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A bridge is a non-removable (fixed), natural appearing dental restoration that is constructed to replace one or more missing teeth. A bridge helps prevent shifting of the teeth that can lead to occlusion (bite) problems, TMJ (jaw) problems, and resultant periodontal disease. Similarly, a bridge restores chewing function and helps to support the facial structures allowing for a more youthful appearance.
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A bridge is most commonly made out of porcelain with a metal substructure that provides added strength and durability. There are three main types of bridges:
- A fixed-bridge is the most common type of bridge. This bridge requires the support of the adjacent teeth (abutments) on either side of the missing tooth space. The adjacent teeth are re-shaped to allow for the bridge to fit over the top with artificial teeth (pontics) filling the space in between.
- A "Maryland" bridge consists of an artificial tooth or pontic which fills in the missing tooth space and two "wings" that attach onto the back sides of the adjacent teeth.
- A Cantilever bridge may be used when there are teeth on only one side of the missing tooth space. The last remaining teeth within the dental arch are used as abutments and the pontic tooth extends off of the abutment teeth filling the open space.
Dr. Benting will help you determine which type of bridge is best suited for your specific treatment needs.
Dr. Benting's Patient Illustrates a Fixed Bridge Solution
This patient was missing two teeth in the upper left posterior region. The patient was not interested in dental implants as a treatment option and decided on a fixed bridge to replace the missing teeth.
| Three teeth were used as abutments to provide added support for the five tooth span of the bridge. |
The bridge was cemented into place providing the patient with improved esthetics and function. |
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What does getting a fixed bridge involve?
The procedure for fitting a new bridge is typically completed in two to three appointments. The first appointment involves re-shaping the involved teeth and making impressions or molds of the teeth. This impression allows for the construction of a temporary bridge which is constructed and temporarily cemented to the teeth while to permanent bridge is fabricated. Depending upon the area of the mouth in which the bridge is located, an additional appointment may be advisable to allow for evaluation of the color and contour of the temporary bridge prior to the construction of the definitive bridge. During the next appointment, the permanent bridge is tried onto the teeth to allow for evaluation of the look and fit. Any necessary adjustments are made and the bridge is then cemented into place.
Occasionally your bridge may be temporarily cemented in order to allow your teeth and tissue time to get used to the new bridge. The new bridge will be permanently cemented at a later time.
Once the bridge procedure is completed, proper oral hygiene habits and routine maintenance are required to prevent the development of gum disease around the bridged teeth or dental decay from occurring around and/or underneath your bridge. Similarly, proper preventative habits will ensure the longevity of your bridge. Dental bridges are highly durable and will last many years, however they may need replacement or need to be re-cemented due to normal wear.