Dental bridges do exactly what they say ... they bridge gaps !
Bridges come in different shapes and form and are used commonly to fill gaps where teeth have been extracted and for whatever reason there is a functional or cosmetic need to fill the gap(s).
Bridges can be used in the anterior or posterior areas of your mouth and can be fixed using conventional tooth preparation or where suitable, bonded.
Bridges can be made from different materials but more commonly all ceramic, porcelain or porcelain bonded to a gold substructure to give the best aesthetic effects and to look as natural as possible.
All bridges are fixed and may be fixed from one or more teeth.
Conventional bridges require the teeth adjacent to the gap to be prepared. This may involve using a perfectly healthy tooth as the supporting tooth (abutment).
Because of the tooth preparation required, clinically there has to be no other alternative to using this system. The advantage of this system is that the bridge is very securely fixed into place. The downfall is the tooth preparation if either a fresh tooth or indeed a heavily restored tooth is used.
Bonded bridges (Maryland bridges), can sometimes be considered where the patients bite (occlusion) allows and where the surfaces of the adjacent teeth are suitable.
These bridges which are adhesive based can be undertaken with or without minimal preparation to the adjacent teeth and are adhesively fixed. This therefore saves the tooth structure of the teeth supporting the bridge.
Therefore, the advantage of this type of bridge is the fact less tooth, if any, is removed but the disadvantage is that because the bridge is simply glued onto the retaining teeth, it can easily debond and therefore fail. With good planning this problem is kept to a minimum but still the debonding aspect of these bridges can be a problem.
The materials used depend on the size and area of the bridge required.
Fixed bridges are routinely constructed on a gold framework with porcelain build up to look like natural teeth. We use this system where strength is important, usually at the back of the mouth, your chewing teeth.
More so today, we can use all ceramic or porcelain systems which are equally as strong to achieve even better aesthetics.
It may be appropriate to offer the choice of an implant or implants either to replace one missing teeth or a number of missing teeth. Where there is enough bone height and width available, it is possible to use dental implants which are titanium based screws to replace the roots of your teeth and to either support the one tooth as it would be with a post retained crown or indeed a number of implants to support a bridge as discussed before, the implants becoming the supporting roots for the bridge.
Again, should this be a consideration your dentist will discuss this.
The advantages of implant retained bridges are the fact we do not need to depend on your own teeth to support and bridge and therefore remove the need to prepare healthy teeth. With any conventional bridge preparation to a tooth there is a 5% possibility of the supporting tooth requiring root canal therapy.
Ultimately, if you have gaps and spaces in the front or back of your mouth regardless if it is your top teeth and or lower teeth telephone our practice and speak with a staff member who will help and guide you and ultimately book an examination appointment with one of our dentists who will examine you and discuss with you the options available and the related costs.
You can contact us on:
Haxby: 01904 762 757