Traditional Bridges
The most common bridge design consists of one or more replacement teeth (pontics) supported by dental crowns on the adjacent natural teeth (abutments). These traditional bridges provide excellent stability and natural appearance when healthy teeth exist on both sides of the gap. The abutment teeth are precisely prepared to support crowns, which are permanently cemented to hold the pontic securely in position.
Traditional bridges offer several advantages beyond tooth replacement. They distribute biting forces appropriately across your dental arch, preventing excessive stress on individual teeth. By maintaining proper spacing, they help preserve your bite alignment and facial proportions. The fixed nature of these restorations eliminates concerns about removal for cleaning or embarrassing slippage during speaking or eating. With proper care, traditional bridges typically provide 10-15 years of reliable function before needing replacement.
Cantilever Bridges
When teeth exist on only one side of the gap, cantilever bridges provide an alternative solution. These bridges anchor to one or more teeth on a single side rather than requiring support from both sides. While less common than traditional designs, cantilever bridges offer valuable options for specific situations, particularly toward the front of the mouth where biting forces are less intense.
The preparation and placement process resembles that of traditional bridges, with modifications to ensure the one-sided support provides adequate stability. Your doctor will evaluate whether this design suits your specific situation based on the location of the missing tooth, the condition of adjacent teeth, and your overall bite dynamics. This personalized approach ensures your restoration meets both functional and aesthetic needs.
Maryland Bridges
For situations requiring more conservative treatment, Maryland bridges (also called resin-bonded bridges) offer a less invasive alternative. Rather than full crowns on adjacent teeth, these bridges attach using metal or porcelain wings bonded to the backs of neighboring teeth. This design preserves more natural tooth structure while still providing effective tooth replacement.
Maryland bridges work particularly well for front teeth, where aesthetic concerns are highest and biting forces are lower. The minimal preparation makes this option attractive when adjacent teeth are largely intact and healthy. While these bridges may not provide the same longevity as traditional designs in all situations, they offer excellent aesthetic results with reduced alteration of natural teeth. Your doctor will discuss whether this conservative approach suits your specific needs and expectations.
The Bridge Placement Process
Receiving a dental bridge typically involves several appointments spread over a few weeks. The process begins with a comprehensive examination to assess your oral health and determine the most appropriate bridge design for your situation.
Digital impressions and photographs document your teeth’s appearance, alignment, and color to ensure your bridge integrates seamlessly with your smile. If decay, gum disease, or other issues exist, we address these conditions before proceeding with bridge preparation to ensure a stable foundation.
During the preparation appointment, the abutment teeth are carefully shaped to make room for crowns while maintaining structural integrity. Temporary restorations protect these teeth and maintain spacing while your custom bridge is fabricated by a skilled dental laboratory.
When your permanent bridge arrives, we verify its fit, appearance, and bite relationship before permanent cementation. Minor adjustments ensure optimal comfort and function. We provide detailed care instructions and schedule follow-up appointments to monitor your adaptation and address any questions that arise.
Living with a Dental Bridge
Maintaining your dental bridge requires some specific attention beyond regular oral hygiene practices. With proper care, your bridge can provide many years of reliable function and natural appearance.
Daily cleaning around and under the bridge helps prevent decay in supporting teeth and gum inflammation around the restoration. Special tools like floss threaders or interdental brushes clean areas a regular toothbrush can’t reach effectively. Water flossers provide another excellent option for cleaning beneath pontics and around abutment teeth. Your hygienist will demonstrate specific techniques tailored to your bridge design and location.
Regular dental checkups remain essential for monitoring both your bridge and supporting teeth. Professional cleanings reach areas that are difficult to clean at home, while examinations detect any concerns early when they’re most easily addressed. Your doctor will evaluate the integrity of the bridge, condition of supporting teeth, and health of surrounding gums at each visit. This ongoing care maximizes the lifespan of your restoration.
Bridges vs. Other Replacement Options
When considering tooth replacement, understanding how bridges compare to alternatives helps you make informed decisions about your care.
Dental bridges offer several advantages compared to removable partial dentures. Their fixed nature eliminates concerns about movement while speaking or eating, and many patients find them more comfortable without the metal clasps or acrylic bases of removable options. Bridges typically require less adjustment time and don’t need removal for cleaning. However, they do require the modification of adjacent teeth, which represents a significant consideration when those teeth are healthy and intact.
Compared to dental implants, bridges avoid surgical procedures and typically involve lower initial costs. They complete treatment in less time, providing immediate restoration of appearance and function. However, implants preserve the jawbone that naturally deteriorates after tooth loss, while bridges don’t address this concern. Implants also function independently without affecting adjacent teeth. Your doctor will discuss these factors in relation to your specific situation, helping you determine which option best meets your needs, preferences, and budget.
