Crown and Bridgework
What is a bridge?
A bridge is a dental appliance that replaces one or more natural missing teeth, thereby “bridging” the space between two teeth. Fixed bridges are cemented into place to the “abutment” teeth–the surrounding teeth on either side of the space, or “span.” Unlike removable partial dentures, fixed bridges cannot be taken out of the mouth by the patient.
A fixed bridge is a device that typically consists of a pontic (a false tooth) fused between two crowns that are cemented onto the abutment teeth.
Who should get a bridge?
If you are missing any teeth and are committed to maintaining good oral hygiene practices, you may be a good candidate for a bridge. A bridge is the most natural choice to fill the space in your mouth left by missing teeth. If left unfilled, this space can cause the surrounding teeth to drift out of position and can cause teeth and gums to become more susceptible to tooth decay and gum disease that can cause further tooth loss. Fixed bridges not only correct an altered bite, improve your chewing ability and speech, but they also safeguard your appearance by preventing the collapse of your facial features that can cause premature wrinkles and age lines.
What procedures are involved?
For a traditional fixed bridge, the first appointment consists of the dentist reducing the adjacent abutment teeth that will act as anchors. Impressions are made, from which a metal framework, including the pontic, is created. At the second appointment, the metal framework is tried in to check the fit. The final bridge is cemented over the teeth at the next visit
The total treatment time is usually between two to four weeks, depending on the type of bridge. However, because it is often difficult to match the natural shade of your teeth, the treatment time may be longer.
How do I care for a bridge?
With a bridge, it is more important than ever to brush, floss and see your dentist regularly. If you do not control the buildup of food debris and plaque–the sticky film of bacteria formed from food acids–your teeth and gums can become infected, requiring further treatment and resulting in possible loss of the bridge. Your dentist may also recommend using floss threaders that help remove bacteria from hard to reach spaces between the bridge and adjacent teeth and gums.
If you maintain optimal oral hygiene care, you can expect your fixed bridge to last as many as 5-10 years, or even longer.
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