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Having gaps in your smile can affect your bite, your speech and your appearance. If you are missing teeth, both dental bridges and partial dentures are common options for replacing teeth. Which one is best for you depends on your oral health and your lifestyle. The dentist is best qualified to help you make this decision, but here are the basics of bridges and partial dentures as a primer.
Dental bridges are artificial teeth which are permanently attached in your mouth. We call this kind of restoration a bridge because it bridges the gap between your existing teeth. They are most often secured by being bonded or cemented to neighboring teeth. A typical bridge consists of an artificial tooth flanked by two crowns, which fit over prepared neighboring teeth. If there are no stable neighboring teeth or multiple teeth are missing, bridges are sometimes attached to dental implants. Bridges are made from gold, metal alloys, or porcelain. Which material is used depends on your preference and the dentist’s recommendation. Just to make things confusing, bridges are sometimes called “fixed partial dentures”.
Unlike bridges, partial dentures are a removable option for replacing teeth. Just like a denture that replaces an entire arch of teeth, a partial denture is removed to be cleaned and while sleeping. Another difference is that partial dentures usually include both artificial gums made from pink acrylic into which false teeth are mounted. Bridges are just the teeth. A partial denture is attached in your mouth using clasps or precision attachments that clip on to your natural teeth.
If you have several teeth in a row that are missing, the dentist is more likely to recommend a partial denture. However, if only one or two are missing, a bridge may be more appropriate. Another big factor is the dentist’s predictions about your dental health in the future. If there is a chance that you may lose more teeth, it makes less sense to attach a restoration to existing teeth. In this case, the dentist may opt for the partial denture.
While these are the basics you need to know, there are more detailed factors regarding your oral health that we may need to consider when replacing missing teeth. Any treatment we recommend will be customized to your situation and we gladly answer any questions you may have about the details of our dental bridge or partial denture treatments.
There are many ways to replace missing teeth & restore your smile, & bridges are a good permanent solution. They can replace one or more missing teeth, including molars, & cannot be removed, unlike dentures.
Bridges are called bridges because they create a “bridge” between teeth. The false tooth, called a pontic, is connected to the surrounding existing teeth or implants. The teeth or implant where the bridge is attached is called an abutment.
There are four major types of bridges:
Traditional bridges are held in place by dental crowns placed over the two existing teeth on either side of the gap. That means that for this type of bridge, there must be natural teeth on both sides of the gap. Your dentist will file down the existing teeth to place a crown over them so that the bridge can be attached to these new crowns.
In cantilever bridges, the pontic is only supported by one crown, instead of two. These are not as popular because sometimes the bridge can act as a lever & can have complications, like fractured teeth or loosened crowns.
In Maryland bridges, the pontic is held in place by a metal or porcelain framework that is bonded to the back of the surrounding teeth, kind of like little wings. This type of bridge is nice because your surrounding teeth don’t need to be filed down.
These bridges are useful when more than one tooth is missing. An implant is placed for every missing tooth, & a bridge is attached to the new implants. If an implant can’t be placed for every tooth, then a pontic can be suspended between two surrounding implant crowns instead. These bridges take a bit longer, since implants can take up to five months to place.
Bridges are a long-lasting way to restore your smile & prevent other dental health problems, like bad bites, gum disease & TMJ disorders. Bridges can last up to 10 years with proper care, so practice good oral hygiene to keep your teeth & gum free of decay, & avoid eating hard foods & ice. Keep your bridges clean with proxy brushes, floss threaders & antibacterial mouthwash, & by flossing underneath the false tooth.
Talk to your dentist to find out if dental bridges are right for your smile!
Dental implants are the latest & greatest in dental technology that allows dentist to replace missing teeth permanently. You may know that implants can replace teeth & are used in complete smile reconstructions & makeovers. But you may also not be sure exactly what dental implants are, & how they work.
That’s why we’ve written this simple & quick intro to dental implants. If you want more detail about the implant procedure or want to find out if you’re a good candidate for dental implants, please call us to schedule an implant consultation visit.
First, we want to familiarize you with how natural teeth work. Natural teeth consist of a crown, which is the visible part of tooth that’s outside the gums, & a root, which is under the gums & attached to the bone of your jaw. Your smaller front teeth tend to have one root each while the larger teeth toward the back of your mouth (molars & bicuspids) tend to have more than one. The root of your teeth contain the nerve & the pulp, which nourish the inside of a healthy tooth. When this pulp becomes damaged or infected, that’s when the dentist tells you you need a root canal, a procedure which can save your tooth even when the pulp is compromised.
Traditional tooth replacement options such as bridges (partials) & dentures only structurally replaced the crown part of your missing tooth. Bridges or partials replace your tooth by attaching an artificial tooth to the healthy teeth nearby. Dentures replace an entire upper or lower arch of teeth & visually replace the gums too for a natural look. Neither of these options anchor replacement teeth in your jaw or gums, which means that people with these appliances have to avoid many foods & may experience slipping or discomfort when eating or speaking.
With the quickly-advancing technology of dental implants, we can finally offer a restorative dentistry option that replaces your missing teeth both visually & functionally.
Dental implants actually consist of two parts, just like your natural teeth. The implant itself acts as an artificial tooth root & is secured in the bone of your jaw just like a real root. Implants are made of a special kind of bio-safe titanium. Both this special metal & the screw-like shape of the implant’s lower portion are designed so that bone will grow around it, keeping it tightly in place.
The second part of the dental implant is the crown. This is an artificial tooth that is made of porcelain & is custom designed by a dental technician to match the color, size & shape of your natural teeth. It is attached to the metal implant using a permanent dental adhesive.
Once the procedure is complete & the patient has healed, they will have fully functional teeth that are virtually indistinguishable from natural teeth. The result is a return to eating any of the foods you want, speaking naturally, smiling confidently & being free of dental pain.
It’s true that dental implants cost more than most tooth replacement options such as bridges or dentures. If your biggest concern is cost, you may consider these other options. However, if you biggest concern is your longterm comfort, health & quality of life, implants are your best option.
