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Dental bridges

A dental bridge is a structure between two crowns to fill the gap between missing teeth.

Bridges can help:

  • Restore your smile
  • Restore your ability to properly chew and speak
  • Maintain the shape of your face
  • Distribute the forces in your bite properly by replacing missing teeth
  • Prevent remaining teeth from drifting out of position

 

What types of dental bridges are available?

There are three main types of dental bridges: 

  • Traditional bridges involve creating a crown for the tooth or implant on either side of the missing tooth, with a pontic (replacement tooth) in between. Traditional bridges are the most common type of bridge and are made of either porcelain fused to metal or ceramics.
  • Cantilever bridges are used when there are adjacent teeth on only one side of the missing tooth or teeth.
  • Maryland bonded bridges (also called a resin-bonded bridge or a Maryland bridge) are made of plastic teeth and gums supported by a metal framework. Metal wings on each side of the bridge are bonded to your existing teeth.

Bridge

 

What is the process for getting a dental bridge?

During the first visit for getting a dental bridge, the abutment teeth are prepared. Preparation involves recontouring these teeth by removing a portion of enamel to allow room for a crown to be placed over them. Next, impressions of your teeth are made, which serve as a model from which the bridge, pontic, and crowns will be made by a dental laboratory. Your dentist will make a temporary bridge for you to wear to protect the exposed teeth and gums while your bridge is being made.

During the second visit, your temporary bridge will be removed and the new permanent bridge will be checked and adjusted, as necessary, to achieve a proper fit. Multiple visits may be required to check the fit of the metal framework and bite. This is dependent on each individual's case. If the dental bridge is a fixed (permanent) bridge, your dentist may temporarily cement it in place for a couple of weeks to make sure it is fitting properly. After a couple weeks, the bridge is permanently cemented into place.

How long do dental bridges last?

Dental bridges can last five to 15 years and even longer. With good oral hygiene and regular checkups, it is not unusual for the life span of a fixed bridge to be over 10 years.

Will it be difficult to eat with a dental bridge?

Replacing missing teeth with a dental bridge should actually make eating easier. Until you become accustomed to the bridge, eat soft foods that have been cut into small pieces.

Will the dental bridge change how I speak?

It can be difficult to speak clearly when teeth are missing in the front or anterior areas. Wearing a dental bridge with the anterior teeth in their proper relationship will help you speak properly.

How do I care for a bridge?

It is important to keep your remaining teeth healthy and strong as the success of the bridge (depending on the type selected) depends on the solid foundation offered by the surrounding teeth. Brushing twice a day and flossing daily helps prevent tooth decay and gum disease that can lead to tooth loss. Your dentist or dental hygienist can demonstrate how to properly brush and floss your teeth. Having regular dental check-ups as recommended enables problems to be diagnosed at an early stage when treatment has a better prognosis. Selecting a balanced diet for proper nutrition is also important.

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WebMD Medical Reference

Medically Reviewed by Dr Rob Hicks on May 13, 2014

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