A Comprehensive Guide to The Different Types of Dental Bridges

A Comprehensive Guide to The Different Types of Dental Bridges By Maylands Dental Centre | December 12, 2023

A Comprehensive Guide to The Different Types of Dental Bridges

Pursuing a captivating smile is a universal aspiration, but the journey is often hindered by missing teeth or unsightly gaps. This can affect your confidence and overall oral health. In this blog post, we will discuss the different types of dental bridges and how they play a crucial role in restoring your smile.

From traditional dental bridges to cantilever and Maryland bridges, we will shed light on various aspects crucial to making the right decision about dental bridges. Understanding these options and the benefits of dental bridges, you’ll be better equipped to choose the most suitable tooth replacement options for your needs. Keep reading and explore how these different types of dental bridges restore your smile and preserve your oral health.

Summary of the Content:

  • Before choosing the right type of dental bridge, it is important to consider factors such as oral health, dental bridge material, maintenance, durability, impact on other teeth, bone loss consideration, cost, risks, and procedure.
  • The three main types of dental bridge are traditional bridge, cantilever bridge and Maryland bridge. Another bridge available is the implant-supported bridge.
  • Traditional bridges are more common and stable, but they require altering the adjacent teeth. They typically cost around $2,000 per unit or tooth.
  • Cantilever bridges, which typically cost from $2,000 to $5,000, are suitable for certain cases but have the potential for movement and damage.
  • Maryland bridges are less invasive but less durable and aesthetically limited. The cost of this bridge usually starts at $2,000.
  • Implant-supported bridges are durable and preserve bone, but they are a more invasive procedure that can cost around $6,000 to $10,000 or more.
  • Dental bridge longevity and maintenance of the different types of dental bridges may vary depending on your oral hygiene. Traditional bridges usually last 10-15 years. Cantilever bridges usually last 5-15 years, while Maryland bridges last 8-10 years.
  • There are other alternatives to dental bridges, which are dentures, dental implants, and tooth-supported overdenture.
  • Maintenance for each dental bridge type is crucial, requiring specific care.

The Challenge of Choosing a Dental Bridge

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Choosing the right type of dental bridge is an important decision that should not be taken lightly, as it involves careful consideration of several key factors. Dental bridges are a common option for replacing missing teeth, and selecting the appropriate type can have a lasting impact on your oral health, comfort, and overall well-being. Here is a more detailed exploration of the possible challenges and issues to consider in choosing the right option for you:

  • Colour Matching and Aesthetics:
    One of the concerns of choosing a dental bridge is ensuring that it matches the colour of the surrounding teeth for a more uniform look. An unmatched colour can make the bridge stand out and detract from the natural look of your smile.
  • Durability and Longevity:
    When you choose the right dental bridge material, such as porcelain or ceramics, dental bridges can be durable. However, they may not be as long-lasting as other dental restoration options like dental implants. Its longevity largely depends on the durability of the material used, the health of the surrounding teeth, and the oral hygiene practices. Frequent dental visits are crucial to monitor the condition of the bridge and other oral structures.
  • Maintenance and Oral Hygiene:
    The areas under the bridge and around the abutments are meticulous to clean as they are prone to accumulating food debris and plaque. Poor oral hygiene and bridge maintenance may lead to tooth decay and gum disease.
  • Impact on Adjacent Teeth:
    Dental bridges use the adjacent teeth as abutment to support the crowns. The teeth are filed down, weakening their structure and making them more susceptible to decay and damage. It is important to consider the long-term health of these teeth before opting for a bridge.
  • Bone Loss Consideration:
    Unlike dental implants, dental bridges do not stimulate the jawbone beneath the missing tooth, which can lead to further bone loss over time. This can affect the stability of the bridge, the appearance of your face, and may complicate future dental treatments.
  • Cost:
    Several factors can significantly affect the cost of your dental bridge. These factors may include the materials used, the type of dental bridge, the complexity of the case, and even the location of the clinic. It is important to understand the financial commitment of choosing and maintaining a dental bridge.
  • Comfort and Fit: Adjusting to a newly cemented dental bridge can take some time. Initially, it may feel awkward or bulky in the mouth. However, if not fitted properly, it can cause discomfort, affect speech, or interfere with chewing. Ensuring a good and proper fit is critical for comfort and functionality.
  • Risk of Damage:
    Not addressing habits like teeth grinding (bruxism), nail biting, or chewing hard foods can make your dental bridge susceptible to damage. Repairing a damaged bridge can be costly and inconvenient. In the worst-case scenario, the dental bridge may need replacement.
  • Allergic Reactions:
    Some may be allergic to the material components or metals used in certain types of bridges. It is important to discuss any known allergies with your dentist before choosing a dental bridge.
  • Procedure and Recovery:
    The dental bridge process typically involves multiple dental appointments- from tooth preparation to fitting and cementing the final bridge. Temporary discomfort or sensitivity may be experienced after each procedure, but it can be managed with over-the-counter medications or home remedies. The recovery time, while generally short, can be inconvenient for some.

