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Bridges

Dental Bridge

Three-unit bridge replaces missing teeth

When a tooth is missing, a three-unit bridge can be a good choice for replacing it. In a three-unit bridge, an artificial tooth is connected on each end to crowns. The crowns are placed over the neighboring teeth to hold the bridge in place.

A three-unit bridge can be made of gold, porcelain, or porcelain fused-to-metal.

Placing a three-unit bridge

bridge dentist pasadenaWhen we first find periodontal disease, we treat it with scaling and root planing to remove plaque, tartar and bacteria from beneath your gumline.

We use the handpiece to remove any decay and shape the teeth that will support the bridge. Then we take an impression of your teeth. A model of your mouth is made from this impression, and then the lab uses the model to create a bridge that precisely fits your teeth and bite. In the meantime, we often place a temporary bridge.

On your next visit, we remove the temporary bridge and begin a series of steps to confirm the fit of your new bridge. We try in the final bridge and check the fit and your bite. When everything is right, we cement or bond the bridge in place.

Removing plaque below the gumline

This treatment disrupts the growth of the bacteria, but some bacteria remain and may settle back into the pocket where they reproduce. In fact, the number of bacteria doubles every time they reproduce, reaching destructive levels in as few as 90 days.

The benefits of a three-unit bridge

Three-unit bridges have several advantages. They:

  • Replace teeth for biting and chewing
  • Assist in clear speech
  • Help prevent teeth from shifting
  • Are supported by crowns that can serve as restorations for neighboring teeth that have damage or deca

When you need to replace a missing tooth, a three-unit bridge can be a functional, good-looking solution.

What is a dental bridge?

A dental bridge is a device used to replace a missing tooth by placing an artificial tooth between two adjacent teeth and permanently affixing it to the adjacent teeth. There are several types of dental bridges, but each is custom-made to fit the patient’s arch. Dental bridges require that the two teeth adjacent to the missing tooth be shaped to accept the bridge. Crowns are placed on the shaped teeth and attached to the new artificial tooth, forming a bridge.

When are dental bridges used?

If a single tooth is missing between two other teeth, a dental bridge can be used. For years, the dental bridge was the most reliable way to replace a single missing tooth. Today, advances in dental implants make them a popular choice for replacing a single tooth because a dental implant doesn’t impact the adjacent teeth and preserves the bone in the area of the missing tooth.

What are dental bridges side effects?

Dental bridge side effects are generally rare. Like any procedure that involves your gums, there a risk of gum infection or inflammation, but that is rare. Your dentist will also consult with you prior to the procedure to assure you don’t have allergies to the materials being used.

The biggest issue isn’t a side effect, but the fact that with a dental bridge two healthy teeth need to be altered to replace one missing tooth. A dental bridge is a permanent device that requires two healthy teeth adjacent the missing tooth to be shaped to accept the crowns of the new dental bridge.

What are the alternatives to dental bridges?

Dental Implants are the standard of care for replacing missing teeth today. With dental implants, you can choose a single tooth implant, restore several missing teeth or restore all your teeth. While dental implants are more costly than dental bridges, the benefits are significantly greater, like not needing to modify nearby healthy teeth or replace the bridge years down the road.

How do I care for a bridge?

With a bridge, it is more important than ever to brush, floss, and see your dentist regularly. If you do not control the buildup of food debris and plaque–the sticky film of bacteria formed from food acids–your teeth and gums can become infected, requiring further treatment and resulting in possible loss of the bridge. You may also use floss threaders that help remove bacteria from hard to reach spaces between the bridge and adjacent teeth and gums.

If you maintain optimal oral hygiene care, you can expect your fixed bridge to last as many as 8-10 years, or even longer.

Will It Be Difficult to Eat With a Dental Bridge?

Replacing missing teeth should actually make eating easier. Until you become accustomed to the bridge, eat soft foods that have been cut into small pieces.

Does insurance cover the cost of a dental bridge?

NEED INFO HERE

Homecare:  Caring for Your Bridge

Permanent Bridge HomeCare Instructions

Now that we’ve placed your permanent bridge, it’s important to follow these recommendations to ensure its success:

Chewing and eating

If we used an anesthetic during the procedure, avoid chewing until the numbness has completely worn off.

Brushing and flossing

To protect your bridge, carefully follow our instructions for keeping the areas around and under the bridge free of bacteria. We may recommend special floss, brushes, or other cleaning aids.

If your teeth are sensitive to hot, cold, or pressure, use desensitizing toothpaste. If sensitivity increases or persists beyond a few days, call us.

Medication and discomfort

Take antibiotics or other medications only as directed. To reduce any discomfort or swelling, rinse your mouth three times a day with warm salt water. Use about one teaspoon of salt per glass of warm water. It’s normal for your gums to be sore for several days.

When to call us

Call our office if your bite feels uneven, you have persistent sensitivity or discomfort, or if you have any questions or concerns.

 

VIEW PRINTABLE HOME INSTRUCTIONS

Temporary Bridge HomeCare Instructions

Now that we’ve placed a temporary bridge, it’s important to follow these recommendations to ensure the success of your final restoration:

Chewing and eating

If we used an anesthetic during the procedure, avoid chewing until the numbness has completely worn off. Avoid chewing for at least one  half-hour to allow the temporary cement to set.

To keep your temporary in place, avoid eating hard or sticky foods, especially chewing gum. If possible, chew only on the opposite side of your mouth.

Brushing and flossing

Brush normally, but floss very carefully. We may recommend special floss, brushes, or other cleaning aids to keep the area free of bacteria.

If your teeth are sensitive to hot, cold, or pressure, use desensitizing toothpaste. If sensitivity increases or persists beyond a few days, call us.

Medication and discomfort

Take antibiotics or other medications only as directed. To reduce any discomfort or swelling, rinse your mouth three times a day with warm salt water. Use about one teaspoon of salt per glass of warm water. It’s normal for your gums to be sore for several days.

When to call us

Call us if your temporary bridge comes off. Save the temporary so we can recement it. It’s very important for the proper fit of your final bridge that your temporary stay in place.

Call our office if your bite feels uneven, you have persistent sensitivity or discomfort, or if you have any questions or concerns.

VIEW PRINTABLE HOME INSTRUCTIONS


Abutment Tooth

Anchoring or abutment teeth are reshaped to receive crowns which will be used to fasten the false tooth to

Bridge

A DENTAL BRIDGE is an appliance made to permanently fit between two porcelain crowns. The bridge fills the gap left by one or more missing teeth.

Missing Tooth

A bridge is being used to "replace" this missing tooth