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Dental Bridges

A comprehensive guide to replacing missing teeth with fixed dental bridges

What is a Dental Bridge?

A dental bridge is a fixed restoration that replaces one or more missing teeth by anchoring a false tooth (called a pontic) to neighbouring teeth or dental implants. Unlike removable dentures, bridges are permanently cemented in place and function like natural teeth.

Bridges restore your ability to chew and speak properly, maintain the shape of your face, and prevent remaining teeth from shifting out of position.

Types of Dental Bridges

Traditional Bridge

The most common type, consisting of a pontic (false tooth) held in place by dental crowns cemented onto the teeth on either side of the gap.

Advantages

  • • Strong and durable
  • • Natural appearance
  • • Good chewing function
  • • Long-lasting

Considerations

  • • Requires healthy adjacent teeth
  • • Adjacent teeth need preparation
  • • More expensive than removable options

Cantilever Bridge

Used when there are adjacent teeth on only one side of the missing tooth. The pontic is supported by a single crown on one side.

Advantages

  • • Can work anywhere in the mouth
  • • Less tooth preparation needed
  • • Suitable when only one adjacent tooth available

Considerations

  • • Less stable than traditional bridges
  • • Higher risk of complications
  • • Requires careful case selection

Maryland Bridge (Resin-Bonded)

A conservative option where the pontic is held in place by metal or porcelain wings bonded to the back of adjacent teeth. Minimal tooth preparation required.

Advantages

  • • Minimal tooth preparation
  • • Less expensive
  • • Conservative approach
  • • Good for front teeth

Considerations

  • • Less durable than traditional bridges
  • • Can debond over time
  • • Not suitable for back teeth
  • • Limited to single tooth replacement

Implant-Supported Bridge

The most modern approach, where the bridge is supported by dental implants rather than natural teeth. This preserves adjacent teeth and provides excellent stability.

Advantages

  • • No preparation of adjacent teeth
  • • Excellent stability and function
  • • Prevents bone loss
  • • Long-lasting solution

Considerations

  • • More expensive initially
  • • Longer treatment time
  • • Requires sufficient bone
  • • Surgical procedure needed

The Bridge Process

1. Consultation and Planning

Your dentist will examine your mouth, take X-rays, and discuss the best type of bridge for your situation. This includes assessing the health of adjacent teeth and your overall oral health.

2. Tooth Preparation

For traditional and cantilever bridges, the adjacent teeth are prepared by removing a small amount of enamel to make room for the crowns. Maryland bridges require minimal preparation.

3. Digital Scan or Impressions

Your dentist takes a digital scan or impressions of your prepared teeth to create a precise model for the dental laboratory.

4. Temporary Bridge

A temporary bridge is placed to protect the prepared teeth while your permanent bridge is being made in the laboratory.

5. Laboratory Work

A dental technician creates your custom bridge using high-quality materials. This process typically takes 2-3 weeks.

6. Final Fitting

Your dentist removes the temporary bridge and fits your permanent bridge, making any necessary adjustments for comfort and function.

Bridge Materials

Porcelain-Fused-to-Metal (PFM)

A metal base covered with porcelain for strength and natural appearance.

  • • Strong and durable
  • • Natural-looking porcelain exterior
  • • Good for back teeth
  • • May show metal at gum line over time

All-Ceramic/Porcelain

Made entirely from ceramic materials, including zirconia, for the most natural appearance.

  • • Excellent aesthetics
  • • No metal visible
  • • Biocompatible
  • • Suitable for front teeth

Gold Alloy

Traditional material known for its durability and biocompatibility.

  • • Extremely durable
  • • Gentle on opposing teeth
  • • Long-lasting
  • • Less aesthetic (gold colour)

Benefits of Dental Bridges

Functional Benefits

  • • Restore chewing ability
  • • Improve speech clarity
  • • Maintain facial structure
  • • Prevent teeth shifting

Aesthetic Benefits

  • • Natural appearance
  • • Restore smile confidence
  • • Match existing teeth
  • • Fixed in place (no removal needed)

Caring for Your Dental Bridge

Daily Care

  • • Brush twice daily with fluoride toothpaste
  • • Use interdental brushes or floss threaders to clean under the bridge
  • • Rinse with antimicrobial mouthwash
  • • Clean around the bridge thoroughly

Professional Care

  • • Regular dental check-ups every 6 months
  • • Professional cleaning to remove plaque and tartar
  • • Monitor bridge condition and fit
  • • Address any issues promptly

Lifestyle Considerations

  • • Avoid chewing hard foods like ice or hard sweets
  • • Don't use your teeth as tools
  • • Consider a night guard if you grind your teeth
  • • Maintain good overall oral health

How Much Do Dental Bridges Cost?

NHS Treatment

  • • Traditional bridge: £306.80 (Band 3)
  • • Maryland bridge: £306.80 (Band 3)
  • • May have waiting lists
  • • Limited material choices

Private Treatment

  • • Traditional bridge: £600-£1,400 per unit
  • • Maryland bridge: £400-£800
  • • Implant bridge: £1,500-£3,000 per implant
  • • Wide range of materials available

Frequently Asked Questions

What is a dental bridge?

A dental bridge is a fixed restoration that replaces one or more missing teeth by anchoring a false tooth (pontic) to neighbouring teeth or dental implants.

What types of dental bridges are available?

There are several types: traditional bridges (crowns on adjacent teeth), cantilever bridges (single support), Maryland bridges (bonded wings), and implant-supported bridges.

How long do dental bridges last?

With proper care, dental bridges typically last 10-15 years or longer. Good oral hygiene and regular dental check-ups are essential for longevity.

What is the process for getting a dental bridge?

The process involves consultation, tooth preparation, digital scan or impressions, temporary bridge placement, laboratory work, and final bridge fitting over 2-3 visits.

How much do dental bridges cost?

Costs vary by type and materials. Traditional bridges typically cost £600-£1,400 per unit, while implant-supported bridges cost £1,500-£3,000 per implant plus bridge costs.

How do I care for my dental bridge?

Care includes daily brushing and flossing, using interdental brushes or floss threaders, avoiding hard foods, and regular dental check-ups and professional cleaning.

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Written by: Dr Tristan Tinn, Founder and Clinical Director of HelpDental

Last updated: September 25, 2025

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