Discussing these challenges with your dentist, along with your aesthetic preferences, lifestyle, and budget, can help you make the decision in choosing a dental bridge.

The Different Types of Dental Bridges:

The Old Favourite Traditional Bridge

The traditional bridge is one of the most popular types of dental bridges. It involves creating a crown for the tooth or implant on both sides of the missing tooth, with a pontic in between. They are ideal for missing teeth surrounded by healthy teeth on both sides.

Pros of traditional bridges

  • Well-established:
    This type of bridge is common and effective for replacing a single tooth or multiple adjacent missing teeth.
  • Stable structure:
    They provide good durability as they anchor on both sides of the missing teeth.
  • Wide applicability:
    Suitable for replacing a single tooth or multiple adjacent missing teeth.

Cons of traditional bridges

  • Requires altering healthy adjacent teeth:
    The adjacent teeth on both sides need to be filed down to support the crowns, which may not be ideal for everyone.
  • Potential for severe tooth decay:
    The crowns can make it challenging to maintain optimal oral health, increasing the chance of tooth decay.
  • Cost:
    Generally costlier than other types and removable options like dentures.

Cantilever Bridges for Limited Options

Cantilever bridges are less common types of dental bridges, but they are used to replace one or more missing teeth. Unlike traditional bridges, which are anchored on both sides of the missing teeth, a cantilever bridge is supported only on one side. Additionally, they can serve as a temporary bridge or dental treatment for individuals awaiting a more extensive dental restoration procedure.

Pros of cantilever bridges

  • Conservative approach:
    Unlike traditional bridges, only one tooth is filed down to support the bridge, preserving more of the natural tooth structure.
  • Suitable for Certain Cases:
    They are ideal for restoring teeth that are under less stress, such as the front teeth.
  • Aesthetic appeal:
    They can be crafted to look natural and blend in with the other natural teeth, enhancing the smile’s appearance.

Cons of cantilever bridges

  • Potential for Movement:
    Since they are anchored from one side only, there might be a risk of movement over time, affecting the bite and alignment.
  • Not suitable for all teeth:
    This type of dental bridge is not recommended for replacing the molars or in areas with a lot of bite pressure, as the abutment or anchoring tooth can be overloaded, and may cause tooth or bridge fracture.
  • Potential for damage:
    The single supporting tooth takes on more stress and load, which can lead to complications like fractures or loosening.

Maryland Bridges as a Conservative Choice

Maryland bridges is a unique type of dental restoration. Unlike traditional and cantilever dental bridges, which file down the adjacent teeth for support, the Maryland dental bridge uses a metal framework or porcelain framework bonded only to the back of the adjacent teeth. They usually serve as an interim treatment pending a more definite treatment.

Pros of Maryland bridges

  • Minimal tooth alteration:
    They require little to no removal of enamel from adjacent teeth, preserving the healthy tooth structure.
  • Quick and simple procedure:
    They often require two dental visits for dental bridge placement, and there are usually no meticulous fittings and adjustments necessary.
  • Cost-Effective:
    Generally less expensive than other types of dental bridges and more affordable than implants.

Cons of Maryland bridges

  • Less durable:
    The bond may weaken over time, making the bridge less stable than other types.
  • Potential for dislodgement:
    They are not suitable for all teeth, especially where the adjacent teeth are not strong enough.
  • Aesthetic limitations:
    Metal wings can be visible, affecting the natural appearance of one’s beautiful smile.

Implant-Supported Bridges Is the Modern Approach

Implant-supported bridges represent a modern approach to dental restoration, offering an effective option for replacing missing teeth. Unlike other types of dental bridges that rely on adjacent teeth for support, these bridges are anchored to dental implants, which are surgically placed in the jawbone. However, they require careful selection and consideration of individual health factors.

Pros of Implant-Supported Bridges

  • Durability and Stability:
    Implant-supported bridges are anchored to the implant embedded in the bone, providing a more stable foundation. This makes the bridge more durable and less likely to shift or get dislodged.
  • Bone Preservation:
    Dental implants stimulate bone growth, unlike tooth-supported dental bridges. This helps maintain jaw bone density and facial structure.
  • Preservation of adjacent teeth:
    Unlike traditional dental bridges, there will be no need to file down or alter the neighbouring or abutment teeth.
  • Improved Function and Appearance:
    They are crafted to closely mimic the look and function of natural teeth, enhancing chewing ability and confidence in your smile.

