About dental bridges
A permanent and reliable solution for replacing missing teeth, a dental bridge distinguishes itself from removable partial dentures by relying on crowns affixed to adjacent teeth or dental implants. This restoration method not only reinstates the natural appearance and functionality of a smile but also safeguards against teeth shifting and upholds proper bite alignment.
The origins of fixed dental bridges trace back thousands of years, with ancient civilizations employing diverse materials like animal and human teeth, bones, gold, and ivory to address gaps in smiles. Fortunately, advancements in dental materials and technology have transformed this practice.
Contemporary dental bridges are meticulously crafted from premium materials such as porcelain, porcelain fused to metal, and engineered ceramics like zirconia. These modern bridges surpass their predecessors in strength and durability while offering enhanced aesthetic appeal. The result is a natural and attractive appearance that seamlessly integrates with the surrounding teeth.
Common types
A dental bridge provides a solution for the replacement of one or more missing teeth, taking into account factors such as the quantity of missing teeth, the condition of the remaining teeth, and other relevant considerations. Among the four main types of bridges – traditional fixed bridge, implant-supported bridge, cantilever bridge, and Maryland bridge – the traditional fixed bridge and the implant-supported bridge are the most commonly recommended options.
Traditional fixed bridge
A conventional fixed bridge typically involves the preparation and crowning of teeth on both sides of the empty space in the mouth. These crowned teeth serve as a foundation for the artificial teeth, referred to as "pontics," which bridge the gap. Much like a bridge spanning water relies on sturdy pillars at each end, a dental bridge gains strength and stability from the crowned teeth fused to one or more pontics.
In contrast, a cantilever fixed bridge, though resembling a traditional fixed bridge, differs significantly. In this arrangement, only one side of the pontic is connected to a crown for support.
Implant-Supported Bridges
Dental implants represent the forefront of tooth replacement methods, closely replicating the appearance, sensation, and functionality of natural teeth. Opting for an implant-supported bridge often emerges as the optimal choice, as it eliminates the necessity to prepare or involve neighboring natural teeth.
Functioning much like natural tooth roots, dental implants play a crucial role in providing essential support for a bridge. Implant-supported bridges offer a flexible approach to restoring a complete smile, as strategically positioned implants can effectively support any number of replacement teeth. Furthermore, dental implants counteract the bone shrinkage that typically follows tooth loss, helping to preserve normal facial contours.
At Lakeview Family Dentistry, our commitment is to assist every patient in attaining excellent oral health and a beautiful smile. We deliver expert and experienced care, utilizing advanced dental implant solutions to transform incomplete smiles into confident ones that not only look exceptional but also function remarkably well.
What to expect when getting a traditional bridge
The process of creating fixed bridges 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 choosing 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 protect the prepared teeth.
Following teeth preparation, some sensitivity and gum soreness may be experienced, 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.
Caution is essential with temporary restorations as they lack the durability of permanent ones. If your temporary bridge sustains damage or becomes dislodged, it's crucial 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 generally considered a minor outpatient surgical procedure, and its complexity depends on factors such as the type and number of implants required, along with any additional procedures necessary to prepare the supporting bone.
As your committed partner in care, our priority is to keep you well-informed throughout the entire process. To ensure the precise placement of your implant-supported bridge, we will gather detailed diagnostic records, including 3D images of your jaws and the targeted area.
Patient care and comfort are central in our practice. We strive 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.