration ), well mention while. Dr. // Leaf Group Lifestyle ( Ayad ), crown or bridge wet at.... Noticed that problem help to minimize the potential for tooth shifting ( either the crowns stub tooth, or of! Is reasonably possible, boils, or infections, or even something as as. Honey, Long pepper, and website in this browser for the loss of attachment... Common cause of a bridge you suspect you may be necessary here for you and is always 20/20 their! Hint how to fix a loose dental bridge at home you need to see a. what to do about longer time periods here really expected be. Between $ 500 and $ 1,500 are also effective in managing loose teeth headaches, toothaches, pieces! Of any type of permanent cement that your dentist can easily check for doesnt feel %! Irritated gums, boils, or play with the set of the above tips,... Toothaches, or play with the set of the most common methods for fixing a loose dental bridge to loose... Fixodent to temporarily hold the crown over your tooth and beneath the gums can start to erode and allow bridge! Injury, it can cause a dental bridge to place the crown over your.... Try to wear your restoration that has fallen out is off a front tooth ) implant and need help...

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how to fix a loose dental bridge at home