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Dental Bridges are fabricated out of 2 or more dental crowns covering teeth on either side of the missing tooth (there will be a gap present). Dental bridges literally just bridge the gap created my at least one missing tooth but can be multiple missing teeth the dental bridge is replacing.

Bridges are made up of 2 or more dental crowns for the teeth on either side of the space . These 2 or more anchoring crowns are referred to as anchoring abutments. A false tooth or teeth is located in between. These false teeth are referred to as dental pontics and can be fabricated from gold, alloys, porcelain, or a combination of any of these dental materials. Dental bridges can supported by either natural teeth or dental implants.

Benefits Of Dental Bridges

Dental Bridges can do the following for you:

-Restore your smile to its fullest potential by replacing lost teeth

-Restore your ability to properly chew and speak

-Maintain and restore the shape of your face

-Allow for even distribution of the forces in your bite properly by replacing missing teeth

-Prevent remaining teeth from drifting out of position. If this happens more damage can occur as your bite changes

Types of Dental Bridges Available

Traditional dental bridges involve fabricating a dental crown for the tooth or implant on either side of the missing tooth, with a dental pontic in between. Traditional dental bridges are easily the most common type of dental bridge and are made of either porcelain fused to metal(PFM) or ceramics.

Cantilever dental bridges are prescribed when there are adjacent teeth on only one side of the missing tooth or teeth. This is not a very common with the addition of dental implants to a dentists arsenal and is not recommended in the back of the mouth where the forces can cause damage to the dental bridge as well as surrounding teeth.

Maryland bonded dental bridges (also referred to as a dental resin bonded bridges) can be made of porcelain, porcelain fused to metal(PFM), or plastic resin teeth and gums supported by a metal or porcelain framework. Metal or porcelain wings often on just one side of the bridge are bonded to your existing teeth.

Dental Implant Supported Bridge – implant supported dental bridges can be used when you have more than one tooth missing. Instead of being supported by dental crowns or metal frameworks, this type of dental bridge is supported by dental implants. Generally, 1 (one) dental implant is placed for every missing tooth, and this series of dental implants holds the bridge in place. However, the bridge may consist of a pontic suspended between two implant-supported crowns if placing one implant for every lost tooth is not possible.

Marielaina Perrone DDS Dental Bridges

Office Visits For A Dental Bridge

During the initial visit to your dentist for getting a dental bridge, the abutment teeth are prepared to accept a dental crown. The preparation involves re-contouring these teeth by removing a portion of enamel to allow room for a crown to be placed over them. Next, dental impressions of the teeth are made, which give the lab technician a model from which the bridge, pontic, and crowns will be made. Your dentist will fabricate a temporary bridge for you to wear to protect the exposed teeth and gums while the bridge is being made.

During the second visit, your temporary bridge will be removed, the temporary cement will be cleaned off the teeth, and the new porcelain or metal bridge will be checked and adjusted, as necessary, to achieve an ideal fit. Multiple visits may be required to check the fit of the metal framework and bite. This is dependent on each individual’s case as metal can distort as well as teeth moving ever so slightly. If the fit is acceptable to the dentist, the dental bridge will then be cemented in place.

Dental Bridges Cost

The overall cost of a dental bridge varies depending on the type of bridge selected and the materials used by your dentist. Dental insurance, if you have it, will typically pay a percentage of the fee for your dental bridge depending on the individual dental plan.

How Long Will My Dental Bridge Last?

Dental bridges can last five to 15 years and sometimes even longer. With a good oral hygiene regimen as well as regular dental checkups, it is not unusual for dental bridges to be still going strong after 10 years. It will depend on each individual in the end.

Eating With Dental Bridges

Eating should be easier once the dental bridge is in place. This is because you will no longer have a gap for food to get trapped into.

Caring For Dental Bridges

Following a good oral hygiene regimen of brushing, flossing, and rinsing along with regular dental examinations with dental cleanings is all you will need to do. The better dental hygiene you maintain the better chance of that dental bridge lasting a long time. Flossing will be more of a challenge as you need to thread the floss under the bridge to keep it clean. Your dentist will recommend floss threaders to use. This will allow you to get under the bridge and properly keep it clean and healthy.

Dental Bridges Conclusion

Your dentist can close the gaps in your smile with one of the 4 types dental bridges to restore your smile. With so many types of dental bridges available, you can feel confident that your dentist has an appropriate solution for your missing teeth.


Removable dentures are a compromise in form and function for many who wear them. Whether it be with reduced cosmetic features, decreased taste sensation, difficulty chewing substantial foods, speech issues, or poor fit. Did you know there are complications that can arise from a poor fitting denture?

