Bridges

 BRIDGES

A fixed bridge can replace one or more missing teeth. It consists of one or more replacement teeth attached to crowns that are placed on two or more surrounding support teeth. Along with replacing teeth, the fixed bridge helps restore the normal function or proper position of your bite. A fixed bridge is made of various metals, porcelain, and a combination of the two. 

In our office we usually recommend dental implants as the best option for missing tooth replacement but there are occasions when a conventional bridge makes more sense.

Here's a diagram for how a bridge works when permanently cemented to replace a missing tooth:

Preparing for Your Bridge

Your dentist first reshapes the support teeth that will hold the crowns of your fixed bridge. Then an impression of the prepared tooth, and of the surrounding and opposing is made. Your dentist selects a color form a color guide to make sure the replacement teeth match the color of your natural teeth. To protect your prepared teeth while the fixed bridge is being made, your dentist may fit a temporary bridge that is held in place by temporary cement.

Fitting Your Bridge

After removing your temporary bridge, your dentist places the fixed bridge onto your prepared teeth, adjusting it in your mouth. When the fit and bite are comfortable, the fixed bridge is cemented into place. After trying the fixed bridge for a few days, if you think the bridges needs further adjusting, call your dentist.

The Maryland Bridge

In certain situations, and if your surrounding teeth are in good condition, your dentist may recommend a Maryland Bridge. The Maryland Bridge is basically a replacement tooth that is bonded to your teeth on either side without much alteration of the neighbor teeth. It is only a predictable solution if your "bite" does not put any stress in that area. A Maryland bridge will fall out frequently if it is used in the wrong circumstances. Talk with your dentist to determine if this is a good option for you.

Between Visits

Your dentist sends the impression and color recommendation to the dental laboratory making your fixed bridge. Expect to wait about three weeks between appointments while the lab work is being done. Be careful when cleaning your teeth or eating, because your temporary bridge can loosen easily. To protect the prepared support teeth, let your dentist know immediately if the temporary bridge comes off or is loose.

Living with Your Fixed Bridge:

With good oral hygiene, your bridge will last longer...

• Prevent decay-causing germs by brushing and flossing-especially around the bridge.
• See your dentist regularly to help prolong the life of your bridge
• Ask your dentist about special cleaning aids. There are a number of options for cleaning under a bridge. You should get used to using one of them daily.