Dental Bridges

What are Dental Bridges?

Dental bridges are a common dental restoration used to replace one or more missing teeth. They are designed to “bridge” the gap between existing teeth, restoring both the function and appearance of your smile. A typical dental bridge consists of one or more artificial teeth, called pontics, which are anchored in place by crowns fitted over the adjacent natural teeth. These neighboring teeth, known as abutment teeth, provide the support needed to keep the bridge secure.

Dental bridges come in various types to suit different needs. Traditional bridges, which use crowns on the adjacent teeth, are the most common. Cantilever bridges are used when there is only one neighboring tooth, while Maryland bridges have a metal or porcelain framework bonded to the back of adjacent teeth. Your dentist will recommend the best option based on the location of the missing tooth and the condition of your surrounding teeth.

How do Dental Bridges Work?

Dental bridges are a common restorative solution used to replace one or more missing teeth. They work by filling the gap left by missing teeth with artificial replacements called pontics, which are securely anchored to adjacent natural teeth or dental implants. The success of a dental bridge depends largely on the strength of these support teeth, known as abutment teeth, which are prepared to receive crowns that hold the bridge in place.

The process begins with a thorough examination and treatment planning. Your dentist will assess your oral health and determine whether you have sufficient support from your surrounding teeth. Next, the abutment teeth are reshaped to allow the crowns to fit snugly over them. Impressions of your teeth are then taken to create a custom bridge that matches your natural bite and appearance. This design ensures the new teeth look and feel like your own.

There are several types of dental bridges. Traditional bridges involve placing crowns on both sides of the pontic, while cantilever bridges are used when only one adjacent tooth is available for support. Maryland bridges use a metal or porcelain framework bonded to the back of the neighboring teeth, offering a more conservative option in some cases.

Once the custom bridge is fabricated in a dental laboratory, it is cemented in place over the prepared teeth. This restoration not only improves your ability to chew and speak properly but also maintains the natural shape of your face. With proper care, including regular brushing, flossing, and dental visits, a dental bridge can provide a long-lasting solution for missing teeth.

What are the Different Types of Dental Bridges?

There are four main types of dental bridges, each with unique characteristics and benefits:

• Traditional Bridges: The most commonly used type, traditional bridges consist of one or more pontics (artificial teeth) held in place by dental crowns cemented onto the adjacent natural teeth. They are strong and reliable but require the preparation of neighboring teeth.
• Cantilever Bridges: These bridges are used when only one adjacent tooth is available for support. Since they rely on a single abutment tooth, they are less stable than traditional bridges and are generally recommended for areas with less bite force, such as the front teeth.
• Maryland Bridges: Also known as resin-bonded bridges, these utilize a metal or porcelain framework bonded to the back of adjacent teeth instead of using crowns. They require minimal tooth preparation but may not be as durable as traditional bridges, making them ideal for replacing missing front teeth.
• Implant-Supported Bridges: These bridges are anchored directly to dental implants rather than natural teeth, providing superior strength and longevity. They are particularly beneficial for patients missing multiple teeth, as they do not require altering adjacent natural teeth. However, the procedure involves surgery and a longer healing process.

Who is a Candidate for Dental Bridges? 

Suitable candidates for dental bridges include individuals who:

• Have one or more missing teeth
• Possess strong and healthy adjacent teeth or dental implants
• Maintain good oral hygiene
• Prefer a fixed, non-removable tooth replacement option

What is the Procedure for Getting a Dental Bridge?

Getting a dental bridge is a multi-step process that requires careful planning and precision. The procedure involves preparing the adjacent teeth, taking impressions, and placing a custom-fitted bridge to restore functionality and aesthetics. Below is an overview of the steps involved in receiving a dental bridge.

• Consultation: The dentist evaluates oral health and determines suitability for a bridge.
• Preparation: Adjacent teeth are reshaped to support crowns.
• Impressions: A mold is taken to create a custom bridge.
• Temporary Bridge: A temporary bridge is placed while the permanent one is fabricated.
• Final Placement: The permanent bridge is cemented into place and adjusted for comfort.

How Long Do Dental Bridges Last?

Dental bridges are a reliable solution for replacing missing teeth and restoring your smile. Typically, a well-crafted and properly maintained dental bridge can last anywhere from 5 to 15 years, though some patients enjoy even longer-lasting results. The lifespan of a dental bridge depends on various factors, including the quality of materials used, the expertise of the dental professional, and how well you care for your oral health.

