About dental bridges
A dental bridge presents a reliable and permanent solution for the replacement of missing teeth. In contrast to removable partial dentures that attach to existing teeth, a dental bridge relies on crowns affixed to neighboring teeth or dental implants. This not only reinstates 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 a recent development and has been employed for thousands of years. Ancient civilizations utilized various materials such as animal and human teeth, bones, gold, and ivory to address gaps in smiles.
Fortunately, dental materials and technology have progressed significantly over time. Modern dental bridges are crafted from high-quality materials like porcelain, porcelain fused to metal, and engineered ceramics such as zirconia. These bridges are not only stronger and more durable but also boast a more aesthetically pleasing quality, providing a natural and attractive appearance.
Common types
A dental bridge serves as a solution to replace one or multiple missing teeth, determined by factors such as the number of missing teeth, the condition of the remaining teeth, and other relevant 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 conventional fixed bridge typically requires the preparation and crowning of teeth on both sides of the vacant space in the mouth. These crowned teeth act as supports for the artificial teeth, known as "pontics," which bridge the gap. Similar to a bridge over water relying on sturdy 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, though akin to a traditional fixed bridge, differs in a crucial aspect. Only one side of the pontic is affixed to a crown for support.
Implant-Supported Bridges
Dental implants represent the most advanced solution for replacing missing teeth, closely mirroring the appearance, sensation, and functionality of natural teeth. An implant-supported bridge stands out as an optimal care option, eliminating the need to prepare or involve adjacent natural teeth.
Functioning akin to natural tooth roots, dental implants provide essential support for a bridge. Implant-supported bridges present a versatile approach to restoring a complete smile, as strategically placed implants can support any number of replacement teeth. Moreover, dental implants prevent the bone shrinkage that typically occurs when teeth are lost, preserving natural facial contours.
At Lakeview Family Dentistry, our commitment is to assist every patient in achieving excellent oral health and a beautiful smile. We provide expert and experienced care, employing advanced dental implant-based solutions to transform incomplete smiles into confident ones that not only look appealing but also function optimally.
What to expect when getting a traditional bridge
The process of creating fixed bridges typically involves multiple visits to our office. This comprehensive procedure encompasses preparing the supporting teeth, taking impressions, placing a temporary bridge, and ultimately cementing the permanent restoration.
The initial step involves a thorough diagnostic workup to formulate an appropriate treatment plan. For patients opting for a traditional fixed bridge, the subsequent phase entails 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 will be installed to safeguard the prepared teeth.
Following the teeth preparation, it is common to experience some sensitivity and gum soreness, which should diminish over time. However, temporary restorations may not fit as precisely as the final permanent crown or bridge, potentially causing some sensitivity until the treatment is concluded.
It is crucial to handle temporary restorations with care as they are not as resilient as permanent ones. In the event of damage or dislodgment of your temporary bridge, please retain it and promptly contact our office to schedule an appointment for a replacement. Attempting to rectify it independently is not advisable.
Before cementing the new bridge, we meticulously assess the shade, contours, fit, and occlusion. Once these aspects are confirmed, the permanent restoration is 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 a minor adjustment may be needed.
What to expect when getting an implant-supported bridge
The placement of dental implants is generally considered a minor outpatient surgical procedure. The complexity of the procedure depends on factors such as the type and number of implants needed, along with any additional preparations required for the supporting bone.
Our commitment to patient care and comfort is paramount. Throughout the process, we keep you well-informed and ensure that every visit to our office is comfortable and stress-free. To achieve precise placement of your implant-supported bridge, we take detailed diagnostic records, including 3D images of your jaws and the relevant area.
Before the placement of your dental implants, we discuss anesthesia options, dental sedation, and provide comprehensive pre-operative and post-operative care instructions. Our goal is to address any concerns and make you feel at ease.
Following the placement of your dental implants, it typically takes a few months for them to fully integrate with the surrounding bone. In certain cases, we may be able to install a temporary bridge on the same day, offering immediate aesthetic benefits. However, the permanent bridge is generally placed after complete healing and fusion with the surrounding bone have occurred.