BRIDGES (Photos at bottom of page)

 

A bridge may be a solution to replacing one or more missing teeth. It consists of an artificial tooth or teeth anchored to the natural teeth on each side of the gap. If a tooth is lost through an accident, or is too badly decayed to save with a crown, a bridge may be the treatment of choice. Implants may be another way of replacing missing teeth.

 

Teeth have many functions apart from chewing and biting, so missing teeth should be replaced for the following reasons:

 

 

HOW IS A BRIDGE MADE ?

 

The steps in preparing for and fitting a bridge are similar to those for a crown. The teeth on either side of the gap are reshaped.

 

These teeth are fitted with crowns which serve as anchors for the replacement tooth that is attached to the framework of the adjacent crowns. The whole piece is then cemented firmly in place.

 

 

HYGIENE AND CARE

 

Crowns and bridges should last for many years. However, there is no lifetime guarantee. As with natural teeth, it depends on good dental hygiene and oral health. Therefore, regular dental check-ups are advisable. Crowns and bridges require regular flossing and brushing, just like your natural teeth. Special devices are available for cleaning under a bridge. A dental professional will show you how to maintain them properly.

 

POSSIBLE SIDE EFFECTS OF CROWN OR BRIDGE TREATMENT

 

As with any medical or dental treatment, crown and bridgework can sometimes lead to unforeseen complications.

 

Infection of the pulp (nerve) or gums

Infection may affect the teeth in two places:

in the soft tissue inside the tooth, called the pulp

in the gums around the base of the teeth

Whenever tooth enamel is removed, there is a small risk that the underlying pulp may die and become infected. If this occurs, the tooth may need root canal treatment.

To avoid gum disease, additional steps may be needed in your dental hygiene routine, especially to clean properly under a bridge. Poor cleaning may cause "gum recession", where the gum shrinks away from the neck of the tooth.

 

Pain or discomfort

During treatment of a tooth, surrounding gum may be injured and feel tender as the effects of the anaesthesia wear off. Any pain should not last beyond two days and will be soothed with mild paracetamol if needed. If pain persists you should contact our office.

 

Altered feeling

If the size or shape of a tooth is changed even slightly, it can have an effect on the way it feels in the mouth, especially when chewing or biting. This sensation usually disappears after a few days. If any discomfort continues beyond a few days, inform our office, as adjustments may be needed.

 

Allergic responses

Allergic responses to gold or porcelain are rare. In case of suspected allergy to gold or porcelain, the dentist should be advised.

 

Cost

$1200 per tooth, including teeth used to support bridge and teeth being replaced.

 

Porcelain fixed bridges to replace missing teeth.

 

Single missing tooth

Before

 

After

 

 

Multiple teeth-complete reconstruction.

Before

 

After

 

 

Bridge to replace missing tooth, and veneers to modify existing teeth.

Before

 

After