Dental Bridges

Porcelain Bridge on Clay Model

Missing one or more teeth is common for many people.

The ADA reports that on average adult patients may have three missing or decayed teeth. Fortunately, there are a number of solutions to replace missing teeth, including dental bridges. A bridge may be used to restore an area with one or more adjacent missing teeth. A bridge has two primary components.  The abutments (or supports) for the bridge are created by placing a crown on either a natural tooth or an implant. The synthetic tooth that replaces the missing tooth is called a pontic. In the case of one missing tooth, the two teeth on either side will be prepped for crowns and the missing tooth will be replaced with a synthetic tooth that is connected to the crowns on either side of the missing tooth. In the case of several adjacent missing teeth, one or more implants may provide the abutment.

There are four main types of dental bridges:

Traditional Dental Bridge

This is the most common type of dental bridge. The existing teeth are crowned with one or more pontics between and held in place by the crowned abutments. The crowns are cemented onto the teeth adjacent to the missing teeth to create a support structure or “bridge” for the missing teeth.

Cantilever Bridge

This type of bridge is similar to a traditional bridge, except that the structure is supported on only one side instead of both sides. This can cause the restoration to act as a “lever” and may create additional stress on the supporting tooth, causing it to be more likely to loosen or fracture.

Implant Supported Bridge

Instead of using existing teeth to support a bridge, a dental implant may be substituted to provide support for one or both sides of a dental bridge. This is a popular option that can provide a very secure restoration. This solution is particularly helpful when there are several adjacent missing teeth.

Maryland Bridge

This type of bridge is supported by a metal structure which is cemented onto the back of existing teeth. While not as strong as a traditional bridge, it can preserve the tooth structure of the adjacent teeth by avoiding the use of crowns for the abutments. It may not stay in place when heavy forces are placed on the restoration (such as biting and chewing) and does add pressure to the supporting teeth.

Contact our office to learn more about your restorative options and achieve the smile you have always wanted.

Bridges FAQ

What is a bridge?

A bridge is a tooth replacement option that uses the patient’s existing teeth to support the replacement teeth. It is a series of crowns fused together and is non-removable. 

What happens if I lose a tooth and I don’t replace it?

When you lose a tooth, it is up to you to decide whether you miss it, functionally or aesthetically. What can not be determined is stability. Sometimes the surrounding or opposing teeth will drift, shift, or erupt into the now empty space. This can cause bite issues, jaw pain, food traps, cavities, etc. For this reason, we recommend replacing most missing teeth.

What are my options to replace a tooth?

There are three options available to replace a tooth. The first is a dental implant. The second is a bridge, which uses the neighboring teeth to support the missing tooth. The third is a removable partial denture. Each option has some positive attributes the others might not. We will help you in deciding which choice is best for you. 

How long do I have to wait after an extraction before I can replace a tooth?

This can vary but the time frame is typically 3 months.

How much does a bridge cost?

To replace a single tooth, a three-unit bridge will be needed at a cost of approximately $4500. An implant is an alternative option at a comparable fee.

Which is better – a bridge or an implant?

The answer is almost always an implant, but there are some circumstances where a three-unit bridge is a good choice for a patient. We will help you in deciding which choice is best for you.