A dental bridge is one method to fill a gap created by a missing tooth (or teeth). Dental bridge or pontic is a custom-made false tooth or teeth, that is permanently placed between two healthy teeth, filling in the area left by a missing tooth or teeth. The bridge is held in place by crowns placed on the healthy teeth on each side of space to be filled.
Benefits of Dental Bridges:
• Restores your smile
• Restores your ability to properly chew and speak
• Maintains the shape of your face
• Distributes the forces in your bite properly by replacing missing teeth
• Prevents remaining teeth from drifting out of position
• Helps preserve the natural function and position of the teeth
• Restores and maintains natural bite
Types of Dental Bridges
Traditional bridges involve creating a crown for the tooth or implant on either side of the missing tooth, with a pontic in between. Traditional bridges are the most common type of bridge
Cantilever bridges are usually used when there are adjacent teeth on only one side of the missing tooth or teeth.
Marlyland bridges also called a resin-bonded bridges or a Maryland bonded bridges. Maryland bridges supported by metal framework. Metal wings on each side of the a bridge are bonded to the back of existing teeth.
Types of Dental Bridge Materials
There are three basic types of materials for dental bridges:
1. Porcelain fused to metal dental bridges
2. All porcelain dental bridges
3. All metal dental bridges (Gold)
The all porcelain dental bridges and porcelain fused to metal (PFM) dental bridges are tooth colored bridges. PFM dental bridges are usually used to restore back teeth where the forces of chewing and grinding are strongest. All porcelain dental bridges are the most aesthetic and are used almost exclusively for front teeth where the need for strength is not as critical. Gold dental bridges are the most durable and offer the most precise fit. Gold dental bridges does not chip. The all-ceramic porcelain bridges used at Bangkok International Dental Center includes Cerconfrom DeguDent, IPS Empress from Ivoclar Vivadent and Procera NobelEsthetics from Nobel Biocare.
Procedure for Dental Bridges Treatment
The course of treatment described here is for traditional bridges, one of several options available at our dental clinic. Consult your dentist to find out what the best solution is for you, given your specific condition.
1. First evaluation and bridge tooth preparation
+Local anesthesia is first administered at the region of bridge tooth preparation
+The natural teeth adjacent to the missing gap is reshaped to receive the dental bridge
+Records are taken and approved with the patient to determine the color, bite, length and shape of the bridge
+An impression is taken for a replica model of the teeth
+This model is sent to a lab where the individualized bridge is fabricated
+A temporary bridge is placed on whilst the permanent bridge is made
2. Fitting of bridge on delivery
+The temporary bridge is removed
+The permanent bridge is fitted and cemented into place on the teeth
+A quality assurance check is done for any re-adjustments or re-works of the dental bridge
3. Care of bridge +Brush and floss the bridge as recommended by your dentist or dental hygienist
Both the preparation and placement of the temporary bridge as well as the bonding of the permanent bridge may cause some minor tenderness in the area. Some individuals may experience sensitivity in teeth. This sensitivity will disappear gradually over a few days to weeks. Replacing missing teeth should actually make eating easier but until you become accustomed to the bridge, eat soft foods that have been cut into small pieces.
Post care Instructions for Dental Bridges
It is important to keep your remaining teeth healthy and strong as the success of the bridge. The bridge depends on the solid foundation offered by the surrounding teeth.
1. Avoid chewing on or eating hard foods on the restorations for 24 hours from the time they were cemented
2. To help with discomfort or swelling rinse your mouth 3xd with warm salt water. (1tsp. of salt in 8oz of water)
3. Keep crown area clean to maintain tissue compatibility (the contour of the prosthesis must allow the surrounding tissue to conform to a natural, healthy position)
4. Some sensitivity in teeth may be experienced by certain patients. This sensitivity will disappear gradually over a few days to weeks. If teeth are sensitive :
+ Avoid hot, cold or acidic food and beverages
+Pain medication be taken as directed as long as there is no medical contradiction based upon your medical history
+Use fluoride rinse and toothpaste for sensitivity teeth
+Clean teeth properly
Care for Dental Bridges
Dental bridges require the same regular and consistent home and professional dental care, as your natural teeth to prevent decay at the tooth-dental crown junction. To provide optimum longevity for your restorations, please follow the home care tips below:
1. Brush after eating and before bedtime around the bridge with a soft toothbrush, especially where the bridge meets the gum line. At the gum line harmful bacteria can be harbored to cause decay and gum disease.
2. Floss at least once to twice a day. Use the proxy brush or floss threader to remove plaque under and around these areas to maintain good oral hygiene. Buildup of food debris and plaque on your teeth and gums can become infected.
3. Rinse with fluoride rinse before bed. Swish the fluoride rinse vigorously in your mouth for at least one minute. Do not swallow any of the rinse and do not eat or drink anything for 30 minutes
4. Be careful about chewing toffees, gum, grainy rolls and tough food in this area
5. See your dentist for regular professional check-ups and cleanings