Bridge

 

A dental bridge is a fixed dental restoration used to replace one or more missing teeth by "bridging" the gap between remaining natural teeth or implants. It consists of one or more artificial teeth (called pontics) that are anchored in place by dental crowns on adjacent teeth (called abutments) or supported by implants.

Purpose of a Dental Bridge     

A dental bridge re-establishes:

  Function – Ability to chew and speak properly                                                                                                                                    Aesthetics – Natural appearance of your smile                                                                                                                                                  Stability – Prevents surrounding teeth from shifting into the gap                                                                                                  Occlusion – Maintains proper bite alignment and jaw function

 

Types of Dental Bridges

  1. Traditional Bridge                                                                                                                                                                                      Most common type                                                                                                                                                                                           Uses crowns cemented onto natural teeth on both sides of the gap                                                                                                         Ideal when healthy teeth are present on both sides

  2. Cantilever Bridge                                                                                                                                                                             Supported by a crown on only one adjacent tooth                                                                                                                                       Used when only one abutment tooth is available                                                                                                                                         Less common and may place more stress on the single support

  3. Maryland (Resin-Bonded) Bridge                                                                                                                                                       Pontic is bonded to the back of adjacent teeth using metal or porcelain wings                                                                           Minimal tooth preparation required                                                                                                                                                       Typically used for front teeth

  4. Implant-Supported Bridge                                                                                                                                                           Supported by dental implants instead of natural teeth                                                                                                                               Ideal for multiple missing teeth                                                                                                                                                             Strong, stable, and does not rely on neighboring tooth structure


Benefits of a Dental Bridge

  • Restores natural look and function of your smile

  • Helps maintain facial shape and prevent bone loss

  • Keeps neighboring teeth from shifting

  • Long-lasting solution with proper care

  • Improves confidence in speaking and eating

 

Considerations

  • Tooth preparation is irreversible for traditional and cantilever bridges

  • May increase stress on supporting teeth

  • Requires excellent oral hygiene to prevent decay or gum disease around abutment teeth

  • Bridges typically last 10–15 years or more with good care

  • May not be ideal if adjacent teeth are unhealthy or missing

 

Sample clinical cases:


​•  Large Bridge

This person had gone many years without dental care, which led to advanced gum disease. The bone around the front four teeth was badly damaged, and those teeth couldn’t be saved. There wasn’t enough strong bone left to place implants. After getting treatment from a gum specialist to control the disease and inflammation, a large 10-tooth bridge was made. It’s supported by three teeth on each side (the canines and premolars) and replaces the four missing front teeth.

Before                          

 After               

 

  

 

 ​•  Six Unit Anterior Bridge


Before                    

 

  X-Rays                                                       

 

After