The materials used in dental bridges, such as porcelain, ceramic, or metal alloys, play a significant role in their durability. High-quality materials are more resistant to wear and tear, helping the bridge withstand everyday forces from chewing and speaking. Additionally, the precision with which the bridge is fitted to your teeth is crucial. A well-fitted bridge distributes chewing pressure evenly and minimizes stress on the supporting abutment teeth, reducing the risk of damage over time.

Personal oral hygiene is equally important. Regular brushing, flossing, and professional dental cleanings help prevent plaque buildup, decay, and gum disease around the bridge. Avoiding overly hard foods that could crack the bridge and scheduling regular check-ups with your dentist will also extend its lifespan.

What Are the Advantages of Dental Bridges?

Dental bridges provide several notable benefits for individuals missing one or more teeth. They are a reliable and proven restorative option that can enhance both function and aesthetics. Below are some of the key advantages of dental bridges:

• Restores Chewing and Speaking Functions: Dental bridges effectively fill the gap created by missing teeth, allowing you to chew food properly and speak clearly. By restoring these functions, bridges help maintain your overall quality of life.
• Enhances Smile Appearance: With custom-made pontics that match the color and shape of your natural teeth, bridges improve the look of your smile. This aesthetic enhancement can boost self-confidence and make you feel more comfortable in social situations.
• Prevents Teeth from Shifting: When a tooth is lost, adjacent teeth can drift into the empty space, leading to misalignment and bite issues. Dental bridges stabilize surrounding teeth, maintaining proper alignment and preventing further dental complications.
• Cost-Effective Solution: Compared to alternatives like dental implants, bridges are generally more affordable. They provide a durable and effective option for tooth replacement without the higher cost associated with surgical procedures.
• Quick and Reliable Procedure: The process for getting a dental bridge is typically completed in a few dental visits. With modern techniques and high-quality materials, bridges are designed to be both strong and long-lasting with proper care.
• Supports Overall Oral Health: By preserving the natural alignment of your teeth, dental bridges help prevent additional dental problems such as gum disease and uneven wear on your remaining teeth.

Are There Any Risks or Disadvantages Associated with Dental Bridges?

Dental bridges are a well-established method for tooth replacement; however, like all dental restorations, they are associated with certain risks and disadvantages. 

One notable concern is that the preparation for a dental bridge often requires significant removal of healthy tooth structure from the abutment teeth. This invasive process may weaken these supporting teeth, potentially predisposing them to future decay or fracture. Studies published in the Journal of Prosthetic Dentistry indicate that over-preparation can contribute to structural compromise over time.

Another disadvantage is the increased risk of periodontal complications. The margins of dental bridges, if not properly maintained, can serve as a nidus for plaque accumulation. Research in the International Journal of Prosthodontics has shown that patients with dental bridges may be at a higher risk for periodontal disease, particularly if oral hygiene practices are inadequate. Additionally, the rigid nature of fixed bridges means that any occlusal imbalances or parafunctional habits (e.g., bruxism) can lead to undue stress on the prosthesis. This may result in mechanical failures such as debonding or even fracture of the prosthetic material.

Furthermore, dental bridges do not prevent the natural process of alveolar bone resorption in the edentulous area, which can compromise the long-term aesthetics and function of the restoration. In summary, while dental bridges offer a reliable solution for replacing missing teeth, it is critical to consider these potential risks. A thorough evaluation and regular maintenance, supported by evidence-based practices, are essential to mitigate these disadvantages and ensure long-term success.

How Should You Care for Your Dental Bridge?

Caring for your dental bridge is essential for its longevity and to maintain the health of your surrounding tissues. As a professional dentist, I advise a comprehensive approach that combines meticulous daily care with regular professional monitoring.

First, maintain rigorous oral hygiene by brushing twice daily with a soft-bristled toothbrush and fluoride toothpaste. It is critical to clean not only the surface of the bridge but also the margins where the bridge meets the abutment teeth. Utilizing interdental brushes or floss threaders can help remove plaque from these hard-to-reach areas. A study published in the Journal of Prosthodontics emphasizes that effective plaque control around fixed dental prostheses is key to preventing periodontal disease and secondary decay.

Second, regular dental check-ups—ideally every six months—are necessary. During these visits, your dentist will examine the integrity of the bridge, check for any signs of decay on the supporting teeth, and professionally clean the area to remove calculus buildup. Early detection of any complications can lead to prompt and effective treatment.

