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Bridges

Also called: Removable Partial Dentures, Removable Bridges, Fixed Partial Dentures, Partial Dentures, Fixed Bridges

- Summary
- About bridges
- Types and differences
- Before and during
- After the procedure
- Risks and benefits
- Lifestyle considerations
- Questions for your doctor

Reviewed By:
Andrew M. Sicklick, D.D.S.

Summary

A bridge is a device that replaces missing teeth with artificial teeth that are anchored to adjacent teeth or implants. Also called a partial denture, a bridge may be permanently attached (fixed) or removable and may last five to seven years or longer.

There are numerous types of bridges available, which can be made from various materials. In a traditional bridge, the artificial teeth, or pontics, are attached to natural abutment teeth located on either side of the gap. A cantilever bridge is attached to only one abutment and the other side is not anchored. In a Maryland bridge, the pontics are attached by a metal framework that is bonded directly to the abutment teeth along the back of the teeth. An implant-supported bridge is anchored to implants that are attached to the jaw.

Before a bridge can be created and placed, a patient needs to have an initial consultation and evaluation by a general dentist or a prosthodontist. This will include a dental examination and a medical and dental history.

A bridge is a type of indirect restoration. This means that it will require two or more visits to the dental office: one to prepare the abutment teeth and make impressions and another to fit and adjust the bridge and secure it into place. During the time between these visits, the impressions are sent to a dental laboratory, where the bridge is created.

Patients may need time to adjust to bridges. They may feel bulky and awkward at first. Patients may experience soreness, discomfort, or excessive production of saliva until they become accustomed to the bridges. Patients may also need to adjust their eating habits.

Natural changes in the mouth and jaw occur with age. Regular dental examinations are important to maintain a proper fit over time. Adjustments are made by the dentist in a dental office. Bridges can be damaged beyond repair by patients who attempt to fix or modify them. Because of this, it is important to see a dentist for any repairs or adjustments.

Bridges have disadvantages. They can break, chip or crack. In addition, healthy teeth must be prepared to serve as abutments by cutting away tooth enamel. This may weaken a healthy tooth. Poorly-fitting bridges can cause sores and irritations.

Tooth Anatomy

Bridges require special care. Different types of bridges may require different types of specific care. A dentist will explain how to care for a given bridge, including when to wear and when to remove a removable bridge.

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Review Date: 07-02-2007
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