| Bridges are used to replace missing teeth. Why is that important? Because teeth in front of space will drift back, creating spaces in between front teeth. Teeth behind the missing tooth space will tilt forward. And the tooth above the missing tooth space will grow down (erupt) down into the tooth space.
Because these teeth drift out of position, several conditions may occur; severe occlusal (bite) problems that could lead to clicking of the jaw, headaches, and jaw pain ; hard to clean areas are created which will lead to tooth decay, gum disease, and bone loss; a change in facial appearance.
There are several ways to place or secure a bridge. Some of the more common types are:
Fixed Bridge
A fixed bridge is either cemented in place over the
adjacent teeth just like a single crown or bonded to adjacent teeth,
depending upon the circumstances. (see graphics) They are not removable.
As in a crown, a bridge can be made of white porcelain, gold, a silver
colored metal. or a combination of these.
Removable Partial
A removable partial is designed to be inserted and removed by the patient. It is held in place by metal clasps surrounding your natural teeth. It can be used in place of a fixed bridge or in cases where a fixed bridge cannot be used.
Implants
In most cases today, implants are a good choice for a tooth. Implants
are very predictable and successful. They avoid having to drill on
adjacent teeth.
There
are two phases:
- Surgical, where a titanium fixture is placed into the jaw bone. This is usually done by a Oral Surgeon.
- Reconstruction after healing (3 to 6 months), where
the replacement is fabricated over the integrated titanium fixture.
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