For many Australians, smiling confidently without worrying about a gap in their teeth is a struggle. Good thing there is such a thing as a dental bridge.
This blog post aims to provide comprehensive information about what a dental bridge is, its types, procedures, benefits, and potential risks.
Should you get a dental bridge?
Let’s begin by exploring what a dental bridge is and how it works.
What is a dental bridge?
A dental bridge is a prosthetic device designed to replace a single tooth or multiple consecutive missing teeth. It consists of a pontic which is the artificial tooth, and abutments, which are the natural teeth that anchor the bridge on either side.
Types of dental bridges
There are different types of bridges in dentistry. Each one serves the same purpose but differs in mechanics.
Here are five, starting with the Cantilever bridge.
- Cantilever Bridge Teeth
The pontic is attached to a wing-like extension on the abutment tooth. It is often used for replacing a terminal tooth, meaning a tooth at the end of a dental arch.
An advantage of cantilever dental bridges is that it can be less invasive than other dental bridge types, requiring fewer abutment teeth. As a disadvantage, the abutment tooth can experience increased stress and strain, potentially leading to damage or fracture.
Another type of dental bridge is the Maryland bridge.
- Maryland Bridge
Also known as a resin-bonded bridge, this type of bridge is held in place by a metal framework that is bonded to the back surfaces of adjacent teeth.
The pontic is attached to the metal framework, which is then bonded to the prepared surfaces of the abutment teeth using a special dental adhesive.
Maryland bridges are often less invasive than traditional bridges, as they require minimal preparation of the abutment teeth. However, the adhesive bond may weaken over time, potentially causing the bridge to become loose or fall out.
Maryland bridges are often suitable for replacing a single anterior tooth, especially in cases where there is limited space for traditional abutment preparation.
- Anterior Bridge Teeth
Anterior bridges are designed for the front teeth, including the incisors and canines, restoring their function and improving the appearance of the smile. They are typically made of porcelain or porcelain fused to metal to match the natural appearance of the teeth.
Anterior bridges are supported by abutment teeth on either side and are typically cemented into place.
A common type of dental bridge is the crown bridge, also known as the traditional bridge.
- Crown Bridge
A crown bridge is also known as a traditional or fixed bridge, the most common type of dental bridge.
The abutment teeth are prepared to receive crowns which are then cemented onto the teeth. The pontic is then attached to the crowns, forming a bridge that spans the gap.
Dental crown bridges are suitable for replacing missing teeth in most situations, regardless of the location in the mouth.
Another option for replacing missing teeth is an implant-supported bridge.
- Implant Supported Bridge
Dental implants are another tooth replacement options. They fuse with the jawbone, providing a stable foundation for the bridge.
Implant-supported bridges have a pontic that is then attached to the implants using abutments. They do not require the preparation of adjacent teeth, preserving healthy tooth structure. Although, they are typically more expensive than other types of bridges and may require a longer treatment time.
This type of bridge is suitable for most patients with adequate bone density in the jaw and good general health.
The dental bridge procedure
Now knowing the different types of dental bridges, let us understand the procedure for getting one.
The dental bridge procedure typically involves the following steps:
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- Consultation. You will meet with your dentist to discuss your dental health and the available options for replacing your missing teeth. The dentist will assess your oral health and determine if a dental bridge is suitable for you.
- Preparation. The abutment teeth will be prepared by removing some of the tooth enamel to create a space for the crowns that will support the bridge. Temporary crowns may be placed on the prepared teeth during this stage.
- Impression. The dentist will take an impression of your teeth and the space where the missing teeth are located. This impression will be used to create a model of your teeth and the bridge.
- Bridge Fabrication. The dental lab will use the impression to create the dental bridge. A pontic, which is the artificial tooth or teeth that replace the missing ones, will be made from materials such as porcelain, porcelain fused to metal, or metal.
- Placement. Once the bridge is ready, the pontic is cemented to the crowns on the abutment teeth. This can be done using either a metal framework or a dental adhesive, depending on the type of bridge.
- Adjustments. If necessary, the dentist may make adjustments to the bridge to ensure a comfortable fit and proper function.
- Aftercare. Your dentist will provide you with instructions for caring for your dental bridge, including proper oral hygiene and regular dental check-ups.
The entire dental bridge procedure may take several weeks to complete, depending on the complexity of the case and the materials used.
Benefits and considerations of a dental bridge
According to the Australian Institute of Health and Welfare, only about 11% of Australians had no dental decay experience in their permanent teeth. Those whose dental decay was left untreated led to tooth loss that significantly impacted their oral health, self-esteem, and overall quality of life.
