Dental Bridges

What is a bridge?

Well, there are definitely two distinctions between a removable bridge and a fixed bridge. A removable bridge is used to replace missing teeth. If you have missing teeth, you can replace them with a removable bridge. As the name suggests, it is removable and can be taken out; it hooks onto the teeth but is not permanent. A fixed bridge, on the other hand, involves prepping the adjacent teeth to the gap, taking an impression, and sending it to the lab. They fabricate a three-unit bridge or four-unit bridge, depending on how many teeth are missing, and it is then cemented permanently to the teeth. So it stays in place, and you don't have to take it out. For the outside, it looks like you have all your teeth, but an X-ray will show which teeth are missing and which are not.

What is the difference between a bridge and dentures?

Dentures are used only in situations where you have absolutely no teeth. If you are edentulous and have no teeth, you cannot put a bridge. You need to have some existing teeth in order to connect them and fabricate the bridge.

What are the pros and cons of dental bridges?

The pros of dental bridges are that if you put the bridge permanently with cement, the teeth cannot move, alleviating leaning teeth, misplacement, and misalignment. It also gives you chewing ability and improves aesthetics. The negative aspect is that it is difficult to clean a bridge, which requires extra work. If you don't clean around the bridge, the supporting teeth could fail.

What are the different types of dental bridges?

We have different types of bridges. One of them is called a cantilever bridge, which is applied in very specific situations where you do not have to prep or grind on the teeth. It requires very little preparation, usually not even needing anesthesia, but it applies only to situations where there are no interferences with other teeth.

What are the alternatives to a dental bridge?

The primary alternative to a bridge would be placing an implant. If you have good bone structure to place an implant, that would be the priority because it provides the best results.

What is a removable dental bridge versus a fixed dental bridge?

Removable bridges, often called partials by patients, mean you can remove the bridge and do not alter the surface of the teeth attached to it. A permanent bridge requires the reduction of the tooth, taking an impression, sending it to the lab, and permanently cementing it in place so that the bridge is not removable.

What are the benefits of dental bridges?

The benefits of dental bridges include replacing missing teeth, improving function, enhancing the ability to eat, and improving aesthetics.

Is dental bridge work painful?

To prep for a dental bridge, you have to be numb. With a local anesthetic, you will be numb and should not feel anything.

How long does a dental bridge last?

The longevity of a dental bridge varies. In my practice, I've seen bridges that are 30 years old and still in good condition, while others fail after a year or two. It really depends on your hygiene. If the bridge is well done, the margins are sealed, and you maintain proper hygiene, the bridge can last for a long time.

How should I care for my dental bridge?

To maintain your bridge for a long time, good oral hygiene is very important. One of the greatest tools is a water pick. Using a water pick with some Listerine in the reservoir, after regular flossing, and flushing under the bridge is the best way to take care of it.

I hope I answered your questions about dental bridges. If you need any more information, please do not hesitate to call us at Lyons Family Dentistry. Our number is (640) 400-0113.

Bridge

Missing one or more teeth is common for many people

The ADA reports that on average adult patients may have three missing or decayed teeth. Fortunately, there are a number of solutions to replace missing teeth, including dental bridges. A bridge may be used to restore an area with one or more adjacent missing teeth. A bridge has two primary components.  The abutments (or supports) for the bridge are created by placing a crown on either a natural tooth or an implant. The synthetic tooth that replaces the missing tooth is called a pontic. In the case of one missing tooth, the two teeth on either side will be prepped for crowns and the missing tooth will be replaced with a synthetic tooth that is connected to the crowns on either side of the missing tooth. In the case of several adjacent missing teeth, one or more implants may provide the abutmen

There are four main types of dental bridges:

Traditional Dental Bridge

This is the most common type of dental bridge. The existing teeth are crowned with one or more pontics between and held in place by the crowned abutments. The crowns are cemented onto the teeth adjacent to the missing teeth to create a support structure or “bridge” for the missing teeth.

Cantilever Bridge

This type of bridge is similar to a traditional bridge, except that the structure is supported on only one side instead of both sides. This can cause the restoration to act as a “lever” and may create additional stress on the supporting tooth, causing it to be more likely to loosen or fracture.

Implant Supported Bridge

Instead of using existing teeth to support a bridge, a dental implant may be substituted to provide support for one or both sides of a dental bridge. This is a popular option that can provide a very secure restoration. This solution is particularly helpful when there are several adjacent missing teeth.

Maryland Bridge

This type of bridge is supported by a metal structure which is cemented onto the back of existing teeth. While not as strong as a traditional bridge, it can preserve the tooth structure of the adjacent teeth by avoiding the use of crowns for the abutments. It may not stay in place when heavy forces are placed on the restoration (such as biting and chewing) and does add pressure to the supporting teeth.

Contact our office to learn more about your restorative options and achieve the smile you have always wanted.

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