5042 Dorsey Hall Drive, Suite 102, Ellicott City, MD 21042
Missing teeth do more than cause embarrassing gaps in your smile. In the absence of a replacement, they can affect the health and function of your smile in the following ways:
A dental bridge offers a highly effective, stable, and fixed solution for replacing missing teeth. Unlike removable partial dentures that clasp on to the remaining teeth, a dental bridge relies on the support of crowns attached to teeth adjacent to the edentulous area (space without teeth) or strategically placed dental implants. In addition to restoring the look, feel, and function of a natural smile, they also prevent the teeth from shifting, thereby protecting the alignment of a patient's bite.
Far from a new idea, the history of replacing teeth with a fixed dental bridge goes back thousands of years. Ancient civilizations made impressive use of available materials, including animal and human teeth, bones, gold, and ivory, to fill gaps in a person's smile.
Fortunately, over the millennia, dental materials and technology have evolved. Today, dental bridges are fabricated from the highest quality of dental materials, including porcelain, porcelain fused to metal, and engineered ceramic products like zirconia. Now, in addition to being stronger and more durable than ever before, they appear more attractive and naturally beautiful.
Depending on the number of missing teeth, the health of the remaining dentition, and other factors, a dental bridge can replace a single missing tooth or multiple ones.
A traditional fixed bridge typically requires the preparation and crowning of teeth on either side of the edentulous space. These crowned teeth function to support the artificial ones, known as “pontics,” that span the gap. In much the same way a bridge that extends over a body of water relies on the support of strong, sturdy pillars at each end, a dental bridge garners strength and stability from the terminal crowned teeth fused to a single or multiple pontics.
Although related and similar to a traditional fixed bridge, a cantilever fixed bridge differs in one significant way. Only one side of the pontic will get attached to a crown for support.
As the most advanced method for the replacement of missing teeth, dental implants come the closest to replicating the look, feel, and function of a natural smile. For this reason, an implant-supported bridge often represents the best option in care.
With an implant-supported bridge, there's no need to prepare, crown, or involve any adjacent natural teeth. Because dental implants behave in much the same way as the roots of natural teeth, they provide all the support a bridge requires.
In addition to providing a self-supporting solution for the replacement of missing teeth, Implant-supported bridges offer the most versatile approach for rebuilding a complete smile. Strategically placed dental implants can support any number of replacement teeth up to an entire set of upper or teeth.
Furthermore, as dental implants provide the same stimulation as actual roots to the surrounding jawbone, implant-supported bridges also help prevent the bone shrinkage that naturally occurs when teeth have been lost. This feature helps maintain normal facial contours.
Successful treatment outcomes rely upon many things, including a careful assessment of a patient's oral health, overall well-being, smile goals, lifestyle, and budget. Whether you're a candidate for a traditional fixed bridge, an implant-supported bridge, or a removable denture will be determined following a comprehensive assessment and discussion with our office. We value patient input and strive to fulfill your expectations of care.
Before the fabrication and placement of a dental bridge, it's essential that your mouth is free from gum disease. If you have gum disease, it will need to get treated in advance of fabricating your bridge.
For traditional fixed bridges, the crowned teeth need to be strong and have sufficient bone surrounding them to offer strong support.
Fixed bridges are typically fabricated over the course of multiple visits. The process involves the preparation of the supporting teeth, impression taking, the placement of a temporary bridge, and the try-in and cementation of the permanent restoration
It begins with a complete diagnostic workup to develop an appropriate treatment plan. For patients getting a traditional fixed bridge, the next step in the procedure involves preparing the abutment (supporting) teeth for full-coverage crowns. Depending on the number of teeth involved and other factors, an impression for the permanent bridge can get taken this visit or the next one. Either way, a temporary bridge or temporary crowns to cover the prepared teeth will get placed to protect the prepared teeth.
Following the preparation of the involved teeth, it's not unusual to experience some sensitivity and gum soreness. This discomfort typically subsides. However, since the fit of a temporary restoration is often less precise than the final permanent crown or bridge, you may still feel some residual sensitivity until treatment is completed.
Until the permanent crown or bridge is placed, it's essential to be extra careful. Temporary restorations are far less durable than permanent ones. If your temporary gets damages or comes off, please hold on to it. Contact our office, and we will set up an appointment to replace it. Do not attempt to do this on your own
Before cementing your new bridge, the shade, contours, fit, and occlusion are checked. Once that is done, your new, permanent restoration is placed. Since you have been wearing a temporary, your bite may feel slightly different, and you may feel some pressure as the new restoration reestablishes appropriate contact with the adjacent teeth. If the bite still feels slightly off after a couple of days or any discomfort persists, get in touch with our office. You may still require a minor adjustment.
A Maryland bridge is a type of dental prosthesis used to replace a missing tooth. It consists of a false tooth (pontic) that is supported by wings or frameworks that are bonded to the back of the adjacent teeth. Unlike traditional bridges that require crowns on the supporting teeth, Maryland bridges are more conservative since they preserve more of the natural tooth structure.
Your new bridge is customized to the exact specifications of your smile. Before cementing to the underlying teeth or affixing it to the supporting implants, the shade, occlusion, and all aspects of its fit get carefully checked. In addition to being designed to blend seamlessly with your smile, it's also made to suit your bite and withstand all manner of oral function. We take great care to make sure your new restoration looks great, fits well, and that your bite feels comfortable.
Now that your new permanent crown or bridge is in place, it's essential to maintain good oral hygiene. With proper care, your new restorations will last for years to come. Make sure to brush and floss as instructed. We'll show you how to floss under your dental bridge to keep your new smile clean and bright. Remember to make appointments for your routine checkups and professional cleanings.
Our goal is to help every patient experience the benefits of good oral health and a beautiful smile. We value the trust you have placed in our office and strive to provide solutions that meet your dental needs and expectations of care.
