Diseases

It is important to keep your remaining teeth healthy and strong as the success of the bridge (depending on the type selected) depends on the solid foundation offered by the surrounding teeth. Brushing twice a day and flossing daily helps prevent tooth decay and gum disease that can lead to tooth loss. Your dentist or dental hygienist can demonstrate how to properly brush and floss your teeth. Keeping a regular cleaning schedule will help diagnose problems at an early stage when treatment has a better prognosis. Selecting a balanced diet for proper nutrition is also important. Reviewed by the doctors at the Cleveland Clinic Department of Dentistry. Reviewed by Jay H. Rosoff, DDS, on March 1, 2007 Edited by Charlotte E. Grayson Mathis, MD, on May 1, 2005 Portions of this page © The Cleveland Clinic 2000-2005

Dental bridges can last 5 to 15 years and even longer. With good oral hygiene and regular prophylaxis, it is not unusual for the life span of a fixed bridge to be over 10 years.

The cost of dental bridges varies depending on the type of bridge selected and the area of the country in which the procedure is performed. Dental insurance will typically pay a percentage of the fee depending on the individual dental plan.

Bridges:

• Restore your smile
• Restore your ability to properly chew and speak
• Maintain the shape of your face
• Distribute the forces in your bite properly by replacing missing teeth
• Prevent remaining teeth from drifting out of position

During the first visit, the abutment teeth are prepared for the crown. Preparation involves recontouring these teeth by removing a portion of enamel to allow room for a crown to be placed over them. Next, impressions of your teeth are made, which serve as a model from which the bridge, pontic, and crowns will be made by a dental laboratory. Your dentist will make a temporary bridge for you to wear to protect the exposed teeth and gums while your bridge is being made. During the second visit, your temporary bridge will be removed and the new permanent bridge will be checked and adjusted, as necessary, to achieve a proper fit. Multiple visits may be required to check the fit of the metal framework and bite. This is dependent on each individual's case. If the dental bridge is a fixed (permanent) bridge, your dentist may temporarily cement it in place for a couple of weeks to make sure it is fitting properly. After a couple weeks, the bridge is permanently cemented into place.

There are three main types of bridges:

• Traditional bridges involve creating a crown for the tooth or implant on either side of the missing tooth, with a pontic in between. Traditional bridges are the most common type of bridge and are made of either porcelain fused to metal or ceramics.
• Cantilever bridges are used when there are adjacent teeth on only one side of the missing tooth or teeth. Cantilever bridges are usually used to replace only one tooth.
• Maryland bonded bridges (also called a resin-bonded bridge or a Maryland bridge) are made of plastic teeth and gums supported by a metal framework. Metal wings on each side of the bridge are bonded to your existing teeth.

Picture of a dental bridge

Replacing missing teeth should actually make eating easier. Until you become accustomed to the bridge, eat soft foods that have been cut into small pieces.

It can be difficult to speak clearly when teeth are missing in the front or anterior areas. Wearing a dental bridge with the anterior teeth in their proper relationship will help you speak properly.