Fixed Bridges
A fixed dental bridge is a reliable, time-tested solution for replacing one or more missing teeth. By literally "bridging" the gap created by missing teeth, these permanent restorations restore your smile's appearance, maintain proper bite function, and prevent the complications that can arise from untreated tooth loss.
A dental bridge consists of one or more artificial teeth (pontics) held in place by dental crowns that are cemented to the natural teeth or implants on either side of the gap. These anchor teeth, called abutments, provide stable support for the bridge, creating a seamless restoration that looks, feels, and functions like natural teeth.
Types of Fixed Bridges We Offer
We provide several types of fixed bridges to address different clinical situations:
Traditional Bridges
The most common type, traditional bridges feature crowns on the teeth adjacent to the gap with a pontic in between. These are ideal when you have healthy teeth on both sides of the missing tooth space.
Cantilever Bridges
When there's only one adjacent tooth available to support the bridge, a cantilever design may be used. This is less common today due to the potential for excessive force on the supporting tooth.
Maryland Bridges (Resin-Bonded Bridges)
These conservative bridges use metal or porcelain wings that bond to the backs of adjacent teeth, requiring minimal alteration of the supporting teeth. They're typically used for front teeth replacement in patients with good oral health.
Implant-Supported Bridges
For the ultimate in stability and bone preservation, bridges can be supported by dental implants rather than natural teeth. This option is ideal for replacing several consecutive missing teeth.
Benefits of Fixed Bridges
Choosing a fixed bridge to replace missing teeth offers numerous advantages:
- Restored chewing function: Bridges distribute biting forces across multiple teeth, allowing comfortable chewing.
- Natural appearance: Modern materials create lifelike restorations that blend seamlessly with surrounding teeth.
- Maintained facial structure: Bridges prevent the sunken appearance that can result from bone loss after tooth extraction.
- Prevented tooth movement: By filling the gap, bridges stop adjacent teeth from drifting out of position.
- Improved speech: Missing front teeth can affect pronunciation; bridges restore proper speech patterns.
- Fixed solution: Unlike removable partial dentures, bridges are permanently secured for confidence and convenience.
The Fixed Bridge Process
Getting a fixed bridge typically involves the following steps:
- Consultation and planning: We evaluate your oral health, discuss material options, and design a bridge that meets your functional and aesthetic needs.
- Tooth preparation: The abutment teeth are prepared by removing a small amount of enamel to make room for crowns. Impressions are taken of the prepared teeth.
- Temporary bridge placement: A temporary bridge protects the exposed teeth and gums while your permanent bridge is being fabricated.
- Laboratory fabrication: Your impressions are sent to a dental laboratory where skilled technicians create your custom bridge, matching it to your natural tooth color.
- Final placement: Once your permanent bridge is ready (typically in 2-3 weeks), the temporary bridge is removed, and the permanent one is checked for fit and appearance before being permanently cemented.
With our same-day crown technology, we can sometimes create and place bridges in a single appointment for cases involving limited span bridges.
Materials Used for Fixed Bridges
We offer several material options for fixed bridges, each with unique advantages:
- Porcelain-fused-to-metal: Combines the strength of a metal substructure with the aesthetics of porcelain overlay.
- All-ceramic or all-porcelain: Provides the most natural appearance, ideal for front teeth replacements.
- Zirconia: Offers exceptional strength and durability while maintaining a natural appearance.
- Composite resin: Used primarily for temporary bridges or Maryland bridges in specific situations.
During your consultation, we'll recommend the most appropriate material based on the location of the missing teeth, your bite forces, aesthetic requirements, and budget considerations.
Caring for Your Fixed Bridge
With proper care, a fixed bridge can last 10-15 years or even longer. To maximize the lifespan of your restoration:
- Maintain excellent oral hygiene: Brush twice daily and floss around and under the bridge using a floss threader or water flosser.
- Use interdental cleaners: Special brushes help clean the areas around and under the bridge.
- Schedule regular dental checkups: Professional cleanings and examinations help ensure the continued health of your supporting teeth.
- Address grinding or clenching: If you have bruxism, wearing a nightguard can protect your bridge from excessive forces.
- Avoid chewing extremely hard foods: While bridges are durable, excessive force on porcelain can cause chipping.
Fixed Bridges vs. Other Replacement Options
When considering how to replace missing teeth, it's helpful to understand how bridges compare to alternatives:
- Compared to dental implants: Bridges don't require surgery and have a lower initial cost, but they don't stimulate the jawbone to prevent bone loss like implants do.
- Compared to partial dentures: Bridges are fixed in place for greater stability and comfort, but partial dentures are removable and generally less expensive.
- Compared to no replacement: Bridges prevent the complications of untreated tooth loss, including shifting teeth, bite problems, and jawbone deterioration.
During your consultation, we'll discuss all appropriate options and help you determine which solution best meets your needs, preferences, and budget.
If you're missing one or more teeth, a fixed bridge can restore your smile's function and appearance with a proven, durable solution. Contact our office today to schedule a consultation and learn more about how dental bridges can help you regain a complete, confident smile.
