A dental bridge is one option for filling a gap left by missing teeth. It is fixed in place and can support appearance and chewing. An assessment helps establish whether a bridge suits your mouth and how it compares with other options.
What is a dental bridge?
A bridge includes one or more replacement teeth attached to supporting teeth or dental implants. Unlike a removable denture, a fixed bridge stays in your mouth.
Replacing a missing tooth can improve appearance and function, but the best approach varies. Discuss what the gap means for you and what you would like treatment to achieve.
The main types of bridge
A conventional bridge is supported by crowns fitted over prepared neighbouring teeth. An adhesive or Maryland bridge uses a wing bonded to a neighbouring tooth and generally needs little or no preparation.
A cantilever design has support on one side. An implant-supported bridge is attached to implants in the jaw. The available space, supporting teeth, bite and oral health guide the choice.
Benefits and trade-offs
A bridge can restore a gap without a removable plate. However, conventional designs involve removing tooth structure, and a supporting tooth may later need root canal treatment.
Adhesive designs conserve more tooth structure but can debond. Decay and gum problems can develop around supporting teeth. Ask your dentist about the risks relevant to your proposed design and the maintenance it requires.
What does treatment involve?
The dentist assesses your mouth and discusses suitable alternatives, including a denture, an implant or sometimes leaving the space. Ask about fees, the planned stages and expected follow-up.
For a tooth-supported bridge, preparation is followed by records such as an impression so a technician can make it. The dentist checks the fit and bite before final placement; modifications can require another visit.
Cleaning and long-term care
Brush your bridge and natural teeth, and clean beneath the replacement tooth along the gum line. Your hygienist can demonstrate a suitable method and tool for your design.
A bridge is not a lifetime guarantee. Keep review appointments and report looseness, discomfort or a change in your bite. If it comes off, contact your dentist and keep it safe rather than trying to glue it back yourself.
Frequently asked questions
Common questions about fixed bridges and missing teeth.
Can I remove my bridge to clean it?
A fixed bridge is not designed for you to remove. Ask how to clean underneath it and around the supporting teeth.
Does every bridge require drilling neighbouring teeth?
No. Adhesive designs generally need little or no preparation. Conventional bridges require preparation for crowns.
Is a Maryland bridge suitable for everyone?
No. The supporting tooth, gap, bite and other findings affect suitability.
Is an implant always better than a bridge?
There is no single best choice for everyone. Compare suitability, treatment stages, risks, maintenance and fees.
How long will my bridge last?
It varies with the design, supporting teeth and care. Your dentist can explain expectations for your case.
What should I do if a bridge comes off?
Keep it safe and contact your dentist. Do not use household glue to reattach it.
Further reading: Bridges (Leeds Teaching Hospitals), Alternatives to implants and bone grafts (Cambridge University Hospitals) and Dental treatments (NHS).
Explore your options for missing teeth
Book an assessment to compare the treatments that suit your mouth, priorities and budget.