Additionally, avoid habits that could damage the bridge, such as chewing hard foods, biting on non-food items, or using your teeth as tools. Using an antimicrobial mouth rinse may also help reduce bacterial colonization, particularly if you have a predisposition to periodontal issues.

What Is the Cost of Dental Bridges?

The cost of dental bridges at Denthub can vary based on the materials used, the number of teeth involved, and the complexity of each case. For a traditional bridge, which often replaces one missing tooth supported by two neighboring crowns, prices may start around £500. If you need a longer bridge or more advanced materials, like zirconia or high-grade porcelain, costs can range upwards of £1,000 or more. These differences reflect the quality, durability, and natural appearance of the chosen material.

Before placing a bridge, your dentist might need to perform X-rays or other preliminary steps to ensure your remaining teeth and gums are strong enough for the procedure. If you require additional treatments—such as root canals or extractions—this can also affect the overall cost. During your initial consultation at Denthub, the dental team will examine your mouth and discuss the ideal solution for your unique situation. They will then provide a clear breakdown of the total cost, helping you plan your budget effectively.

If you have dental insurance, it may cover a portion of the procedure, especially if your bridge is needed to restore proper chewing function. Coverage rules vary, so be sure to check the details of your plan. Denthub also offers payment plans and financing options to help manage the expense of a new bridge.

By investing in a high-quality dental bridge, you can restore your smile and improve chewing comfort. With good oral hygiene and regular check-ups, a well-fitted bridge can last for many years, protecting your oral health and maintaining a confident smile.

How Do Dental Bridges Compare to Dental Implants? 

Both dental bridges and dental implants are established modalities for replacing missing teeth, yet they differ in procedure, long-term benefits, and impact on oral health. Dental bridges involve the placement of artificial teeth (pontics) across a gap by anchoring them to adjacent natural teeth (abutments). This technique is generally less invasive since it does not require surgery. However, the process involves preparation of adjacent teeth, which necessitates removal of healthy enamel. Moreover, dental bridges do not prevent alveolar bone resorption in the edentulous area, potentially compromising long-term structural integrity. Research published in the Journal of Prosthodontics indicates that while bridges can be effective, their longevity may be affected by these factors.

Conversely, dental implants involve the surgical insertion of a titanium post into the jawbone, which serves as an artificial root for a crown. Implants offer the significant advantage of preserving bone volume and integrity, as the stimulation of the jawbone helps prevent resorption. Studies, including systematic reviews in the International Journal of Oral & Maxillofacial Implants, have demonstrated that dental implants tend to have higher long-term survival rates and improved functional outcomes.

Can Dental Bridges Be Repaired or Replaced?

Yes, dental bridges can be repaired or replaced if damaged or worn out. Minor issues like small cracks can often be fixed, while extensive damage may require a complete replacement.

What Materials Are Used in Dental Bridges?

• Porcelain: Provides a natural appearance and durability.
• Metal: Often combined with porcelain for added strength.
• Zirconia: Highly durable and biocompatible, suitable for long-term use.
• Composite Resin: Aesthetic but less durable than other materials.

How Do Dental Bridges Affect Speech and Eating?

Dental bridges are designed to restore not only aesthetics but also vital oral functions such as speech and eating. When properly constructed and fitted, dental bridges replicate the natural contour and alignment of teeth, allowing patients to maintain normal articulation and masticatory efficiency.

Regarding speech, dental bridges can initially cause minor alterations in phonetics. This is mainly due to the slight change in the oral cavity’s shape, which might affect the tongue’s contact with the palate during speech—particularly for sibilant sounds. However, research indicates that most patients quickly adapt to these changes. A study published in the Journal of Prosthodontics found that any temporary speech disturbances typically resolve as the patient acclimates to the new dental contours. Thus, long-term speech function is generally not compromised when bridges are properly designed.

In terms of eating, dental bridges play a critical role in restoring occlusal continuity. They provide a stable and fixed restoration that distributes biting forces evenly across the dental arch, thereby enhancing masticatory performance. This stability not only improves the efficiency of chewing but also helps prevent the further shifting of adjacent teeth, which could otherwise impair both function and comfort during meals.

What Are the Alternatives to Dental Bridges?

• Dental Implants: Permanent replacement without affecting adjacent teeth.
• Partial Dentures: Removable option for multiple missing teeth.
• Orthodontic Solutions: In cases of minor gaps, braces or aligners may help reposition teeth.