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Bridgework: Covering the Holes

The bridgework is hooked onto the neighboring teeth – here is the so-called bridgework with anchors.

Bridgework fills in the gaps and replaces the missing tooth by suspending the crown in the span. The reason for loosing the tooth is not important – either through accident or disease. If you leave the gap in the mouth for a long time unfilled it will affect the neighboring teeth – they will tilt or start growing aside. The even row of teeth will begin looking like a badly kept fence. Most probably you will also get problems with chewing or with the jaw bones.

Good bridgework is as robust as the dental crowns. Bridgework is attached to the neighboring teeth which serve as support. Those are covered with crowns which serve as the anchor points. However, if the neighboring teeth are affected by the gums diseases like parodontose the teeth cannot hold the bridgework well.

There exist many types of bridgework. Which one will be advised by your dentist depends on the condition of the neighboring teeth and on the span in-between.

• Fixed bridge
• Open – end bridgework
• Bridgework with inlays
• Resin bonded bridgework
• Implant supported bridgework
• Detachable bridgework

The anchoring tooth can withstand the biting force of 1,5 times of its own weight. The fixed bridge is attached onto the two neighboring teeth. If the span is too long several artificial teeth can be connected in a row. It cannot be endless because each anchor point can only withstand a certain biting force. The more teeth that are incorporated into the bridgework the more anchor points are necessary.

The open-end bridges are fixed only to one side of the dental row, that is why they are fixed to two anchor points in a row leaving the tooth in the posterior location not fixed. This construction is less stable than the fixed bridge. It is only recommended in cases when one last tooth in the dental row is absent.

In bridgework with inlays the ceramic inlays play the role of the anchoring points. The anchoring tooth does not have to be worn down and thus less of the tooth substance is lost. With a single click the bridgework can be set into its place by the patient. Resin bonded bridgework is mostly used for children and adolescents so as to cover up the gap from the other side. The dentist will put the artificial tooth into the gap and bond it to the neighboring teeth.

The implant supported bridgework unites two teeth – the natural one and the implanted one. Dentists advise this solution so as not to wear down the adjacent teeth and not make them carry the weight of the bridgework.

The detachable bridgework is used for wider spans. The dentist will set the so-called primary crowns on the anchor teeth and connect them with a metal plate. Consequently the bridgework is done with a mechanical lock on the teeth – the patient can take it and put back any time. The basis is made from metal, the coat from ceramic.

The artificial teeth in the bridgework are made from metal, ceramic and polymer materials. The basis is done from metal. Depending on the future position of the crown on the front or interior teeth, the basis will be covered either with ceramic or with polymer and be given the color so as to match it with the natural teeth. There now exits bridgework which is completely made of ceramics. It looks and feels absolutely natural. The latest generation of especially solid ceramics does not break by considerable biting force.

If the anchoring tooth is not well covered by the crown or there is a span between the upper edge of the crown and the tooth neck then the tooth can get decayed because of the dental plaque and consequently, cavities. If the bridgework is placed askew then the jaws joints will become swollen and painful. If you find you cannot bite properly then probably the bridgework is set too high, which must be corrected by the dentist. However if you wear your new bridgework for just several days then the tightening feeling by chewing is natural, and the especially sensitive teeth will be sensitive to the temperature difference and the biting pressure will be felt.

Even under the best circumstances, bridgework deteriorates with age and may require replacement after 5-10 years. There are many reasons to choose dental implants over the bridgework:

• Easy care and upkeep, including flossing
• Longer lasting because they do not decay
• Healthy teeth need not be sacrificed
• They feel like natural teeth
• Greater patient satisfaction reported

The proper oral hygiene is extremely important; you must clean your artificial teeth as well as you do your own natural teeth. It is very difficult to reach the spaces under the bridges edges thus professional cleaning is needed at regular time’s spaces. Thus the fixed bridgework will last about 15 years, whereas bridgework with the open ends will last shorter. Polymer materials might look unacceptable after 5 – 7 years of wear. The final costs depend on the bridgework size, its material and the type of the supporting structure. Here are some prices ideas, valid for Germany:

• The front teeth bridgework with one artificial tooth from ceramic fused to metal will cost between 415 and 465 Euros, whereas only the front surface is covered with ceramic porcelain
• If the bridgework will be covered by ceramic from the inner sides it will cost betweens 550 and 755 Euros.
• For the bridgework with one artificial tooth on the golden structure you must pay between 325 and 425 Euro.
• If you do not want to blink with metal while laughing it is better to choose the all-ceramic bridge which will cost between 725 and 1025 Euro.

About the Author

Bi Estetica KFT provides European quality dental treatment in Hungary for affordable prices.

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