When we’re
young, losing a tooth can be an exciting time. It might be surprising the first
time it happens, but a lot of times our parent would tell us to put it under
our pillow and we’d find money in the tooth’s place. As a kid, this can be very
exciting. After the permanent tooth replaces the baby tooth, we do our best to
keep the permanent teeth in place by taking good care of them. Sometimes, a
permanent tooth may fall out due to an accident or poor care, but a bridge
treatment can make it like the tooth was never lost.
Types of Bridge Treatments
There are
three types of bridge treatments to replace lost teeth. The most common
treatment is the traditional bridge treatment which sets a false tooth in between two capped teeth.
The teeth adjacent to the gap are filed down to accommodate caps which support
a metal or ceramic bridge, the middle of which supports the pontic, or false
tooth.
Cantilever bridges are are necessary if
there is only one tooth adjacent to the lost one. They are uncommon and are also
not recommended for use at the end of a teeth array, as the pressure from
chewing toward the back of your mouth is very strong and can more easily break
the bridges.
For people who
do not wish to file down adjacent teeth to support a bridge, resin bonded bridges (or Maryland bridges) can be used instead.
The false tooth itself contains the metal or porcelain framework and the tooth
is bonded to adjacent teeth using a resin to secure it in place.
Getting a Bridge Treatment
There are two
parts to getting a bridge: preparation and installation. On the first visit for
a bridge treatment, your mouth will be prepared for the framework. The teeth
adjacent to a gap will be filed down so that a crown can be placed over them. A
casting of your mouth will be used to help the lab created a bridge that will
snuggly and securely fit your teeth once they have been prepared.
The bridge
construction can take a few weeks to properly build, so you’ll be given a
temporary bridge in the meantime. On your second visit, the temporary bridge
will be removed and the permanent bridge will be installed. Most of the time,
patients will be all set after this second visit, but sometimes it is necessary
to come back again to adjust the fit and make sure it is secure.
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