About dental bridges
A dental bridge stands as a reliable and permanent solution for replacing missing teeth. Unlike removable partial dentures that attach to existing teeth, a dental bridge relies on crowns affixed to neighboring teeth or dental implants. This not only restores the appearance and function of a natural smile but also prevents teeth from shifting and maintains proper bite alignment.
The concept of a fixed dental bridge is not new and has been employed for thousands of years. Ancient civilizations utilized various materials such as animal and human teeth, bones, gold, and ivory to fill gaps in smiles.
Fortunately, dental materials and technology have evolved over time. Modern dental bridges are crafted from high-quality materials like porcelain, porcelain fused to metal, and engineered ceramics like zirconia. These bridges are not only stronger and more durable but also more aesthetically pleasing, providing a natural and attractive appearance.
Common types
A dental bridge serves as a solution to replace one or multiple missing teeth, dependent on factors such as the number of missing teeth, the condition of the remaining teeth, and other considerations. Among the four primary types of bridges – traditional fixed bridge, implant-supported bridge, cantilever bridge, and Maryland bridge – the most frequently recommended options are the traditional fixed bridge and the implant-supported bridge.
Traditional fixed bridge
A traditional fixed bridge typically entails the preparation and crowning of teeth on both sides of the vacant space in the mouth. These crowned teeth act as support for the artificial teeth, known as "pontics," which fill the gap. Similar to a bridge over water relying on robust pillars at each end, a dental bridge derives strength and stability from the crowned teeth fused to one or more pontics.
In contrast, a cantilever fixed bridge, while resembling a traditional fixed bridge, differs in a crucial aspect. In this configuration, only one side of the pontic is attached to a crown for support.
Implant-Supported Bridges
Dental implants represent the most advanced method for replacing missing teeth, closely mimicking the look, feel, and function of natural teeth. An implant-supported bridge often stands out as the optimal care option because it eliminates the need to prepare or involve adjacent natural teeth.
Operating akin to natural tooth roots, dental implants provide essential support for a bridge. Implant-supported bridges offer a versatile approach to restoring a complete smile, as strategically placed implants can support any number of replacement teeth. Moreover, dental implants counteract bone shrinkage resulting from tooth loss, preserving normal facial contours.
At Lakeview Family Dentistry, our mission is to assist every patient in achieving excellent oral health and a beautiful smile. We provide skilled and experienced care, employing advanced dental implant-based solutions to transform incomplete smiles into confident ones that not only look great but also function exceptionally well.
What to expect when getting a traditional bridge
The process of creating fixed bridges typically involves multiple visits to ensure precision and effectiveness. The step-by-step procedure includes preparing the supporting teeth, obtaining impressions, placing a temporary bridge, and finally, cementing the permanent restoration.
Initially, a comprehensive diagnostic workup is conducted to formulate an appropriate treatment plan. For patients opting for a traditional fixed bridge, the next step involves preparing the abutment teeth for full-coverage crowns. Depending on the number of teeth involved, an impression for the permanent bridge may be taken during this visit or the subsequent one. Meanwhile, temporary crowns or a temporary bridge are fitted to safeguard the prepared teeth.
Following the teeth preparation, it's common to experience some sensitivity and gum soreness, which typically diminishes over time. However, temporary restorations may not offer the same precision fit as the final permanent crown or bridge, leading to potential sensitivity until the treatment is completed.
Exercising caution with temporary restorations is crucial as they lack the durability of permanent ones. If your temporary bridge sustains damage or becomes dislodged, it's essential to preserve it and promptly contact our office to schedule an appointment for a replacement. Attempting self-repairs is discouraged.
Before cementing the new bridge, we conduct a thorough examination of the shade, contours, fit, and occlusion. Once everything is confirmed, the permanent restoration is placed. As you have been wearing a temporary restoration, you may notice a slight difference in your bite and feel some pressure as the new restoration establishes proper contact with the adjacent teeth. If any discomfort persists or if your bite feels off after a couple of days, please contact our office, as a minor adjustment may be necessary.
What to expect when getting an implant-supported bridge
The placement of dental implants is typically considered a minor outpatient surgical procedure, the extent of which depends on the type and number of implants required, along with any additional procedures needed to prepare the supporting bone.
As your dedicated partner in care, we prioritize keeping you well-informed throughout the entire process. To ensure the precise placement of your implant-supported bridge, we will obtain detailed diagnostic records, including 3D images of your jaws and the targeted area.
Patient care and comfort are paramount in our practice. We aim to make each visit to our office comfortable and stress-free. Before proceeding with the placement of your dental implants, we will discuss anesthesia options and dental sedation, providing comprehensive pre-op and post-op care instructions.
Following the placement of dental implants for your bridge, a few months may be required for them to fully integrate with the surrounding bone. In some instances, a temporary bridge can be placed on the same day for immediate aesthetic satisfaction. However, the permanent bridge is typically installed once complete healing and fusion with the surrounding bone have occurred.