A dental bridge replaces missing teeth by anchoring to one or two of the neighboring teeth. The false tooth is known as the pontic and the anchoring teeth are known as abutments. Dental bridges are an alternative to dental implants.
There are 3 main types of dental bridge:
1. Adhesive bridges (Also known as Maryland bridges)
Maryland bridges involve no tooth preparation or very little preparation of the neighboring tooth and this has made them the most popular bridge design these days. In adhesive bridges, the false tooth is bonded using a wing to the inside wall of one neighboring tooth.
- Very little or no preparation of the neighbouring tooth is necessary.
- Often cheaper than conventional bridges.
- Likelihood of root canal treatment becoming necessary is very remote.
- Around 80% of these bridges survive 10 years.
- Debonding of this type of bridge is more common. When debonding happens, bridge recementation can be carried out quickly by a dentist.
2. Fixed-Fixed Conventional bridges
This involves preparing the two neighboring teeth (abutments). The false tooth is then fused to the abutment crowns.
- Average lifespan is around 10-15 years.
- Less likely to debond than adhesive bridges
- Preparation of the two neighbouring teeth is necessary and so this can make those teeth more sensitive for a while. Occasionally the tooth sensitivity does not settle and the abutment tooth ends up needing root canal treatment. The risk of root canal treatment becoming necessary is around 20-33% over the lifetime of the bridge.
- Cost of this type of bridge is only slightly cheaper than dental implants.
- Cleaning underneath these bridges can be more difficult.
3. Fixed-Cantilever Conventional bridges
This type of bridge involves crowning just one neighbouring tooth (abutment).
- Often cheaper than fixed-fixed conventional bridges.
- Cleaning these bridges is generally easier than fixed-fixed conventional bridges.
- Preparation of the neighbouring tooth is necessary and so this can make that tooth more sensitive for a while. Occasionally the tooth sensitivity does not settle and the abutment tooth ends up needing root canal treatment. The risk of root canal treatment becoming necessary is around 20-33% over the lifetime of the bridge.
Dental bridge Case study
The photos below show the case of a patient who presented to us to have her genetically missing teeth replaced with adhesive bridges. We provided her with two missing lateral incisors with two no tooth drilling adhesive bridges.
What is the procedure for having a dental bridge?
- The neighbouring tooth/teeth is clinically assessed and an X-ray taken to ensure the tooth/teeth roots are sound.
- The neighbouring tooth is then prepared (if necessary) and digital scans are taken. A temporary restoration is provided if needed.
Pearl Dental Clinic is one of few clinics in the UK that Provide dental bridges using the iTero digital scanning system.
The iTero handheld wand takes a digital, 3D image of your teeth, preventing the need for traditional impressions which can cause some patients to gag. You can look at the iTero 3D image of your teeth on the screen in real-time. Furthermore, the image quality is crystal clear. This digital image is then sent straight to the laboratory and work can start on the bridge construction immediately.
- Two weeks later: Fitting of the final dental bridge.
At Pearl Dental Clinic, we will always provide you with a full written treatment plan so that you are fully aware of the costs involved with your treatment. You can spread the cost of dental treatment interest-free with our 0% dental finance plans.
Pearl Dental Clinic is open 7 days a week from 9am to 10pm. You can book a dental bridge Consultation by calling us on 0203 750 5300 or emailing us or by booking an appointment online (24 hours).