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Why would I need a bridge?
Usually because you have had a tooth extracted or knocked out in an
accident, leaving you with a gap in your teeth. Closing the space is
important for cosmetic reasons, but your dentist has good clinical reasons to
fill in the space, too: leaving the gap open can put extra strain on the teeth
either side. It can also affect your "bite" – the teeth on either side of the
gap may lean together into the space and alter the way that the upper and lower
teeth meet; which can cause further problems.
What different types of bridge are there?
There are two basic types of bridge that your dentist might recommend:
A "conventional" bridge: your dentist makes a conventional bridge by placing crowns on the teeth on either side of the gap (sometimes only
one is needed). These crowns (called "retainers") are joined to
and used to support
replacement "model" teeth (called "pontics") that fill in the space.
A "Maryland" bridge: your dentist doesn’t need
to use crowns (or "retainers") to support a Maryland bridge. A "wing"
is used (sometimes two) to support the pontic instead. The dentist simply bonds the wing to the
back of one of the teeth next to the gap. Maryland bridges are good
because only a little material must removed from one of the teeth next to the gap. However, they are not as strong as "conventional" bridges and are only suitable for smaller gaps
toward the front of the mouth.
Also, if the teeth either side of the gap are in a poor condition, the dentist
may advise that a Maryland bridge is not appropriate.
The retainers and the pontics of bridges can be made from a number of different materials, just as individual crowns
can. Your dentist will recommend the best type of material for your bridge.
How long does a bridge last?
A dental bridge should last for many years. We are so
confident of the quality of our bridges that we guarantee
them for 2 years.
What does a bridge cost?
Conventional bridges cost from £1,140.00.
Maryland bridges cost from £695.00.
How does the dentist make a bridge?
If you are having a "conventional" dental bridge, your dentist will prepare the teeth either side
of the gap for crowns. For a Maryland bridge, your dentist will remove
a little of the back surface of one of the teeth beside the gap. Once the
teeth have been prepared, your dentist will take an "impression" (ie make a
mould of) your teeth and take a measurement of how you bite together. Your dentist will also record the shade of the
adjacent teeth so that the bridge (nb not a metal bridge) is an exact match. Often, your dentist will make you a temporary bridge so that you don’t have a large
gap while you are waiting for the new bridge to be fitted.
Will the dentist use anaesthetic?
In most cases it isn't necessary to have an anaesthetic for a Maryland bridge.
It is usually necessary for a conventional bridge, unless the tooth or teeth being used for the retainers have
already had root
canal treatment. Your dentist will let you know before work begins
whether you need anaesthetic and, if you do, will anaesthetise the teeth before
working on them so that you don’t feel anything.
What happens next?
The impression, bite measurements and
shade information are passed to a specialist dental laboratory. The
laboratory makes a model of your mouth. The bridge will be carefully
constructed on this to ensure that it fits in perfectly.
About a week or two after your first appointment your dentist
will see you for a second time to check that your new bridge is a good fit and that the shade is a good
match for your other teeth. The bridge is then fixed in place using
special bonding agents. NB: you will need to use special dental floss to clean under and around your bridge
after it is fitted. Your dentist or hygienist will explain how to do this.
Are there any alternatives to bridges?
Yes. Partial dentures and implants can sometimes be used. Partial dentures are sometimes better where there are lots of gaps or where the gaps are very
large. A partial denture may also be more suitable if the teeth either side of
the gap are not strong enough to support a bridge. Partial dentures are
usually an economical option, too. Implants may be a possibility in
certain cases: they involve placing metal screws into the jawbone to support a crown or
to add strength to a very long bridge. The main drawback is that implants
are usually the most expensive option, at least in the short term.
Interest free credit
If you spend over £500, you can spread the cost of your treatment over up to 6 months, interest free.
Spend £1,500 or more and you can have up to 12 months to pay at no extra cost.