Bridges

Missing teeth can be replaced by using a bridge. This can restore your smile and the ability to eat, speak and smile with confidence. A bridge is a false tooth which can be permanently attached to the adjacent healthy teeth at one, or both sides. The healthy teeth chosen to act as supports for the bridge are reduced and reshaped (in a similar procedure to crowns) to enable attachment of the bridge.

There are Two Main Types of Dental Bridges:

Traditional fixed bridges

With fixed bridges, the healthy teeth on either side of the missing tooth are prepared in the same way you would for a crown. The false tooth is made of porcelain and joined to the crowns. The whole unit is then cemented in place.

This was the main method used for replacing teeth in the past. They work very well and provide a great solution. Their main draw backs are that you have to remove a lot of tooth structure from the teeth adjacent to the gap which damages them and can lead to problems. Usually implants are preferred these days as they do not harm the teeth either side of the gap,but these bridges are still placed when people do not want implants or if we need to replace an old bridge.

Resin-bonded bridges

Resin-bonded dental bridges are also known as Maryland bridges. They fill a gap without having to reduce the adjacent teeth. They generally work well in the front of the mouth but are less predictable in the back of the mouth. The false tooth is made from porcelain and is attached to a metal or porcelain wing which is then bonded to the healthy adjacent teeth. This is a much less destructive option than a conventional bridge but they can occasionally de-bond and fall out. Usually we simply bond the bridge back in place. Sometimes the bridge can overload the tooth to which it is bonded and damage the tooth that is supporting it, however this option can work very well. It is relatively inexpensive and does not damage the adjacent teeth in the same way as conventional bridgework.

missing-tooth resin-bonded-bridgesdental-bridge

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