When teeth are missing, the surrounding teeth may shift out of place. Dental bridges can replace missing teeth and help maintain the alignment of your teeth, preventing further dental problems.
Just as important, dental bridges restore chewing, speaking, and smiling abilities, allowing you to enjoy your favourite foods and engage in social interactions more confidently.
If you are considering replacing missing teeth, it’s important to consult with a dentist to discuss your options and determine if a dental bridge is right for you.
Before deciding on a dental bridge, here are some key considerations to take:
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- Oral health condition
- Location of missing teeth
- Healthy abutment teeth
- Adequate bone density
- Aesthetic preferences
- Cost
Risks and potential complications on dental bridges
While dental bridges offer numerous benefits, it’s important to be aware of the potential complications that may arise.
Here are some common issues associated with dental bridges:
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- Gum Irritation. Gum irritation can occur if the bridge is not properly fitted or if there is poor oral hygiene. This can lead to inflammation and discomfort.
- Tooth Sensitivity. The abutment teeth may become sensitive after the bridge is placed, especially if the teeth are prepared extensively. This sensitivity should subside over time.
- Abutment Tooth Decay or Fracture. If the abutment teeth are not properly cared for, they may develop decay or fractures. This can compromise the stability of the bridge and lead to further dental problems.
- Gum Recession. Over time, the gums around the abutment teeth may recede, exposing more of the tooth structure. This can make the bridge more susceptible to decay and fracture.
- Bridge Failure. In rare cases, a dental bridge may fail. This can occur due to factors such as poor oral hygiene, excessive biting forces, or underlying dental problems.
To ensure the longevity and success of your dental bridge, it’s crucial to maintain good oral hygiene and schedule regular dental check-ups.
Here are some tips for caring for your dental bridge:
- Brush your teeth twice a day. Brush your teeth twice a day with a soft-bristled toothbrush and fluoride toothpaste. Pay particular attention to the area around the bridge and the abutment teeth.
- Floss daily. Flossing is essential for removing food particles and plaque from around the bridge and the abutment teeth. Use a floss threader to reach under the bridge and between the teeth.
- Avoid hard foods. Avoid biting into hard foods that could damage the bridge or the abutment teeth.
- Limit sugary and acidic drinks. Excessive consumption of sugary and acidic drinks can contribute to tooth decay and gum disease.
- Schedule regular dental check-ups. Visit your dentist for regular check-ups and cleanings. Your dentist will monitor the health of your bridge and the abutment teeth and address any potential problems.
- Report any discomfort. Contact your dentist immediately if you experience any discomfort, pain, or sensitivity around your bridge. Early detection and treatment can help prevent more serious problems.
FAQs
Q: How long do dental bridges last?
A: Dental bridges can last 5 to 15 years or even longer with proper care.
Q: Does getting a dental bridge hurt?
A: The procedure typically involves minimal discomfort, as local anesthesia is used to numb the area. You may experience some sensitivity after but this should subside within a few days.
Q: What are the alternatives to dental bridges?
A: Dental implants and dentures are alternative treatment options for replacing missing teeth. Each has its advantages and disadvantages, and the best choice for you will depend on your situation.
Q: What is the difference between dentures and bridges?
A: In most cases, dentures are removable appliances that replace a full arch of teeth or some of the teeth in an arch while bridges are fixed restorations that replace a single tooth or multiple missing teeth.
Q: Are temp bridges used before the dental bridge placement?
A: Yes, temporary bridges are often used during the time it takes to fabricate the permanent bridge. These temporary bridges provide a temporary restoration and help maintain the appearance of your smile while the permanent bridge is being constructed.
Q: How many dental visits will it take to get a dental bridge?
A: The number of dental visits required to get a dental bridge can vary depending on the complexity of the case and the type of bridge being used. However, it typically takes several visits to complete the process, including consultations, preparations, impressions, and bridge placement.
Dental Bridge: A Permanent Cosmetic and Restorative Solution
As a recap, dental bridges are fixed restorations that replace a single tooth or multiple consecutive teeth, offering a reliable solution for replacing missing teeth and restoring your oral health and smile.
The mentioned types (Cantilever, Maryland, anterior, traditional, and implant-supported) provide numerous benefits. There are also potential complications associated with dental bridges, but proper care can help minimize these risks.
If you’re considering replacing missing teeth and want to explore if a dental bridge is the right choice for you, schedule a consultation with a dentist at Inner West Dental.
Our experienced team can assess your needs and recommend the best course of dental treatment to restore your smile and oral health. Know more about our cosmetic dentistry services and advanced restorative treatments and book an appointment today!