| |
What exactly
is a bridge or fixed partial denture?
A
bridge (also called a fixed partial denture) is a
restoration which replaces or spans the space where one
or more teeth have been lost. There are two types of
bridges-fixed and removable. Fixed bridges are bonded
into place and can only be removed by a dentist. On the
other hand, you can take out a removable bridge for
cleaning. Removable bridges, while less expensive, may
not be as desirable as fixed bridges and are not
generally as stable.
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 importantly, though, your dental health may
suffer when teeth are not replaced. Teeth were designed
to complement each other. When a tooth is lost, the
nearby teeth may tilt toward the empty space, or the
teeth in the opposite jaw. may move up or down toward
the space. This places unusual stress on both the teeth
and tissues in your mouth.
|

|
| |
Immediately after a tooth is
lost |
|
When a
tooth is not replaced, the remaining teeth can
drift out of position |
In addition, the
gum tissues and the bone that hold teeth place can break
down, increasing the risk of gum disease Teeth that have
tipped are difficult to clean, making them likely to
decay. As a result, even more teeth may be lost.
Missing teeth can
also affect the way you chew and speak. Chewing on only
one side may cause stress to your mouth also need your
teeth to speak properly, since they help Y' make the
many 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 restoring
natural teeth and in replacing missing teeth.
How is a bridge attached?
A fixed bridge is commonly cemented
to the natural teeth to the space left by the missing
tooth. A false tooth (called pontic) replaces the lost
tooth. The pontic is attached to crowns (restorations
that cover a tooth). Crowns, which are cemented onto the
natural teeth, provide support for the bridge.
 |
|
|
Implant Bridge |
|
|
 |
|
Before |
A bridge is attached to implants |
|
 |
|
|
After |
|
In some instances, a resin-bonded
bridge, frequently called a "Maryland Bridge," can be
used to replace one or more missing teeth. Because the
bridge is attached by a special procedure called
bonding, it doesn't require the use of crowns or
extensive tooth preparation. Your dentist can determine
whether this treatment method is appropriate for you.
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 is often bonded to either precious or
non-precious metal. Your dentist will discuss which
materials are best for you.
How do I take care of my
bridge?
|
 |
|
|
|
Daily oral hygiene is
essential. |
|
 |
|
|
|
Interdental cleaners |
It is very important to keep your
remaining teeth healthy. Brush twice a day, and clean
between the teeth with floss or interdental cleaners
(specially shaped brushes as well as rubber, plastic or
wooden items). These measures help remove a sticky film
of bacteria called plaque. Plaque causes gum disease and
dental decay.
A bridge can lose its support if the
teeth or the bone that holds it becomes damaged by
dental disease. 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
dental health and your appearance are worth the effort!
|
|