Cons of Implant-Supported Bridges

  • Invasive placement procedure:
    The procedure requires surgical implantation, which has risks like infection, and may not be suitable for all patients.
  • Extended treatment and recovery time:
    The process can take several months, including implant placement to bridge fitting. There will be a longer recovery period compared to other bridge types, requiring patients and multiple dental visits.
  • Higher costs:
    Generally, it is more expensive than traditional bridges due to the surgery and materials involved.
  • Bone Requirements:
    Adequate bone density and volume are essential for implant placement, which can be a limiting factor to some patients.

Comparing Costs Across Types

When considering a dental bridge, it is important to factor in the financial commitment along with its aesthetic and functional aspects. Dental bridges are an investment in your long-term oral health, and their costs vary based on the type of the bridge, the materials used, and the complexity of the procedure. Understanding the cost of each type can help you make the right decision.

Cost breakdown by type

It is important to note that these are just an estimated cost, and it is advisable to consult with your dentist for a more accurate estimate tailored to your treatment.

  • Traditional bridges: starts at $2,000 per unit or tooth
  • Cantilever bridges: $2,000 – $5,000
  • Maryland bridges: starts at $2,000
  • Implant-supported dental bridges: $6,300 – $10,000

Factors affecting cost

The cost of your dental bridge can vary based on different factors, such as:

  • Type of Dental Bridge:
    The primary cost determinant of dental bridge cost is the type of dental bridge. Each bridge type has different price ranges due to its unique construction.
  • Materials used:
    The materials used in choosing a dental bridge can significantly impact the cost. Options such as porcelain or ceramic, which mimic the look of natural teeth, tend to be more expensive.
  • Number of missing teeth:
    The number of teeth that need to be replaced is a crucial factor that can affect the cost. The more teeth that need to be replaced require a longer span bridge or more complex dental bridge procedures, which increases the price.
  • Condition of adjacent teeth:
    The health and stability of the neighbouring teeth that will support the bridge can affect the cost. Additional treatments needed, such as fillings or root canals before bridge placement, can increase the overall cost.
  • Geographical location:
    Dental bridge procedure costs can vary significantly depending on the geographic location of the clinic. Generally, urban areas tend to have higher costs.
  • Dentist’s Experience:
    Your dentist’s experience and reputation can influence the cost of your treatment as a highly reputed dentist usually charges more for their services.
  • Additional Procedure:
    Sometimes, before bridge placement, additional dental procedures may be necessary. Procedures like tooth extraction, dental implants, or gum surgery can add to the overall cost.
  • Health fund cover and payment options:
    Your health fund can significantly impact the out-of-pocket cost for a dental bridge. Some plans may vary in terms of what percentage of the cost they cover.
  • Maintenance Costs:
    Dental bridges require long-term maintenance, such as regular appointments, cleanings, and future repairs or replacements. This can contribute to the overall cost of having a dental bridge.

While cost is important in choosing a dental bridge, it should not be the sole consideration. Balancing cost with the health benefits of dental bridges and the quality of modern materials will help make a well-rounded decision. When considering a dental bridge, it’s important to discuss all these factors with your dentist to get a comprehensive understanding of the costs involved.

Longevity and Maintenance

When considering the many benefits of dental bridges, it’s crucial to think about not just the immediate impact but also the long-term implications. Dental bridge longevity and maintenance will vary on many factors.

  • Traditional Dental Bridge
    This type of dental bridge can last around 10-15 years, but can last longer with proper care. Maintaining a good oral care routine is crucial to extend the lifespan of this dental bridge. This includes regular brushing and flossing to prevent plaque buildup, especially where the bridge meets the gum line. Cleaning the area under the bridge is also important. Additionally, avoiding hard or sticky food, and managing habits like teeth grinding, can prolong bridge lifespan.
  • Cantilever Bridge
    With proper care and maintenance, cantilever bridges can last from 5 to 15 years or longer, depending on the dental bridge material, the patient’s oral hygiene, and other lifestyle factors. Maintaining your cantilever bridge is somehow similar to maintaining a traditional dental bridge. Proper oral hygiene is crucial, along with professional dental care. Additionally, being cautious with your eating habits can prevent undue stress on the bridge. You should be mindful not to exert excessive force on the bridge and to avoid harmful habits such as bruxism or clenching. Wearing a nightguard can be beneficial to help protect your bridge.
  • Maryland Dental Bridge
    The typical lifespan of a Maryland dental bridge ranges from 8 to 10 years. However, with proper maintenance, it can last longer. Frequent dental check-ups and cleanings are essential to monitor the condition of the bridge. Using special tools such as floss threaders and water flossers can be helpful for cleaning around and under the bridge.

