Bridges

Dental bridges are fixed prosthetic devices that replace one or more missing teeth by literally "bridging" the gap. Unlike removable dentures, bridges are cemented to existing teeth or implants, providing a permanent solution that restores function and appearance.

Types of Dental Bridges

Traditional Bridge

The most common type, consisting of one or more artificial teeth (pontics) held in place by dental crowns cemented onto the teeth adjacent to the gap (abutment teeth).

Best for: Gaps with natural teeth on both sides

Advantages: Strong, durable, proven track record

Disadvantages: Requires reshaping healthy adjacent teeth

Cost: £800-£2,500 depending on materials and number of teeth

Cantilever Bridge

Similar to traditional but anchored to only one adjacent tooth, used when teeth exist on only one side of the gap.

Best for: Front teeth or areas with low biting force

Cost: £700-£2,000

Maryland (Resin-Bonded) Bridge

Uses a metal or porcelain framework bonded to the back of adjacent teeth with minimal tooth preparation.

Advantages: Conservative, preserves tooth structure

Disadvantages: Less durable, may debond, limited to certain situations

Cost: £600-£1,800

Implant-Supported Bridge

Secured by dental implants rather than natural teeth, ideal for replacing multiple adjacent teeth.

Advantages: Doesn't require altering healthy teeth, most stable, prevents bone loss

Disadvantages: Requires surgery, higher cost, longer treatment time

Cost: £3,000-£6,000+

The Bridge Procedure

First Visit: Preparation

The abutment teeth are reshaped by removing enamel to accommodate crowns. Impressions are taken of your teeth to create a custom bridge. A temporary bridge protects exposed teeth and gums while the permanent bridge is being made (2-3 weeks).

Second Visit: Placement

The temporary bridge is removed. The permanent bridge is checked and adjusted for proper fit, bite, and appearance. Once approved, it's permanently cemented in place.

Follow-Up

A check-up appointment ensures the bridge is functioning properly and no adjustments are needed.

Materials Used

• Porcelain fused to metal: Strong and aesthetic, good for front or back teeth
• All-ceramic/porcelain: Best aesthetics, ideal for front teeth, metal-free
• Gold alloys: Extremely durable, excellent for back teeth, metallic appearance
• Zirconia: Very strong, tooth-colored, excellent for both front and back teeth

Benefits of Dental Bridges

• Restore your smile and facial shape
• Improve chewing and speaking ability
• Distribute bite forces properly
• Prevent remaining teeth from shifting out of position
• Fixed (not removable like dentures)
• Natural appearance
• Maintain facial structure

Caring for Your Bridge

• Brush twice daily with fluoride toothpaste
• Floss daily using bridge threaders or water flossers to clean under the pontic
• Use interdental brushes for hard-to-reach areas
• Attend regular dental check-ups and cleanings
• Avoid chewing hard foods, ice, or using teeth as tools
• Don't smoke (increases failure risk)

How Long Do Bridges Last?

With proper care, dental bridges typically last 10-15 years, and some last even longer. Longevity depends on oral hygiene, diet, teeth grinding habits, and the health of supporting teeth.

Potential Issues

• Decay of abutment teeth: Can occur if oral hygiene is poor
• Bridge loosening or falling out: May require re-cementation
• Damage to bridge: Chips or cracks may be repairable
• Gum disease: Can compromise supporting teeth
• Sensitivity: May occur in abutment teeth initially

Bridges vs. Alternatives

Bridges vs. Implants

Implants don't require altering adjacent teeth and typically last longer, but are more expensive and require surgery. Bridges are faster and don't require surgery.

Bridges vs. Partial Dentures

Bridges are fixed and more stable than removable partial dentures. Dentures are less expensive and don't require altering adjacent teeth.

Cost and NHS Availability

Traditional bridges on NHS are available as Band 3 treatment (£319.10), but material options are limited. Private treatment offers more choice in materials and aesthetics. Many practices offer payment plans for private treatment.

Are You a Good Candidate?

Ideal candidates have:

• One or more missing teeth
• Healthy teeth and gums on either side of the gap
• Adequate bone support
• Good oral hygiene habits
• Commitment to maintaining the bridge

Dental bridges offer an effective, proven solution for replacing missing teeth, restoring both function and aesthetics while preventing the complications associated with tooth loss.