Fixed bridges are the traditional way of replacing missing teeth.
A fixed bridge consists of a false tooth that is firmly anchored to crowns constructed on the teeth either side of the gap. Unlike a partial denture, which can be removed, a bridge is cemented in place and feels quite natural. Scientific studies show a fixed bridge success rate of 87% at 10 years, and 69% at 15 years.
Dental bridges are designed to match the colour, shape, and size of your natural teeth. Unlike a partial denture, there is no bulk in your mouth.
Bridges restore the ability to bite and chew properly. They can improve your ability to speak clearly and enjoy a wider variety of foods.
Bridges are fixed in place and are stable within the mouth. They do not require removal for cleaning or maintenance.
When a tooth is lost, the neighbouring teeth may shift and become misaligned over time. Dental bridges prevent this from happening by filling the gap and maintaining the proper alignment of the remaining teeth.
Compared to dental implant placement, which requires a surgical procedure and a healing period, dental bridges can be completed relatively quickly. The process involves preparing the supporting teeth, taking impressions, and fitting the bridge, which results in a shorter overall treatment time.
To support the bridge, the adjacent teeth need to be prepared by removing a layer of enamel to make space for the artificial teeth. This is an irreversible process.
If there is significant gum missing, it is difficult to replace this with fixed bridge work while also maintaining a bridge that is aesthetic and easy to clean.
Cleaning and maintaining a dental bridge can be more challenging compared to natural teeth. Special flossing techniques or interdental brushes may be required to clean under and around the bridge to prevent the build-up of plaque and food particles.
Poor oral hygiene or inadequate cleaning of the bridge can increase the risk of tooth decay and gum disease. If a supporting tooth underneath the bridge develops decay or other issues, it may compromise the integrity of the bridge.
Fixed bridgework is more expensive than a partial denture.
Placing a bridge usually takes two visits.
1. This patient damaged her four front teeth and had crowns placed in the UK. The lateral incisor teeth failed and needed to be extracted.
2. After the teeth were extracted, the patient wore a denture for 3 months while the gum healed and stabilised. The patient used this time to whiten her teeth as well.
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