Thursday, August 20, 2015

Dentures and Bridges 101

Patients seeking replacement for missing teeth have many options for completing their smiles. Among the dental restorations frequently utilized are dentures and bridges. While these oral appliances are similar in some ways, the unique differences of each treatment can help meet patients’ differing restoration needs.

The Differences between Dentures and Bridges
Full dentures are recommended for patients who need complete arch replacements. If there are healthy natural teeth left in the arch, partial dentures may be recommended. Complete dentures are held in place by denture adhesives, while partial dentures utilize a retainer-like attachment system to stay in place and can be removed for cleaning. Both types of dentures are removable for maintenance and can last anywhere from 7-10 years with proper care. 
In contrast, porcelain fixed bridges are used for patients who are missing only one or more teeth in concentrated groups. Unlike dentures, bridges use the surrounding teeth to support the restoration and are permanently fixed with dental bonding materials.
Bridges use two crowns, placed on the natural teeth adjacent to the gap left by missing teeth. Between the crowns are pontics, which act as replacements for missing teeth. 
Like dentures, there are different types of bridges to meet diverse needs. The three most popular types of dental bridges include:
  • Traditional bridges: utilize two abutment teeth on either side of the gap to support the pontic in between.
  • Cantilever bridges: Are used when abutment teeth are only on one side of the gap. Cantilever bridges are usually recommended when only one tooth is missing.
  • Maryland bonded bridges: Also known as resin-bonded bridge, this type of restoration uses a metal foundation. Metal wings extend from the prosthetic and are bonded to the adjacent teeth.
Receiving Bridges and Dentures|
When being fitted for bridges, the supporting abutment teeth are contoured to allow for the connecting crown. Impressions of the dentition are then made and the models are sent to a dental lab to create your bridge. In the meantime, Dr. Colquitt will place a temporary bridge to close the gaps in your smile until the permanent bridge is ready to be placed.
Once ready, the permanent bridge is cemented in place, leaving you with natural looking smile and restored dental function.
When fitted for dentures, patients have several options. Individuals who need extractions for damaged teeth can have dentures made beforehand, so that they are ready for placement immediately following extraction. Patients can also wait until after their teeth have been extracted to have their dentures fitted. This method is often recommended, as the dentition is allowed to heal before fitting, meaning that fewer final adjustments will need to be made.

For more information on dentures and bridges, contact Dr. Jeff Colquitt at our Dallas dental practice to schedule your complimentary consultation and learn more about which restorative treatment is right for you.

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