As the name itself implies dental bridges bridge the gaps created by one or more missing teeth joining them into one whole. They allow us to achieve natural appearance and restore a smile after losing our teeth. Dental bridges are one option used by dentists in order to fill in the gaps after a loss one or more teeth.
If we don’t fill in the gaps between teeth, there is a risk that other teeth might start to move in the mouth which is only a step from loosing a proper bite, proper function and development of parandentosis.
What is a dental bridge?
Dental bridge is made up of two dental crowns for the teeth on either side of the gap and an artificial tooth between them. Natural teeth, dental implants or a combination of natural teeth and implants may be used to support a bridge. The type of the suitable bridge depends on the look of your smile, the price you are willing to pay and the aesthetic results you want to achieve.
Regardless whether you want a temporary or a permanent solution there is a dental bridge that satisfies your requirements.
Types of dental bridges
There are three types of dental bridges:
Traditional dental bridges
This type of bridge consists of two dental crowns for the teeth on either sides of the gap and one artificial tooth between them. These anchoring teeth called abutment lean on at least two teeth. This type of bridge is most commonly used due to the stability it provides. During its fabrication at least two teeth have to be reduced. These bridges can be metal ceramic or non metal. If there aren’t any adjacent teeth dental implants can be inserted to support the bridge.
Cantilever (apendix) bridges
Cantilevar or appendix bridge is used when there is an adjacent tooth only on one side while the other side is not supported.The advantage of this bridge is that only one tooth has to be reduced. However, they are used in few cases mainly for frontal teeth. Poor stability that can lead to loss of tooth supporting the entire construction is a major disadvantage. Cantilevar bridge is utilized when there are teeth only on one side of the gap.
Maryland bonded bridges
Unlike traditional bridges that replace the missing tooth by creating a crown and attaching it to adjacent teeth, Maryland bridge replaces the missing tooth by attaching it with a composite to back side of natural teeth or to crowns that are already on them. Saving dental substance (without teeth reduction) is its advantage while pressure deference, poor effect on supporting teeth and susceptibility to plaque are major disadvantages. This type of bridge is made of plastic teeth and gums supported by a metal framework. It is usually less expensive than other types of bridges, easier to install and represents temporary solution, until permanent restoration.
Circural dental bridge
is bridge mounted on every tooth of one jaw. It is fabricated when more teeth are missing, when other teeth are in poor condition (endodontically treated, discolored or have fillings).
In order to extend longevity of dental bridge and maintain healthy gums and teeth it is important to provide a proper oral care. Daily teeth cleaning with water-pick device, regular dental visits shall maintain your bridge proper and preserve your oral health.
When circular bridge is mounted it is recommendable to fabricate a silicon bite that is a foil. These silicon foils are made individually for each patient upon the taken impression and they cover biting surface of teeth.
They are used in case of bruxism. In fact the majority of people are unaware that they have troubles with bruxism until a dentist confirms that our teeth are “ grinded”. This expression signifies exceeding teeth grating and clenching not associated with chewing food and occurring mainly at night. This way teeth and their supporting structures are being severely damaged which results in reduced vertical dimension.
Night grinding with adults is usually a result of stress or genetics and occurs during a sleep. Special teeth protectors made of semi soft protective foil and silicon are placed over biting surface of jaw. They are worn at night and in rare cases during the day. Their role is to relax the chewing muscles and protect teeth from wearing off and abrasions that occur due to the frequent grinding.
For now, wearing protective silicon dental covers at night is an effective solution that prevents our teeth to decay.