What Is a Dental Bridge?

A dental bridge is a permanent appliance that replaces a missing tooth or missing teeth. It has several pieces that are put together so they fit into the open space where your tooth (or teeth) used to be. 

Dental bridges are an alternative to partial dentures. A bridge can help you eat and speak better and improve how your teeth look.

A dental bridge can be made of different materials, including gold, alloys, or porcelain. When replacing a front tooth, porcelain is most often used because it can be matched to your natural tooth color.

This article will go over the different kinds of dental bridges. You will learn more about how much a dental bridge costs, the benefits of dental bridges, and what to expect if you need to get one placed.

Types of Dental Bridges

The artificial teeth used in dental bridges are called pontics. You'll have a pontic for each missing tooth. A pontic is made to be close in shape and size to the tooth that's missing.

Pontics are anchored to a tooth next to the gap (abutment teeth) or to a dental implant.

The four types of dental bridges are:

1. Traditional fixed bridges are the most common type of bridge. It includes a crown on either side of the pontic(s).
2. Maryland dental bridges or resin-bonded bridges are often used to replace front teeth. Instead of crowns, this type of dental bridge uses porcelain or metal frameworks with "wings" that are bonded to the back of your teeth on either side of the gap.
3. Implant-supported bridges use an implant for each missing tooth that is surgically embedded into your jawbone during a surgical procedure. The bridge has the pontics in it and will be put over them in a second procedure.
4. Cantilever bridges are no longer commonly used. When only one side of the gap has a natural tooth, the pontic(s) are anchored by a single crown on that natural tooth.

Cost of Dental Bridges

The cost of a dental bridge will depend on how much work needs to be done and the type of bridge you get. 

Your overall oral health will also factor in, as you might need treatment for problems like gum disease before the process of getting a dental bridge can start.

If you have dental insurance, some or all of the cost of a dental bridge might be covered. 

The cost of a dental bridge without insurance can range from $700 to several thousand dollars per tooth. It could easily cost $2500 for a dental bridge and can cost up to $5000. If you need multiple teeth with implants and a bridge, it could be over $10,000.

Should You Get a Dental Bridge?

Not everyone is a good candidate for a dental bridge. You will need to talk to your dentist about whether it would be beneficial for you to get a bridge.

Factors that make you a good candidate for a dental bridge include:

• Missing one or more permanent teeth
• Having overall good health (e.g., no serious medical conditions, infections, or other health problems)
• Having healthy teeth and a strong bone structure to support the bridge
• Having good oral health
• Can perform proper oral hygiene to maintain the condition of the dental bridge

Benefits of Dental Bridges

Dental bridges can provide many benefits, including:

• Giving your mouth and smile a natural look
• Restoring your ability to speak normally, as missing teeth can make it hard to pronounce words (enunciate)
• Maintaining normal facial structure by preventing bone loss from the jaw at the site of the missing tooth/teeth
• Helping you chew food better
• Preventing adjacent teeth from moving into the empty space, which can cause problems with your bite and other complications

Risks of Dental Bridges

Dental bridges do have some disadvantages and potential risks that you should be aware of, including:

• Future damage to the abutment teeth can compromise the bridge.
• Bacteria and plaque can get inside a bridge or crown that does not fit well and cause tooth decay.
• Crowns can change the structure of your teeth and affect your bite.
• A bridge can collapse if the abutment teeth are not strong enough to support it.
• Abutment teeth can be weakened by the procedure(s) and may have to be replaced by dental implants.

Getting a Dental Bridge

For most dental bridges, you'll need to have at least two procedures performed. The process of getting a dental bridge can take a long time.

A Maryland bridge requires fewer appointments than the other types of dental bridges because the abutment teeth do not need to be prepared.

Regardless of the type of bridge you go with, your dentist will need to take impressions or a digital scan of your teeth that the lab will use to shape the components of the bridge.

Traditional or Cantilever Bridge

The first step to getting a traditional fixed or cantilever dental bridge is preparing the abutment tooth/teeth.

Your dentist will start by removing some of the enamel and dentin from the abutment teeth to make space for the crowns. Then, they'll place a temporary bridge over those teeth to protect them until the bridge is placed.

During a later appointment, your dentist will:

1. Remove the temporary crowns
2. Check the permanent crowns and bridge to make sure they fit
3. Cement the bridge in place

Sometimes, the bridge is permanently cemented during this procedure. However, your dentist may choose to use temporary cement instead, which gives you time to make sure the bridge fits before it is made permanent.

Maryland Bridge

For a Maryland bridge, all that needs to happen to your abutment teeth is a little etching on the back side, which helps the wings bond to it.

Once it's tested for proper fit, your dentist will:

1. Place the bridge
2. Bond the metal wings to the abutment teeth with a strong resin
3. Cure the resin

Implant-Supported Bridge

An implant-supported bridge requires surgery to place the implants in your jawbone followed by a period of recovery.

The healing time for an implant-supported bridge varies depending on where in your mouth the implants are and whether your jawbone needs to be built up to support the implants.

You may have a temporary bridge to wear until your next procedure when your dentist will place the permanent bridge over the implants. This procedure involves small incisions in the gums, so healing time is longer than it is with other types of bridges.

Taking Care of a Dental Bridge

Dental bridges are considered "permanent" because you can't take them out like you can dentures. That said, a dental bridge won’t last forever. 

The average dental bridge lasts between five and seven years. With proper care, some bridges can last more than a decade. Advances in dental bridge materials and methods are likely to make them even more durable in the future.

The best way to get the most out of your dental bridge is to take care of it.

How to Make Your Dental Bridge Last

Good oral hygiene is important if you have a dental bridge because you want to keep your remaining teeth strong and healthy. 

Having good oral health is also important if you want your bridge to last as long as possible. 

Just as you do for your natural teeth, you’ll need to brush and floss your bridge at least twice each day.

Your dentist or dental hygienist will show you how to properly floss and clean around your bridge. 

It's also important to see your dentist regularly for dental cleanings and exams.

Dietary Changes

Right after your bridge is placed, you will need to be very careful about what you eat as your mouth is healing. 

Your dentist will give you specific instructions to follow during that time.

In the long term, certain foods can cause problems for dental bridges or abutment teeth. If you want your bridge to last and avoid damaging it, you'll have to avoid these foods.

Foods you should avoid if you have a dental bridge include:

• Chewy/sticky candy (can pull crowns off of the abutment teeth)
• Hard candy or snacks
• Sugary foods (can cause tooth decay under the crowns)
• Popcorn
• Nuts

Summary

There are advantages and disadvantages to getting a dental bridge, but with good oral hygiene and regular dental visits, a dental bridge can be an effective, long-lasting solution to missing teeth.

Certain factors will determine who is a good candidate for a dental bridge. Your dentist can help you decide if a dental bridge is right for you, as well as which type of dental bridge will be the best choice.