FIXED BRIDGEWORK

A fixed dental bridge is a non-removable prosthetic appliance and is an excellent way to replace missing teeth.

There are several types of bridges:

• Porcelain-fused-to-metal:  The “traditional bridge”. It is the most popular type. It consists to two or more crowns that go over the anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth that fill in the spaces), filling the gap created by one or more missing teeth.  It is very esthetic and natural looking when made properly.
• Porcelain-fused-to-zirconium: The is the newer version and has no metal at the base.  The zirconium is very stiff and strong but requires greater thickness to prevent fracture on use.  Many dentists feel it is an esthetic advantage to eliminate the metal but it is also harder to cement or bond a zirconium bridge to tthe tooth.
• All-Ceramic: The all-ceramic bridge can only be used in special situations in the front of the mouth.  It is not as strong as the others and must be carefully made and adjusted to prevent excessive chewing forces from breaking it.  Again, it is very esthetic when the ceramic technician knows how to create the most natural look in porcelains.

Dental bridges are highly durable and will last many years, however they may need replacement or need to be re-cemented due to normal wear.

Reasons for a fixed bridge:

• Fill space of missing teeth.
• Maintain facial shape.
• Prevent remaining teeth from drifting out of position.
• Restore chewing and speaking ability.
• Restore your smile.
• Upgrade from a removable partial denture to a permanent dental appliance.

What does getting a fixed bridge involve?

Getting a bridge usually requires two or more visits.  At the first visit, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown.  Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated.  In addition, a temporary bridge will be made and worn for several weeks until your next appointment.  At this visit, your permanent bridge will be carefully made, checked, adjusted, and cemented to achieve a proper fit.  Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge or the new bridge may be permanently cemented after being checked for fit and functional balance.

You will receive care instructions at the conclusion of your treatment.  Proper brushing, flossing and regular dental visits will aid in the life of your new permanent bridge.