If you have a missing tooth, or you are about to lose one, a dental bridge is one of the most reliable ways to fill the gap. But not all bridges are the same. The right choice depends on where the gap is, how healthy the neighbouring teeth are and what you want the result to look like. This guide explains the main types of bridge, how each one works, and how to keep yours in good condition for years to come.
A dental bridge is a fixed restoration that “bridges” the space left by one or more missing teeth. A false tooth (called a pontic) sits in the gap and is held in place by the teeth on either side, or by dental implants. Unlike a denture, a bridge is cemented permanently in your mouth, so you do not take it out to clean it.
Replacing a missing tooth does more than restore your smile. It stops the surrounding teeth drifting out of position, helps you chew and speak comfortably, and maintains the natural shape of your face.
A resin-bonded bridge – sometimes called an adhesive bridge, Maryland bridge or simply a glued bridge – uses a thin metal or porcelain wing that is bonded to the back of an adjacent tooth with strong dental adhesive. The false tooth is attached to this wing.
The big advantage is that very little of the natural tooth needs to be removed, so it is one of the most conservative options available. Resin-bonded bridges are ideal for replacing a single front tooth, particularly in younger patients, and they are usually quicker and more affordable than a conventional bridge. Because they rely on a bonded wing rather than a crown, they are best suited to areas that take lighter biting forces.
A conventional bridge anchors the false tooth to crowns placed on the teeth either side of the gap. The supporting teeth are gently reshaped to take these crowns, which makes this option more involved than a resin-bonded bridge – but also extremely strong and stable. Conventional bridges are a good choice for replacing teeth towards the back of the mouth, where biting forces are higher, or where the neighbouring teeth would benefit from crowns anyway.
Where several teeth are missing, or the neighbouring teeth are not strong enough to act as supports, a bridge can be fixed onto dental implants instead. This avoids placing any load on the natural teeth and offers a very secure, long-lasting result.
The best option depends on a few key factors:
Only an examination can tell you which type will work best, which is why we always start with a proper assessment before recommending any treatment.
A well-made bridge can last many years with good care. Brush twice a day, and clean underneath the false tooth using floss threaders or interdental brushes to keep the area free of plaque. Regular check-ups and hygiene visits allow us to keep an eye on the bridge and the teeth supporting it, so small issues are caught early.
At Heathwood Dental Practice we offer the full range of bridge options and will talk you through the most suitable choice for your smile, your bite and your budget. To find out more, visit our dental bridges treatment page or call the practice on 01344 776933 to arrange a consultation.
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