About dental bridges
A dental bridge is a long-lasting and dependable solution for replacing missing teeth. Instead of attaching to existing teeth like removable partial dentures, a dental bridge relies on crowns attached to neighboring teeth or dental implants. This not only restores the natural appearance and function of a smile but also prevents teeth from shifting and maintains proper bite alignment.
The idea of a fixed dental bridge is not new and has been used for centuries. Ancient civilizations used materials like animal and human teeth, bones, gold, and ivory to fill gaps in smiles.
Fortunately, advancements in dental materials and technology have been made over time. Modern dental bridges are now made from high-quality materials such as 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 look.
Common types
A dental bridge can be utilized to replace one or more missing teeth, depending on various factors such as the number of missing teeth, the condition of the remaining teeth, and other considerations. The most commonly recommended types of bridges are the traditional fixed bridge and the implant-supported bridge, although there are four main types available including the traditional fixed bridge, implant-supported bridge, cantilever bridge, and Maryland bridge.
Traditional fixed bridge
A traditional fixed bridge typically requires preparing and crowning teeth on both sides of the empty space in the mouth. These crowned teeth provide support for the artificial teeth, known as "pontics," that fill the gap. Similar to a bridge over water needing strong 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, while similar to a traditional fixed bridge, has a key difference. Only one side of the pontic is attached to a crown for support.
Implant-Supported Bridges
Dental implants are the most advanced way to replace missing teeth, closely mimicking the appearance, feel, and function of natural teeth. An implant-supported bridge is often the preferred option because it does not require preparation or involvement of neighboring natural teeth.
These implants act like natural tooth roots, providing the necessary support for a bridge. Implant-supported bridges offer a flexible approach to restoring a complete smile, as strategically placed implants can support any number of replacement teeth. Additionally, dental implants prevent bone loss that can occur when teeth are missing, helping to maintain normal facial structure.
At Lakeview Family Dentistry, our goal is to help every patient achieve optimal oral health and a beautiful smile. We provide expert care and utilize advanced dental implant solutions to transform incomplete smiles into confident ones that both look and function well.
What to expect when getting a traditional bridge
Fixed bridges are typically made over multiple visits. The process involves preparing the supporting teeth, taking impressions, placing a temporary bridge, and finally cementing the permanent restoration.
The first step is a comprehensive diagnostic evaluation to develop an appropriate treatment plan. For patients receiving 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 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 improve 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 handle temporary restorations with care as they are not as durable as permanent ones. If your temporary bridge becomes damaged or comes off, please keep it and contact our office to schedule an appointment for a replacement. Do not attempt to fix it yourself.
Before cementing the new bridge, we will assess 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 process of placing dental implants is typically considered a minor surgical procedure that is performed on an outpatient basis. The complexity of the procedure will vary depending on the type and number of implants needed, as well as any additional procedures necessary to prepare the supporting bone.
We are committed to keeping you well-informed throughout the entire process as your trusted partner in care. To ensure the precise placement of your implant-supported bridge, we will take detailed diagnostic records, including 3D images of your jaws and the specific area involved.
Patient care and comfort are our top priorities, and we strive to make each visit to our office as comfortable and stress-free as possible. Before proceeding with the placement of your dental implants, we will discuss anesthesia options and dental sedation, as well as provide you with detailed pre-operative and post-operative care instructions.
Following the placement of your dental implants for the bridge, it may take several 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 immediate aesthetic benefits. However, the permanent bridge is typically placed once the healing process and fusion with the surrounding bone are complete.