Missing teeth can not only be an embarrassing dental problem affecting your daily life but often leads to additional complex dental problems as a result of shifting teeth and shrinkage of bone in the jaw. Providing patients with solutions to missing teeth is one of the restorative dentistry services we offer to the public.
Replacing missing teeth with the most suitable option for your dental health is the key to a comfortable result. Durham NC dentist Dr. Brent Blaylock provides several options for tooth replacement and will determine which is best for you after a thorough examination and discussion of your personal concerns, goals, and budget.
Dental Bridges in Durham, NC
Dental bridges can provide lasting, effective tooth replacement for patients missing one or several teeth. Dental bridges are supported on each side by either a natural tooth strengthened by a dental crown or a dental implant.
There are two types of dental bridges: removable and fixed. Dr. Blaylock recommends a fixed bridge whenever possible for the long-term benefits to both daily quality of life and oral health.
The Dental Bridge Process
Replacing missing teeth with a dental bridge will be a multi-step process.
Dr. Blaylock begins with a comprehensive evaluation to examine the health of the teeth, gums, jaw joints, and other support structures. You may have an existing dental bridge or a dentist needs to extract your teeth.
The dental bridge will be fabricated in a local dental laboratory to Dr. Blaylock’s specifications. You may have a temporary bridge to wear in the intermediate time period. In approximately 2 to 3 weeks from your initial visit, you will return to our Durham dentist office for the delivery of the final restoration.
Typically, your teeth anchor a bridge. But being an anchor leads to a lot more wear and tear on these teeth. They’re more likely to develop problems with damage or tooth decay. Dr. Blaylock recommends getting dental crowns to support these teeth as they anchor your bridge. The crowns take on the stress from the bridge instead of leaving it all on your natural teeth.
Implant-Supported Dental Bridge
If you have several consecutive missing teeth, Dr. Blaylock may suggest dental implants to support a dental bridge. Here, the series of prosthetic teeth that are linked together will be supported by dental implants instead of prepared natural teeth.
Two or more dental implants will be surgically placed in the jaw bone and allowed to heal for about three to six months. Next, Dr. Blaylock will permanently attach the bridgework to the dental implants. Implants are a better option for missing teeth because they actually replace the tooth root which reduces the chance of bone loss.
Traditional Vs. Implant-Supported Dental Bridges
Both bridge options are ideal and available at our office. We determine the best option for each patient’s unique needs.
Traditional Dental Bridges
Traditional dental bridges have been a standard solution for replacing missing teeth for many years. This method involves creating a bridge composed of artificial teeth, known as pontics, anchored by dental crowns placed on the adjacent natural teeth. These adjacent teeth, called abutment teeth, must be reshaped and prepared to support the crowns.
One of the primary advantages of traditional dental bridges is that the procedure is relatively quick. Once the abutment teeth are prepared, the bridge can be custom-made in a dental lab and placed in the patient’s mouth within a few weeks. This makes traditional bridges popular for those seeking a fast solution to tooth loss.
Another benefit of traditional bridges is their affordability compared to other options like dental implants. Many insurance plans also cover a significant portion of the cost, making it more accessible for patients on a budget.
However, traditional bridges do come with some drawbacks. The need to reshape healthy abutment teeth can be a disadvantage, as it requires the removal of healthy tooth structure, which can weaken the teeth over time. Additionally, because traditional bridges rest on the gums and do not replace the tooth root, they do not prevent bone loss in the jaw, which can lead to further oral health issues over time.
Implant-Supported Dental Bridges
Implant-supported dental bridges are the recommended choice to replace your missing teeth. Instead of relying on adjacent teeth for support, dental implants are used as anchors.
One of the most significant advantages of implant-supported bridges is their ability to preserve the jawbone. Since the implants replace the tooth roots, they stimulate the bone, preventing the bone loss that typically occurs with traditional bridges and dentures. This helps maintain the patient’s facial structure and contributes to long-term oral health.
Implant-supported bridges also offer superior stability and function. Because they are anchored directly into the jawbone, they provide a more secure fit than traditional bridges, which can sometimes shift or become loose. This stability allows patients to eat, speak, and smile confidently, knowing their replacement teeth are firmly in place.
However, implant-supported bridges are not without their challenges. The procedure is more complex and requires a longer healing time. Patients must undergo surgery to place the implants, followed by several months of healing before the final bridge can be attached. This extended timeline can be a drawback for those seeking a quick solution.
