About dental bridges
A dental bridge is a reliable and permanent solution for replacing missing teeth. Unlike removable partial dentures, which attach to existing teeth, a dental bridge relies on crowns attached 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 used for thousands of years. Ancient civilizations used various materials such as animal and human teeth, bones, gold, and ivory to fill gaps in smiles.
Fortunately, dental materials and technology have advanced over time. Modern dental bridges are made 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 can be used to replace one or multiple missing teeth, depending on the number of missing teeth, the condition of the remaining teeth, and other factors. While there are four main types of bridges, including a traditional fixed bridge, an implant-supported bridge, a cantilever bridge, and a Maryland bridge, the most commonly recommended options are the traditional fixed bridge and the implant-supported bridge.
Traditional fixed bridge
A traditional fixed bridge usually involves preparing and crowning teeth on both sides of the empty space in the mouth. These crowned teeth serve as support for the artificial teeth, called "pontics," that fill the gap. Just like a bridge over water relies on strong pillars at each end, a dental bridge gains strength and stability from the crowned teeth fused to one or more pontics.
On the other hand, a cantilever fixed bridge, although similar to a traditional fixed bridge, differs in one important aspect. Only one side of the pontic is attached to a crown for support.
Implant-Supported Bridges
Dental implants are the most advanced method for replacing missing teeth, closely replicating the look, feel, and function of natural teeth. An implant-supported bridge is often the best option for care because it eliminates the need to prepare or involve adjacent natural teeth.
Dental implants behave like natural tooth roots, providing the necessary support for a bridge. Implant-supported bridges offer a versatile approach to rebuilding a complete smile, as strategically placed implants can support any number of replacement teeth. Additionally, dental implants prevent bone shrinkage that occurs when teeth are lost, helping to maintain normal facial contours.
At Lakeview Family Dentistry, our mission is to help every patient achieve good oral health and a beautiful smile. We offer skilled and experienced care, utilizing advanced dental implant-based solutions to transform incomplete smiles into confident ones that look great and function well.
What to expect when getting a traditional bridge
Fixed bridges are usually made in multiple visits. The process includes preparing the supporting teeth, taking impressions, placing a temporary bridge, and finally cementing the permanent restoration.
The first step is a thorough diagnostic workup to create a suitable treatment plan. For patients receiving a traditional fixed bridge, the next step is 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 next one. In the meantime, temporary crowns or a temporary bridge will be placed to protect the prepared teeth.
After the teeth are prepared, it is common to experience some sensitivity and gum soreness, which should subside over time. However, temporary restorations may not fit as precisely as the final permanent crown or bridge, so you may still feel some sensitivity until the treatment is completed.
It is important to be cautious with temporary restorations as they are not as durable as permanent ones. If your temporary bridge gets damaged or comes off, please keep it and contact our office to schedule an appointment for a replacement. Do not try to fix it yourself.
Before cementing the new bridge, we will check the shade, contours, fit, and occlusion. Once everything is confirmed, the permanent restoration will be placed. Since 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 your bite still feels off after a couple of days or if any discomfort persists, please contact our office as you may need a minor adjustment.
What to expect when getting an implant-supported bridge
The placement of dental implants is generally considered a minor surgical procedure that is done on an outpatient basis. The extent of the procedure depends on the type and number of implants needed, as well as any additional procedures required to prepare the supporting bone.
As your trusted partner in care, we will keep you well informed throughout the process. To ensure precise placement of your implant-supported bridge, we will take detailed diagnostic records, including 3D images of your jaws and the area involved.
Patient care and comfort are our top priorities. We strive to make every visit to our office comfortable and stress-free. Before placing your dental implants, we will discuss anesthesia options and dental sedation, as well as provide detailed pre-op and post-op care instructions.
After the dental implants for your bridge are placed, it may take a few months for them to fully integrate with the surrounding bone. In some cases, a temporary bridge can be placed on the same day to provide an immediate and aesthetically pleasing look. However, the permanent bridge is typically placed once healing and fusion with the surrounding bone are complete.