What are Dental Veneers Made Of?

Material selection for a dental bridge significantly influences the bridge’s aesthetics, functionality, and longevity. Here’s a breakdown of the common dental bridge materials used in different types:

Traditional and cantilever bridges:

  • Porcelain fused to metal (PFM):
    Offers a balance between durability and natural appearance.
  • All-ceramic:
    Known for their aesthetic appeal, but may not be as durable as PFM.

Maryland bridges:

  • Composite resin:
    Often used for the pontic tooth, it’s less durable but more affordable.
  • Porcelain Material:
    Provides a more natural appearance and is often used for the porcelain wings.

Implant-supported bridges

  • Titanium:
    Used for the implant posts, known for its durability.
  • Zirconia:
    A high-strength, metal-free material often used for the bridge itself.

Understanding the materials used in dental bridges can greatly assist in making the right decision that aligns with one’s oral health needs, aesthetic preferences, and budget.

Deciding Factors to Consider in Making A Choice

Choosing the right type of dental bridge is a multifaceted decision that involves various considerations. Here’s a guide to help navigate this complex process:

Oral Health Condition

  • Gum health:
    Certain types of bridges may not be suitable for those with gum disease.
  • Adjacent teeth quality:
    The condition of the teeth next to the gap can influence the type of bridge that can be anchored effectively.
    Budget
  • Initial costs:
    Traditional and cantilever bridges are generally less expensive upfront.
  • Long-term costs:
    Implant-supported bridges, while costly initially, may offer better dental bridge longevity, thus potentially saving money over time.

Aesthetic preferences

  • Natural appearance:
    Materials like porcelain and ceramic offer a more natural look.
  • Visibility:
    A less aesthetic but more functional material might suffice for teeth that are not highly visible.

Functionality and comfort

  • Chewing and biting:
    Some materials and bridge types offer better force distribution and protection during chewing.
  • Fit:
    A well-fitted bridge contributes to comfort and functionality.

Additional considerations

  • Time:
    Some bridges require more time for the dental procedure and healing.
  • Maintenance requirements:
    Consider the time and effort needed for cleaning and potential repairs.

By carefully evaluating these factors, one can make a more educated decision that aligns with their oral health, aesthetic desires, and financial situation.

Alternatives to Dental Bridges

While dental bridges are a popular choice for filling gaps caused by missing teeth, they are not the only option. Here are some alternatives that might be more suitable for certain conditions or preferences:

Treatment OptionProsConsIdeal For
Partial Dentures

-Cost-effective

-Non-invasive

-Removable for easy cleaning

-Less stable than bridges

-May affect speech and eating

Those with multiple missing teeth and who are looking for a budget-friendly artificial tooth replacement option.
Dental Implants

-Highly stable

-Natural appearance

-Promotes jaw bone health

-Higher price

-Requires surgical procedures

Those looking for a long-term tooth replacement option are willing to invest more time and money.
Tooth-Supported Overdenture

-More stable than regular dentures

-Cost-effective

-Requires healthy anchor teeth

-May require periodic adjustments

Those with healthy teeth want a more stable yet cost-effective tooth replacement option.

Each of these alternatives has pros and cons, and the choice will depend on factors such as continued health, budget, and personal preferences.

Final Thoughts

Selecting the right type of dental bridge is a critical decision that can impact not only your oral health but also your overall well-being and quality of life. From traditional bridges to implant-supported bridges, each type offers unique advantages and challenges, including aspects like aesthetics, durability, comfort, and cost. Understanding these factors and discussing them with your dentist is essential in making a decision that suits your needs and lifestyle.

At Maylands Dental Centre, we understand the importance of this decision. We are committed to guiding you through every step of the process. Our team of experienced dentists is dedicated to providing you with personalised options and high-quality care. Whether you’re considering a dental bridge or exploring other options, schedule a consultation with us so we can help you achieve a healthy, beautiful smile. Contact Maylands Dental Centre today and take the first step towards your new confident smile.

Maylands Dental Centre
Maylands Dental Centre
Content published on Maylandsdentalcentre.com.au is intended to be used and must be used for informational purposes only. It is very important to do your own analysis before making any decision based on your own personal circumstances. You should take independent medical advice from a professional or independently research and verify any information that you find on our Website and wish to rely upon.

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