Additionally, implant-supported bridges are generally more expensive than traditional bridges. While many patients find the long-term benefits worth the investment, the higher upfront cost can be a barrier for some.
Caring for Dental Bridges
It is important to ensure that your bridge is reliable and functioning properly. If you don’t care for your bridge correctly, it may not work as it should.
Oral Healthcare Routine
Maintaining a thorough oral hygiene routine is one of the most important aspects of caring for a dental bridge. Brushing twice daily with fluoride toothpaste is essential to remove plaque and food particles that can accumulate around the bridge and abutment teeth.
Use a soft-bristled toothbrush and gentle, circular motions to clean all surfaces of your teeth and the bridge. Pay special attention to where the bridge meets your natural teeth and gums, as plaque buildup can lead to decay and gum disease.
Flossing is equally important for dental bridge care, but it requires a slightly different approach than flossing natural teeth. Traditional flossing methods may not be effective for cleaning under the pontic (the artificial tooth in the bridge). To clean these areas effectively, you can use a floss threader, which allows you to thread the floss underneath the bridge. Alternatively, you can use interdental brushes or water flossers designed to clean around bridges and other dental appliances.
Getting Dental Checkups
Seeing the dentist regularly allows them to monitor your bridge and ensure it’s working correctly. If you feel any changes in your bridge — like discomfort or looseness — make sure to tell the dentist. Our mouths change over time, and traditional bridges don’t stop jawbone degradation. You’re likely to need bridge readjustments or replacements throughout the years.
Protecting Your Bridge
In addition to maintaining good oral hygiene and visiting your dentist regularly, there are steps you can take to protect your dental bridge from damage. Avoid chewing on hard objects like ice, pens, or fingernails, as these can chip or crack your bridge. If you grind or clench your teeth, consider wearing a nightguard to protect your bridge from excessive wear and tear. A custom-fitted nightguard can cushion your teeth and reduce the pressure on your bridge while you sleep.
Dietary choices also play a role in caring for your dental bridge. While you don’t need to make drastic changes, avoiding sticky or overly hard foods that could dislodge or damage the bridge is a good idea. Sugary and acidic foods can contribute to decay around the abutment teeth, so limiting these foods can help protect your bridge and overall oral health.
Dental Bridge FAQs
Dental bridges can replace multiple missing teeth. Learn more by reading the answers to these typically asked questions.
How much does a dental bridge cost?
The cost of a dental bridge will depend on the number and location of the missing teeth as well as the type of bridge and materials chosen. Dr. Blaylock accepts nearly all dental insurance providers and will file electronically on your behalf for your direct reimbursement.
Are there different types of bridges?
There are actually many types of dental bridges. A traditional fixed bridge is secured to the two adjacent teeth. Cantilever bridges are similar but they only secure to one adjacent tooth. Maryland bridges rely on metal wings that will attach to the back of adjacent to remain secured in place. We can also secure a bridge with dental implants. This solution prevents bone loss and does not require damaging or placing extra stress on healthy, adjacent teeth.
Can you repair broken bridgework?
Although your dentist will build your dental bridges to last a long time, problems can still arise. If you have a dental bridge that has chipped, broken, or has come loose, you should contact our Durham dentist office right away. Depending on the extent of the damage, we may be able to cement the bridge or replace it altogether.
How do I take care of my dental bridge?
You should brush and floss your dental bridge just like natural teeth. Dr. Blaylock will show you a special technique to floss under and around the artificial tooth or teeth. It is also important to visit the dentist at least twice a year for routine examinations.
Can I take my dental bridge out?
You will not be able to remove your dental bridge once it is in place. Only a dentist can remove the dental bridge your dental since it is cemented in place. There is a removable bridge; however, this is not a permanent solution. The only time we recommend this type of dental bridge is when you are waiting on your dentist to make you a permanent dental bridge.
How long do dental bridges last?
Generally, dental bridges can last from seven to ten years. However, they may last longer or shorter depending on the individual’s oral health and lifestyle. Proper oral hygiene and avoiding hard foods that can put stress on the bridge will help it last longer.
Seeking alternative ways of replacing gaps between teeth and missing teeth? Give us a call at 984-213-4695, or request an appointment online today.