Dental Bridge - GO.CARE Blog
Dental Bridge
Author: Hào Nghiêm
Review Date: August 6, 2018 | Last Modified: August 27, 2019
Dental Bridge

Definition

1. What is Dental Bridge?

Dental bridges literally bridge the gap created by one or more missing teeth. A bridge is made up of two or more crowns for the teeth on either side of the gap – these two or more anchoring teeth are called abutment teeth – and a false tooth/teeth in between.

These false teeth are called pontics and can be made from gold, alloys, porcelain, or a combination of these materials. Dental bridges are supported by natural teeth or implants.

2. What is the purpose of Dental Bridge?

The purpose of Dental Bridge is to fill a gap in the dental arch caused by a missing tooth or teeth. This can help to improve the appearance and improve the function of the mouth so that patients are able to eat and speak in a way similar to before the teeth were missing.

Candidates

1. When is Dental Bridge needed?

If you have a missing tooth, or one that is severely decayed or broken and is not stable enough to hold a dental crown on its own, then your dentist may suggested Dental Bridge as a treatment option .

2. Who are eligible for Dental Bridge?

Patients are eligible for Dental Bridge if they have the loss of:

  • One to four incisors
  • A canine
  • One or more molars
  • Two premolars and the first molar

However, contraindications for Dental Bridge include:

  • Size of saddle area too long
  • Patients with parafunction e.g. bruxism
  • Tooth mobility increases risk of debonding
  • Malaligned teeth resulting in poor aesthetics and common path of insertion
  • Abutment tooth quality inadequate for example may have a reduced surface area, reduced enamel or be heavily restored
  • Increased risk of caries due to increased difficulty in maintaining oral hygiene around the bridgework
  • Increased risk of loss of vitality.
  • Allergy to base metal alloys e.g. nickel

Need further information? Contact GO.CARE manage team to get more details from expert doctors and medical specialists.

Cost

In India, the cost of dental bridge falls between $21.80 and $217.99. In Malaysia, dental bridge costs about $246.15.

Preparation

1. What should I do before Dental Bridge?

Before the treatment, patients should:

  • Stop smoking for a day or two before
  • Take blood thinning medicines for a few days before the procedure

2. What should I do after Dental Bridge?

After Dental Bridge, patients should:

  • Not chewing the side on which the treatment was done
  • Avoid chewing hard foods
  • Be careful while cleaning or flossing teeth
  • Not take sticky food immediately after the treatment and for a few days afterwards
  • Not take any alcoholic beverages or smoke for a few days afterwards
  • Regular cleaning of teeth

Need further information? Contact GO.CARE manage team to get more details from expert doctors and medical specialists.

Procedure

1. How long does Dental Bridge last?

The treatment duration is about 2 to 3 hours with two sessions. Dental bridges can last five to 15 years and even longer. With good oral hygiene and regular checkups, it is not unusual for the lifespan of a fixed bridge to be over 10 years.

2. How is the procedure of Dental Bridge?

Bridges are either crown supported wherein, the dentist places a crown directly onto the damaged tooth and creates a stable base, whilst reshaping others to make room for the bridge.

For implant supported dental bridge, the dentist place a small titanium post into the jawbone and it becomes the new root, thus securing bridge restoration effectively.

There are 3 kinds of bridges:

•  Traditional: This kind is made of porcelain, bonded to precious and non precious metals. It involves placing two crowns on either side of the gap and reshaping the nearby teeth.

•  Cantilever: It supports teeth from only one side and requires crowning one adjacent tooth. This procedure is not for molars (back teeth) since the bridge will be subject to damage and collapse under pressure.

•  Maryland Bonded: Dentists use this kind for the front teeth as biting force is less strong here. Herein, they fuse false tooth to metal wings with resin to cause minimal damage to surrounding teeth.

Treatment generally spans over two days, requiring two visits to the doctor.

  • In the first session

By filing down portion of the enamel, the dentist resize the abutment teeth. This step creates space to place the crown, using suitable bonding material.

After the recontouring, the dentist creates impressions using digital imagery, which provides accurate measurements of the patient’s dental alignment and force of bite. The bridge, pontics and crowns are then created in a dental lab, using the impressions, that act as molds.

This part of the process usually takes a few days. To prevent damage to the reshaped, exposed teeth, the dentist provides the patient with a temporary bridge.

In case of implant supported bridges, the dentist makes incisions in the soft tissues of the jawbone, to place implants. They later stitch these incisions and healing takes place.  

  • In the second session

The temporary prosthetic is replaced with the new, permanent bridge. In case of implants, the dentist attaches the bridge to the top of the posts using abutments. They will then ask the patient to check if the bridge fits perfectly and adjust it accordingly.

Finally, after thoroughly testing the bridge, the dentist cements it into place, to the anchor crowns. The dentist then secures pontics to the gum tissues to prevent bacterial incursion.

3. What happens after the procedure?

Patient’s lips, tongue and teeth may be numb for several hours after the treatment. Avoid chewing until the numbness has worn off.

They may experience mild pressure sensitivity or soreness. If it persists more than 1-2 days, patient should rinse with warm salt water to help reduce pain and swelling. According to directions, you can take over the counter medicines such as Acetaminophen or Ibuprofen.

Need further information? Contact GO.CARE manage team to get more details from expert doctors and medical specialists.

Complications & Side Effects

  1. What complications could arise from Dental Bridge?

Complications with Dental Bridges are rare.

2. What are the possible side effects of Dental Bridge?

There are several temporary side-effects of Dental Bridge:

  • Risk of inflammation and infections
  • Allergies

Need further information? Contact GO.CARE manage team to get more details from expert doctors and medical specialists.

Please choose the {best hospitals and clinics that provide dental bridge} in Asia to get the most suitable healthcare for your condition.

GO.CARE does not provide medical advice, diagnosis or treatment.

1. Dental health and bridge

https://www.webmd.com/oral-health/guide/dental-health-bridges#1. Accessed on July 26, 2018.

2. Uses for dental bridge

https://www.news-medical.net/health/Uses-for-a-Dental-Bridge.aspx. Accessed on July 26, 2018.

3. Why would you need a dental bridge

https://www.718dentist.com/dental-care/why-would-you-need-a-dental-bridge/. Accessed on July 26, 2018.

4. Dental bridge

http://www.medhalt.com/procedure/dental-bridge/3. Accessed on July 26, 2018.

5. After dental crowns and bridges

http://crystallakefamilydentistry.com/after-dental-crowns-and-bridges/. Accessed on July 26, 2018.

6. Bridge (Dentistry)

https://en.wikipedia.org/wiki/Bridge_(dentistry)#Contraindications.  Accessed on July 26, 2018.