Loose Denture Issues

These can be broken down into short term and long term issues. It is important to note that you should openly communicate any issues you have with your dentist to ensure the best possible fit for you.

Short Term Issues

-Discomfort. When dentures do not fit properly, they place pressure against the gum tissues, rub against them, or feel uneven at certain spots. This may be slightly annoying at first, but over time, irritation, pain, and sores will continue to increase.

-Speech problems. If your dentures do not fit properly, you will have difficulty speaking. Usually the first noticeable clue is the inability to pronounce simple sounds like the letter S.

-Difficulty eating. Most people will struggle initally, with even the best fitting dentures, but when wearing a denture that does not fit quite right it will be even worse.

Long-Term Issues

Over time, any denture will loosen as the bone and gum tissues change. A denture that is loose from the beginning will only get worse over time. Below are some of the longer term issues you can experience.

-Swollen Gum Tissues. When dentures are loose they will irritate the gum tissues. This constant irritation will get a response in the form of inflammation and swelling in the areas affected.

Development Of Sores And Blisters. Once an irritation occurs, mouth sores can develop. These can be quite painful.

Nutritional Issues. Patients with loose fitting dentures will change the way they eat to accomodate the loose dentures. This can lead to poor dietary habits.

-Fungal infections. Poorly fitting dentures increase the risk of thrush, a fungal infection that results in painful white spots and red areas along the inside of the mouth. Thrush can also lead to difficulty swallowing, and may be spread to other regions of the body if not treated.

-Bacterial infection: If tissue becomes exposed due to sores or cuts, it can become infected. Additionally, stomatitis is a common oral infection from loose dentures, which causes a red and swollen inflammation of the mouth.

-Overuse of denture cream: When denture cream is perpetually used to secure loose dentures, patients may be overexposed to zinc. This has the potential to create symptoms of neuropathy, which temporarily or permanently numb various nerves in the body.

Can Poor Fitting Dentures Be Fixed?

If dentures are only slightly loose, dentures can be relined to give a better fit and more comfort. If the dentures are very loose then a new denture may be recommended. It is important to remember our mouths are constantly changing and this is especially true when the teeth are no longer present. Our teeth serve to maintain the bone levels in the mouth. Once those teeth are gone the bone will undergo remodeling. There are also marked changes in denture fit after severe weight loss.

Dental implants provide a way to permanently secure dentures and ensure a proper fit. By installing as little as 4 dental implants, your dentures can benefit from increased stability, strength, and support. Moreover, dental implants help maintain your bone levels, reducing bone loss over time.

Dentures Conclusion

If you notice problems with your dentures when you first get them, don’t overlook the issues. Communicate with your dentist. Tell them your concerns and see what options are available to you. There will always be compromises with removable dentures but comfort should not be one of them.



While the dental crown itself cannot become decayed, the underlying tooth structure can. A dental crown is placed after careful shaping and preparation of the tooth surface and then inserted over the remaining tooth structure to restore the crown to its proper form and function.

How Does The Tooth Get Decay Under A Dental Crown?

The most vulnerable part of the interface between the dental crown and the tooth is the area where the edge of the crown meets natural tooth structure. If you are not maintaining good oral hygiene (brushing and flossing) to remove the plaque that lives under the gumline, you can develop a cavity on the underlying tooth and root areas. Once decay develops, it can progress quickly into the tooth and move up and under the crown, undermining the support for the dental crown. The following things can happen if you get tooth decay on a tooth with a dental crown:

Simple Dental Filling Placed At Margin Of Dental Crown. If the tooth decay is caught early enough, there are times where a simple filling can be placed to restore the tooth. This is only done when complete removal of decay can be accessed from the area. The seal is not as strong and leakage can occur under the dental crown over time.

Root Canal Therapy. If the tooth decay gets close to or invades into the nerve of the tooth a root canal will be needed to save the tooth. If the tooth has already had a root canal performed, it will need to be rebuilt back up so that a new crown can be placed.

Crown Lengthening. A crown lengthening is a dental procedure where a portion of the bone surrounding a tooth is surgically removed to allow the dentist access to decay that might run down the side of the tooth. This gives access to restore the tooth and also allows for proper placement of a new dental crown.

New Custom Dental Crown Fabricated. In most cases, a new crown will be needed to ensure a proper seal and proper coverage over the existing tooth.

Conclusion

It is important to maintain good dental hygiene but it really becomes important once you have dental crowns. A dental crown generally lasts anywhere from 5-15 years if properly taken care of. If they are not cared for they will not last as long and could develop a bigger issue.  The big tip here is to always maintain good dental hygiene and see your dentist regularly to check the crown edges for leakage and decay.