If you are missing teeth, a permanent (fixed) bridge can be created to restore your solid smile. A bridge not only fills the gap,but it also prevents repositioning of remaining teeth. It can also correct a crooked / cross bite, improve chewing function and speech articulation, and restore internal structure to your face.
Unlike removable devices such as dentures, a bridge is made up of prosthetic teeth that attach on one or both sides to teeth prepared with dental crowns. These anchor teeth are called abutements. When an abutement is unavailable, a surgically implanted metal post, known as dental implant, may offer a solid alternative.
Composite Resin Bonded Bridge
Removable Partial Denture
How Is The Treatment For Bridges Done?
A local anaesthetic prevents discomfort, the tooth is shaped to reduce its size and a moulding is taken. A temporary bridge covers the tooth while a permanent bridge is made. Your dentist will check the fit and appearance before cementing the crown in place. Impressions of the crown is sent to the laboratory to ensure perfect colour matching and quality.
- Bridges usually take 2 or 3 appointments to complete. On the first appointment, the tooth/teeth are prepared, impressions are taken, and a temporary crown is placed on your tooth/teeth.
- You may experience sensitivity, gum soreness, and slight discomfort on the tooth/teeth; it should subside after the placement of the permanent bridge.
- Whenever anaesthesia is used, avoid chewing on your teeth until the numbness has worn off.
- A temporary bridge is usually made of plastic-based material or soft metal. It can break if too much pressure is placed on it. The crown may also come off; if it does, save the crown and call us
- The temporary bridge is placed to protect the tooth and prevent other teeth from moving. If it comes off it should be replaced as soon as possible. To avoid losing your temporary, do not chew on sticky or hard food (chewing gum, ice). Try to chew on the opposite side of the temporary as much as possible.
- Continue your normal brushing but be careful as you will not be able to floss in between temporary bridge. Please refrain from flossing until you receive your permanent bridge.
- After the permanent restoration is placed you may feel slight pressure for a few days. Also, the bite may feel different for a day or two. But if after 2-3 days the bite still feels uneven or if you feel discomfort when chewing on the tooth, please call us. Delaying the necessary adjustments may damage the tooth permanently.
- Call our clinic if you are in pain or if you have any questions.
Post Operative Instructions After Tooth/Teeth Preparation for Bridge
- If you have anaesthetic, numbness of your lip, tongue or palate may persist for several hours. Do not chew gum, eat, drink hot liquids or smoke until the anaesthetic has worn off to prevent injury from accidentally biting or burning oneself.
- Soreness may occur at the tooth, the surrounding gum, the injection sites or the jaw joint.
- If these occur, apply moist heat to the affected area and take anti inflammatory, such as ibuprofen or similar pain relief (if medically able to do so).
- A temporary restoration made out of acrylic has been placed on your tooth.
- Avoid sticky or crunchy foods to avoid loosening or fracturing this restoration.
- If the bite feels "high" on the temporary restoration, please call us to have it adjusted. Failure to do so can result in a toothache or fracture of the temporary.
- Brush your temporary restoration daily. When flossing, slide the floss out from between the teeth instead of lifting it back out to avoid loosening the temporary.
- If your temporary restoration loosens, call us to have it recemented. If you're unable to come in, a thin layer of denture adhesive powder applied inside the crown will hold it in place temporarily.
- We will give you a call when the crown is back from the lab and you can make an appointment as per your convenience.
- When the final restoration has been placed, brush and floss accordingly. Do not chew on ice cubes or other hard objects or continue deleterious habits, such as biting on popsicle sticks, pens, etc. Use a sensitive toothpaste with fluoride if thermal sensitivity occurs.
- Also, if the bite feels unusual please call us to have it checked.
- On occasion, damage to the pulp of the tooth may occur following any restorative procedure due to a variety of reasons. If this occurs, further treatment such as root canal therapy may be necessary.
- Regular dental examinations are important to maintain the function and appearance of one's crowns, bridges, etc.
If you have any questions, please feel free to call us at our clinic.
Post Operative Instructions After Bridge Has Been Cemented
- Cementing a bridge may or may not require anaesthetic. If you have had anaesthetic for bridge cementation, please do not eat until the numbness has worn off. If however no anaesthetic has been used, you can start eating after an hour.
- However, flossing and brushing should not be done for 2-3 hours.
- You may experience some sensitivity to cold which may settle down in few days. Usually, using a sensitive tooth paste may help it settle down. If however, the sensitivity gets worse over a period of time, please get in touch with us.
Post Op Care for Bridges