When it comes to replacing missing teeth, dental bridgework offers a highly effective solution. Fixed bridgework, commonly referred to simply as a dental bridge, is a popular option that restores the appearance and function of a patient's smile. Unlike removable dentures, a fixed bridge is permanently attached to the remaining natural teeth or dental implants, providing a more secure, long-lasting solution. In this article, we’ll explore what fixed bridgework is, the different types of dental bridges, the process of getting a fixed bridge, the benefits, and how to care for your new dental bridge.

What is Fixed Bridgework?

Fixed bridgework is a dental restoration used to replace one or more missing teeth. It consists of a false tooth, known as a pontic, that is anchored to the adjacent natural teeth or dental implants. The pontic fills the gap left by the missing tooth, while the surrounding teeth or implants provide support and stability for the bridge.

The term “fixed” refers to the fact that the bridge is securely attached and cannot be removed, unlike dentures that can be taken out for cleaning or during sleep. Fixed bridges are a long-term solution for people who have lost teeth due to decay, injury, or other dental health issues.

Types of Fixed Bridges

There are several different types of fixed bridges, each designed to meet specific needs depending on the location and number of missing teeth. The most common types of fixed bridges are:

Traditional Bridges

Traditional bridges are the most commonly used type of dental bridge. They consist of a false tooth (pontic) that is anchored to the adjacent natural teeth (abutments) on either side of the gap. The abutment teeth are typically reduced in size to accommodate dental crowns, which hold the pontic in place.

• Best for: Replacing a single missing tooth or a few adjacent teeth when there are healthy natural teeth on either side of the gap.
• Pros: Strong, durable, and natural-looking.
• Cons: Requires alteration of healthy teeth to place the crowns.

Cantilever Bridges

A cantilever bridge is similar to a traditional bridge, but it is only supported by one adjacent tooth rather than two. This type of bridge is used when there is only one natural tooth next to the gap.

• Best for: A missing tooth in an area where only one adjacent tooth is available for support (such as the front teeth).
• Pros: Requires less tooth reduction than a traditional bridge.
• Cons: They are not as stable as traditional bridges, especially when used at the back of the mouth, where more pressure is applied during chewing.

Maryland Bridges

Maryland bridges are made of a metal or porcelain framework with wings that are bonded to the backs of the adjacent teeth. This type of bridge does not require as much alteration of the surrounding teeth, making it a more conservative option.

• Best for: Replacing missing teeth in the front of the mouth, where appearance is important.
• Pros: Minimal tooth preparation, less invasive, and a more affordable option.
• Cons: Not as durable as traditional bridges and may not be suitable for back teeth.

Implant-Supported Bridges

An implant-supported bridge is supported by dental implants rather than natural teeth. This type of bridge is ideal for patients who are missing multiple teeth and do not have enough healthy teeth to support a traditional bridge. The implants serve as the anchors for the bridge, providing enhanced stability.

• Best for: People who have lost several teeth and do not want to alter the surrounding teeth.
• Pros: Durable, long-lasting, and provides a natural feel and function. It also helps prevent bone loss in the jaw.
• Cons: Requires a surgical procedure for the placement of implants, which can be more expensive and time-consuming.

The Process

The process of getting a fixed bridge typically involves two to three visits to your dentist. Here’s what you can expect during each step:

• Initial Consultation and Preparation: The first step is to meet with your dentist for a thorough examination and discussion of your options. Your dentist will evaluate the condition of your teeth and gums and take X-rays to determine the best course of action. If you need to have any damaged or decayed teeth removed, your dentist will address that before moving forward. For a traditional bridge, the adjacent teeth will need to be prepared by reducing their size so that crowns can be placed over them. This step may involve the removal of some enamel. If an implant-supported bridge is being used, the dentist will place dental implants in the jawbone during a surgical procedure.
• Impressions and Temporary Bridge: Once the preparations are complete, your dentist will take impressions of your teeth to create a custom-made bridge that fits your mouth perfectly. In the meantime, you may be fitted with a temporary bridge to protect your gums and maintain your smile while the permanent bridge is being made.
• Fitting the Permanent Bridge: After the custom bridge is created, you will return to the dentist for the fitting. Your dentist will check the fit, color, and appearance of the bridge to ensure it meets your expectations. Adjustments will be made as necessary before the bridge is securely cemented in place.
• Follow-up Visits: After the bridge is placed, your dentist will schedule follow-up visits to monitor your progress and ensure that the bridge is functioning properly. Any discomfort or issues will be addressed during these visits.

Benefits of Fixed Bridges

Fixed bridgework offers several advantages, including:

• Restored Functionality: Bridges restore the ability to chew and speak properly, improving the overall functionality of your mouth.
• Natural Appearance: Modern dental bridges are designed to blend seamlessly with your natural teeth, creating a beautiful, natural-looking smile.
• Durable and Long-lasting: Fixed bridges, especially those supported by implants, can last many years with proper care.
• Prevents Teeth Shifting: By filling in the gap left by missing teeth, fixed bridges help prevent neighbouring teeth from shifting out of alignment.
• Improved Confidence: Replacing missing teeth can restore self-esteem, allowing you to smile, speak, and eat without feeling self-conscious.

Caring for Your Fixed Bridgework

Proper care is essential to ensure the longevity of your dental bridge. Here are some tips for keeping your fixed bridge in great condition:

• Maintain Good Oral Hygiene: Brush your teeth and bridge regularly using a soft-bristled toothbrush and fluoride toothpaste. Flossing is especially important, and your dentist may recommend special floss threaders or interdental brushes to clean around the bridge.
• Avoid Hard or Sticky Foods: Hard and sticky foods can damage or dislodge your bridge. Be cautious when eating foods like nuts, candy, and chewing gum.
• Visit Your Dentist Regularly: Regular checkups and cleanings are essential to monitor the condition of your bridge and the health of your gums and teeth.
• Address Issues Promptly: If you experience any discomfort or notice that your bridge feels loose, visit your dentist immediately to prevent further complications.

Conclusion

Fixed bridges offer a reliable, long-lasting solution for replacing missing teeth. Whether you opt for a traditional bridge, cantilever bridge, Maryland bridge, or implant-supported bridge, fixed bridges help restore the function, appearance, and confidence of your smile.

If you’re considering fixed bridges, Caring Dental can help you determine the best option for your needs. Our experienced team is committed to providing personalized care and ensuring that your dental restoration lasts for years to come. Contact us today to schedule a consultation and take the first step toward a healthier, more beautiful smile.