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A bridge (also called a fixed partial denture) is a restoration that replaces or spans the space where one or more teeth have been lost. There are two types of bridges — fixed and removable. A fixed bridge is bonded or cemented into place — only a dentist can remove it.
As its name describes, a removable bridge (more commonly known as a removable partial denture) readily can be taken out of the mouth for cleaning. Although removable bridges generally are less expensive, fixed bridges may feel more stable and comfortable.

Why do I need a bridge?
Your appearance, dental health and the proper functioning of your mouth are all important reasons for wearing a bridge. A bridge helps maintain the natural shape of your face and may help support your lips and cheeks. The loss of a back tooth may cause your mouth to sink and your face to look older.

More important though, your dental health may suffer when teeth are not replaced. Teeth work together, they need support. When a tooth is lost the biting force changes on the teeth next to the space, and they may tilt toward the space, or the teeth on the opposite jaw may shift up or down toward the space. This can alter your bite and place unusual stress on both the teeth and tissues in your mouth.

In addition, due to the increased stress, the gum tissues and the bone that hold teeth in place can break down from the resulting gum disease. Teeth that have tipped are difficult to clean, making them more likely to decay. As a result, even more teeth may eventually be lost.

Missing teeth also can affect the way you chew and speak. Chewing on one side only may cause stress in your mouth and jaw joints The TMJ. You also need your teeth to speak properly since they help you make many of the sounds needed in speech.
If you need extensive fixed bridge work, your dentist will provide treatment or refer you to a prosthodontist. A prosthodontist is a specialist trained in the restoration and replacement of teeth.

How is a bridge attached?
A fixed bridge is commonly cemented to the natural teeth next to the space left by the missing teeth. A false tooth (called a pontic) replaces the lost tooth. A pontic is attached to a crown (restoration that covers a tooth). Crowns, which are cemented on natural teeth serve as abutments that provide support for the bridge.

What materials are used?
Appearance and function are considered when selecting materials for bridges. Bridges are made from gold alloys, non-precious alloys, porcelain, or a combination of these materials. Porcelain often is bonded to either precious or
non-precious metal. We usualy use porcelain, because it looks more natural than gold and other alloys.

How do I get a bridge?
It usually takes two appointments to make a bridge. We want it to be comfortable to you,so the first thing we do is make sure you are numb. Then we remove any decay on the adjacent teeth and shape it with the hand piece, to fit a crown that will be attached to the pontic. Sometimes to help us make a more accurate impression we put a small piece of string in the space between the tooth and the gums. This gently pushes the gums away from the tooth. We send the impressions to the lab and it usually takes two weeks for them to get it done. During those two weeks you’ll have a temporary bridge in your mouth.

On your second appointment we remove your temporary bridge and try in your bridge. We check the fit and your bite. When everything looks good we cement it in place and you’ll have a new porcelain bridge.

After adjustments are made, the bridge is cemented into place.

How do I take care of my bridge?
It is very important to keep your remaining teeth healthy. A bridge can lose its support if the surrounding teeth or the jawbone that holds it become damaged by dental disease. Brush twice a day with fluoride toothpaste, and clean between the teeth and under your bridge with floss or other interdental cleaners (specially shaped brushes as
well as rubber, plastic or wooden items). While it is not a substitute for flossing, a useful tool to use in addition to floss is a water jet. These measures help remove a sticky film of bacteria called plaque. Plaque causes gum disease and dental decay.

Be especially careful to clean the areas under, around and between the bridge and your natural teeth. Dental floss threaders and special brushes can help you reach these areas. It is also important to visit your dentist regularly.
Remember, the ultimate success or failure of a fixed bridge depends on its foundation. Help keep your gums and remaining teeth healthy. Your oral health and your appearance are worth the effort!

Make an appointment today!