What types of bridges are there?
Besides traditional bridges, another popular design is the resin bonded or
"Maryland" bridge, primarily used for the front teeth. This is usually the most
economical choice when the abutment teeth are healthy and don't contain large
fillings. The pontic is fused to metal bands that can be bonded to the abutment
teeth with resin cement and hidden from view, reducing the amount of preparation
on the adjacent teeth.
A cantilever bridge may be used if there are teeth on
only one side of the span. This involves anchoring the pontic to one side over
one or more natural, adjacent teeth. If there are no adjacent teeth to act as
anchors, your dentist may recommend an implant-a metal post that is surgically
imbedded into the bone and capped with a crown as an abutment.
In some cases
where the span is large, your dentist may recommend a removable partial denture
or even an implant-supported prosthesis.
What procedures are involved?
For a traditional fixed bridge, the first appointment consists of the dentist
reducing the adjacent abutment teeth that will act as anchors. Impressions are
made, from which a metal framework, including the pontic, is created. By the
second appointment, the final bridge is fitted over the teeth.
The total
treatment time is usually between two or four weeks, depending on the type of
bridge. However, because it is often difficult to match the natural shade of
your teeth, the treatment time may be longer.
How do I care for a bridge?
With a bridge, it is more important than ever to brush, floss and see your
dentist regularly. If you do not control the buildup of food debris and
plaque-the sticky film of bacteria formed from food acids-your teeth and gums
can become infected, requiring further treatment and resulting in possible loss
of the bridge. Your dentist may also recommend using floss threaders that help
remove bacteria from hard to reach spaces between the bridge and adjacent teeth
and gums.
If you maintain optimal oral hygiene care, you can expect your
fixed bridge to last as many as 8-10 years, or even longer.