What Are Dental Bridges and How Do They Work?
When it comes to replacing missing teeth, dental bridges offer a reliable, natural-looking solution. Dental bridges can restore the function and appearance of your smile, helping you chew, speak, and smile with confidence. In this guide, we’ll take a closer look at what dental bridges are, how they work, their different types, and the benefits they offer.
What Is a Dental Bridge?
A dental bridge is a fixed dental restoration that fills the gap left by one or more missing teeth. It’s made up of one or more artificial teeth (called pontics) that are anchored to the natural teeth or implants on either side of the gap, known as abutment teeth. By bridging the space, these restorations help restore your smile’s appearance, function, and structural integrity.
- Natural Appearance: Bridges are custom-made to blend in with the surrounding teeth, providing a seamless, natural look.
- Fixed Solution: Unlike removable dentures, dental bridges are permanently bonded, meaning you won’t have to remove them daily.
How Does a Dental Bridge Work?
Dental bridges work by anchoring the pontic (replacement tooth) between two abutments. Depending on the type of bridge and the location of the missing tooth, the abutments may be natural teeth, crowns, or dental implants. Here’s an overview of the process:
- Preparation of Abutment Teeth: The natural teeth on either side of the gap are shaped and prepared to hold the bridge securely. This often involves reducing the size of the teeth slightly so crowns can fit over them.
- Impression and Design: Your dentist takes an impression of your mouth to create a model, ensuring that the bridge is crafted to match your bite and blend with your other teeth.
- Bridge Placement: Once the bridge is ready, your dentist will place it in your mouth, adjusting the fit as needed. The bridge is then cemented onto the abutment teeth or attached to implants, making it a permanent fixture.
Types of Dental Bridges
There are four main types of dental bridges, each suited to different situations:
1. Traditional Dental Bridge
The most common type, a traditional bridge, consists of a pontic held in place by crowns cemented onto the abutment teeth on either side of the gap.
- Best For: Replacing a single missing tooth or multiple missing teeth in areas with healthy teeth on either side.
- Advantages: Provides a stable, long-lasting solution; supports proper bite and chewing function.
2. Cantilever Bridge
In cases where there is only one abutment tooth available (for example, at the back of the mouth), a cantilever bridge is used. The pontic is supported by a single crown on one side.
- Best For: Areas with only one natural tooth available for support, typically at the back of the mouth.
- Advantages: Allows for tooth replacement in areas with limited support.
3. Maryland Bridge (Resin-Bonded Bridge)
A Maryland bridge uses metal or porcelain wings that bond to the back of the abutment teeth. This type is typically used for replacing front teeth, where biting pressure is lower.
- Best For: Missing front teeth where surrounding teeth are healthy and don’t require crowns.
- Advantages: Less invasive, as it doesn’t require the preparation of abutment teeth; preserves natural tooth structure.
4. Implant-Supported Bridge
An implant-supported bridge is anchored to dental implants rather than natural teeth. This type is often used when multiple adjacent teeth are missing, as it doesn’t rely on natural teeth for support.
- Best For: Larger gaps where several teeth are missing; cases where natural teeth are not strong enough to support a traditional bridge.
- Advantages: Offers excellent stability and strength, with the added benefit of preserving bone health by stimulating the jawbone.
Benefits of Dental Bridges
Dental bridges offer several advantages, making them a popular choice for tooth replacement:
- Restores Functionality: Replacing missing teeth with a bridge allows you to chew and speak comfortably, improving daily life.
- Prevents Shifting: Filling the gap left by missing teeth prevents neighboring teeth from shifting, which could otherwise lead to misalignment and bite issues.
- Enhances Appearance: Custom-made to match your smile, bridges provide a natural look and restore confidence in your appearance.
- Preserves Face Shape: Missing teeth can lead to changes in facial structure over time. By restoring your smile with a bridge, you help maintain the natural shape of your face.
- Offers a Fixed Solution: Unlike dentures, which are removable, bridges are permanently fixed, providing a secure, low-maintenance option.
Are You a Candidate for a Dental Bridge?
A dental bridge can be an effective solution for many people, but it’s essential to determine if it’s the right choice for you. Here are some factors to consider:
- Number and Location of Missing Teeth: Bridges are generally suitable if you have one or a few missing teeth with healthy abutment teeth on either side of the gap.
- Oral Health: Healthy gums and strong, stable abutment teeth or implants are essential for supporting a bridge.
- Bone Density: In the case of implant-supported bridges, adequate bone density is required to place implants.
- Lifestyle and Maintenance: Bridges are generally low-maintenance but require good oral hygiene to prevent plaque buildup and decay on the abutment teeth.
Your dentist can evaluate your oral health and discuss your goals to help you determine if a dental bridge is the best option for you.
The Process of Getting a Dental Bridge
If you decide to proceed with a dental bridge, here’s what you can expect during the process:
Initial Consultation
Your dentist will assess your dental needs, including a visual examination, x-rays, and possibly 3D scans, to determine the best type of bridge for your situation.
Preparation and Impressions
If a traditional or cantilever bridge is chosen, your abutment teeth will be shaped, and an impression or digital scan will be taken. This model will be used to design a bridge that fits comfortably in your mouth and matches your other teeth.
Temporary Bridge
While your permanent bridge is being crafted, your dentist may place a temporary bridge to protect the prepared abutment teeth and preserve aesthetics.
Placement of the Permanent Bridge
Once your bridge is ready, your dentist will fit it in place, make any necessary adjustments, and cement it securely to the abutment teeth or implants. Your dentist will check your bite to ensure that the bridge aligns correctly and comfortably.
How to Care for a Dental Bridge
Proper maintenance is essential to extend the life of your dental bridge. Here are some tips for keeping it in optimal condition:
- Practice Good Oral Hygiene: Brush twice a day and floss carefully around your bridge. Special tools like floss threaders can help clean underneath and around the bridge.
- Visit Your Dentist Regularly: Regular dental checkups are essential to monitor the condition of your bridge and ensure your oral health.
- Avoid Hard Foods: Biting into hard foods can damage your bridge. Try to avoid crunchy or sticky foods that could cause stress on the bridge.
- Use a Mouthguard if Needed: If you grind your teeth at night, consider wearing a mouthguard to protect your bridge from excessive pressure.
Frequently Asked Questions
Q: How long does a dental bridge last?
A: With proper care, dental bridges can last between 10 and 15 years, though some last even longer.
Q: Are dental bridges covered by insurance?
A: Many dental insurance plans partially cover bridges, but it’s best to check with your provider for specific details.
Q: Does getting a bridge hurt?
A: The process is generally comfortable, as local anesthesia is used during tooth preparation. Any post-procedure sensitivity usually fades within a few days.
Q: Can I replace my bridge with implants later?
A: Yes, many people choose to upgrade to implants later if they experience issues with their bridge or if their oral health improves.
Restore Your Smile with a Dental Bridge
A dental bridge is an effective solution to restore your smile, functionality, and confidence. Whether you’re missing one tooth or multiple, a well-designed bridge can make a remarkable difference in your daily life. If you’re considering a dental bridge, contact Bright Smiles Dentistry & Orthodontics at (678) 941-5151 to schedule a consultation. Our team will work with you to create a customized treatment plan, helping you achieve a complete, healthy smile.