Have you considered replacing your missing teeth? If not, then you better get those edentulous spaces closed. Of all the dental restorations that aid in replacing missing teeth, fixed bridges are a popular dental restoration option. 

In this article, we will explore the indications, contraindications, procedures, and after-care of fixed bridges offered by the Concord family dentist. 

Understanding fixed bridges 

A fixed bridge, also known as a fixed dental prosthesis, is a non-removable dental restoration used to replace one or more missing teeth. It consists of artificial teeth, known as pontics, which are anchored to adjacent natural teeth, called abutments, using crowns or caps. The bridge is cemented or bonded into place, making it a fixed appliance that cannot be removed by the patient. 

Fixed bridges are designed to restore the natural appearance, function, and alignment of the teeth, and can be made from various materials, including porcelain, ceramic, or metal. They are a popular choice for filling gaps between teeth, restoring chewing and speaking abilities, and enhancing the overall aesthetic appeal of the smile.

Indications for fixed bridges

Here are the indications for fixed bridges:

• Missing teeth: Fixed bridges are ideal for replacing one or more missing teeth.
• Cosmetic concerns: Bridges can improve the appearance of the smile.
• Chewing difficulties: Bridges can restore proper chewing function.
• Speech difficulties: Bridges can improve speech clarity.
• Preventing tooth movement: Bridges can prevent adjacent teeth from shifting.
• Restoring bite alignment: Bridges can correct bite alignment issues.
• Enhancing smile aesthetics: Bridges can improve the overall appearance of the smile.
• Supporting surrounding teeth: Bridges can help distribute bite forces evenly.
• Replacing old or damaged restorations: Bridges can replace old or damaged crowns, bridges, or dentures.
• Improving oral function: Bridges can improve overall oral function and comfort.
• Boosting confidence: Bridges can enhance self-confidence and self-esteem.
• Long-term solution: Bridges can provide a long-term solution for missing teeth.

Contraindications for fixed bridges

There are some cases when fixed bridges are contraindicated. These include:

• Poor oral hygiene: Bridges require good oral hygiene to prevent failure.
• Active periodontal disease: Bridges can’t be placed on teeth with active gum disease.
• Insufficient bone support: Bridges require adequate bone support for stability.
• Teeth with large fillings: Teeth with large fillings may not be suitable for bridge support.
• Uncooperative patients: Patients who can’t follow oral hygiene instructions or attend regular check-ups.

Procedure for fixed bridges

Here is the step-by-step procedure for fixed bridges:

Consultation and planning:

    – Discuss treatment options with your dentist

    – Evaluate the condition of surrounding teeth and gums

    – Determine the best type of bridge for your needs

Preparation of abutment teeth:

    – Shape and prepare the adjacent teeth for crowns

    – Remove decay, old fillings, or damaged tooth structure

Impression taking:

    – Take impressions of the prepared teeth and the surrounding area

    – Create a model of your teeth for bridge fabrication

Bridge fabrication:

    – Create the bridge in a dental laboratory

    – Use materials such as porcelain, ceramic, or metal

Try-in:

    – Try the bridge in your mouth to ensure proper fit and aesthetics

    – Make any necessary adjustments

Cementation:

    – Cement the bridge into place using a dental adhesive

    – Ensure a secure and lasting bond

Follow-up appointments:

    – Check the bridge for proper fit and function

    – Make any necessary adjustments

    – Monitor for signs of wear or damage

Final polishing:

    – Polish the bridge to a natural shine

    – Ensure a smooth, comfortable surface

After-care for fixed bridges

To prolong the durability and longevity of bridges, follow the below after-care instructions:

• Regular brushing and flossing
• Avoiding hard or sticky foods
• Attending regular dental check-ups
• Avoiding smoking and tobacco products
• Monitoring for signs of bridge failure

In conclusion, fixed bridges are a reliable and effective solution for replacing missing teeth. By understanding the indications, contraindications, procedure, after-care, and benefits, individuals can make informed decisions about their dental restoration options. With proper care and maintenance, fixed bridges can provide years of comfort, function, and aesthetic appeal.