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Dental Bridges for Missing Teeth: What Patients Should Know


Missing teeth can affect much more than appearance. They can interfere with chewing, speech, bite balance, and may cause neighboring teeth to shift over time. 


Dental bridges are a well-established, fixed solution used to replace one or more missing teeth and restore function and stability.


What Are Dental Bridges?


A dental bridge is a fixed dental prosthesis designed to replace one or more missing teeth by “bridging” the gap. It consists of:


  • Abutments – natural teeth or crowns on either side of the missing space

  • Pontic – the artificial tooth that replaces the missing tooth


Dental bridges help restore:

  • Chewing efficiency

  • Speech clarity

  • Tooth alignment

  • Facial support

  • Smile aesthetics



When Are Dental Bridges Used? (Indications)


Dental bridges are commonly recommended when:

  • One or more teeth are missing in a row

  • Adjacent teeth are healthy enough to support a bridge

  • A fixed (non-removable) replacement is preferred

  • Removable dentures are not desired

  • Implant placement is not planned or needs to be deferred



🚫When Are Dental Bridges Not Used? (Contraindications)


Dental bridges may not be suitable when:

  • Adjacent teeth are weak, mobile, or heavily decayed

  • Gum disease is untreated or poorly controlled

  • Very long spans of missing teeth lack adequate support

  • Oral hygiene is poor

  • Bite forces are excessive without protective measures

In such situations, alternative tooth-replacement options may be advised.



Types of Dental Bridges


1. Traditional Fixed Dental Bridge

  • Supported by natural teeth on both sides of the gap

  • Most commonly used type

  • Requires preparation of adjacent teeth


2. Maryland (Resin-Bonded) Bridge

  • Bonded to the back of adjacent teeth

  • Used mainly for single missing front teeth

  • Conservative option with minimal tooth preparation


3. Implant-Supported Bridge

  • Supported by dental implants rather than natural teeth

  • Used when multiple teeth are missing

  • Provides strong, independent support



Materials Used for Dental Bridges

Dental bridges may be fabricated using:

  • Zirconia – strong, metal-free, durable

  • All-ceramic / porcelain – good aesthetics for visible areas

  • Porcelain-fused-to-metal (PFM) – strength with moderate aesthetics

  • Metal alloys – high durability for back teeth

Material selection depends on tooth location, bite force, and cosmetic requirements.



What Happens During the Dental Bridge Procedure?


  1. Clinical Evaluation & Planning Oral examination, digital X-rays or scans, bite assessment, and treatment planning.

  2. Preparation of Supporting Teeth Abutment teeth are conservatively shaped under local anesthesia.

  3. Digital Impression A digital intraoral scan is taken for precision and patient comfort.

  4. Temporary Bridge Placement Protects prepared teeth and maintains appearance and function.

  5. Final Bridge Placement Fit, bite, and comfort are verified before permanent cementation.


Dental Bridge vs Dental Implant

Feature

Dental Bridge

Dental Implant

Support

Adjacent teeth or implants

Jawbone

Surgery required

No

Yes

Treatment time

Shorter (2-3 weeks)

Longer (3-6 months)

Effect on adjacent teeth

Often requires preparation

Preserves natural teeth

Suitability

Limited span

Single or multiple teeth

✔️ Dentists often recommend:


  • Dental bridge - when adjacent teeth already need crowns or when a quicker fixed

    replacement is preferred

  • Dental implant - when maximum longevity and bone preservation are desired


At Tricity Smiles Dentistry, we evaluate your bone levels, bite, age, gum health, and personal preferences to help determine the most suitable tooth-replacement option for long-term success.



Cost Factors for Dental Bridges


The cost of a dental bridge depends on:

  • Number of missing teeth

  • Type of bridge selected

  • Material used

  • Condition of supporting teeth

  • Laboratory and digital technology

  • Complexity of the case

A personalized consultation is essential for accurate treatment planning.


Related Services


  1. Dental Bridges

  2. Zirconia & Ceramic Crowns

  3. Root Canal Treatment

  4. Tooth-Colored Fillings

  5. Full-Mouth Rehabilitation


What Our Patients Say


“My bridge feels stable and natural. I can chew comfortably again, and the entire procedure was explained clearly from start to finish.”- Mrs. Gurkirat



About Dr. Sandhu & Tricity Smiles Dentistry


Dr. Sandhu is a US-trained dentist with over 20 years of clinical experience, specializing in restorative and cosmetic dentistry. At Tricity Smiles Dentistry, dental bridges are planned using digital diagnostics, precision materials, and evidence-based protocols for predictable and long-lasting results.


📍 House No. 109, Sector 28-A, Chandigarh 

📞 +91-7686828000



❓FAQs

  1. Are dental bridges removable? 

    No. Dental bridges are fixed restorations.

  2. Do dental bridges damage adjacent teeth? 

    Supporting teeth are conservatively reshaped only when clinically required.

  3. Can a bridge replace more than one tooth? 

    Yes, depending on the design and support available.

  4. Is the procedure painful? 

    The procedure is usually painless under local anesthesia.


🔗 Related Topics


  • Dental Crowns Explained

  • Tooth Whitening

  • Root Canal Treatment

  • Dental Implants

  • Full-Mouth Rehabilitation



📚References

  • American Dental Association – Fixed Prosthodontics Guidelines

  • Journal of Prosthetic Dentistry – Dental Bridge Outcomes

  • PubMed: Clinical Performance of Fixed Dental Prostheses

  • WHO Oral Health Restoration Guidelines


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