After the loss of one or several teeth, each person has a choice: how to make up for lost teeth.
After the loss of one or more teeth, each person has a choice: how to make up for lost teeth. First of all, it is necessary to decide whether a removable or non-removable structure will be manufactured. Most people are for a non-removable option and there are several types of substitution, such as implantation or a bridge-like construction. Here we will talk about the pros and cons of Bridge prosthetics.
Using the bridge, you can replace one missing tooth. Indications for the installation of bridges are:
- The absence of one or more teeth, but in the presence of adjacent abutment teeth.
- The inability to install the implant due to the lack of conditions on the part of the bone, such as severe atrophy and chronic diseases, which are a contraindication to implantation.
- Lack of material ability for the patient to use the implantation technique.
The material from which the bridge structure is made depends on the medical condition, location and wishes of the patient. The bridge can be made of metal (with or without spraying), cermets, zirconia, and plastic. The main advantage of such designs is the speed of manufacture and, in some cases, a more affordable cost compared to implantation.
Bridge prosthetics has many disadvantages:
Under the bridge structure, it is necessary to grind the supporting teeth, and often to remove nerves from the teeth. In order to fix the bridge, the dentist needs to grind the teeth next to the missing teeth and close them with crowns, to which the intermediate part replacing the missing teeth will be attached. Crowns are fixed on cement, which begins to deteriorate over time and, being washed out with saliva, forms an open gap between the crown and tooth at the junction.
Food begins to clog, and this leads to the appearance of caries on the supporting tooth. Over time, caries will ruin the abutment, the bridge will begin to move and the tooth will be lost. There will be a need for repeated prosthetics. A large number of visits are needed. At the beginning, if necessary, the dentist provides therapeutic preparation of supporting teeth and surgery. Roots and damaged teeth that cannot be restored are removed. After complete healing of the gums (from 1 to 1.5 months), it will be possible to start prosthetics, the whole process of which will take at least several weeks. Discomfort and addiction are possible. A bridge is a non-removable dental structure, but its wearing is associated with a number of inconveniences. Food may clog under it and hygiene is difficult since if food gets under the prosthesis it is impossible to remove it by rinsing or floss – an irrigator or super floss will be necessary. If you make a very tight fit to the gum of the intermediate part to reduce clogging of the food, a pressure sore is formed – due to pressure on the gum, the gum will become inflamed.
There is no load on the bone in places where teeth are missing, which eventually leads to its severe atrophy (loss). In the future, bone grafting may be required if the patient wants to proceed with implantation. The disadvantages of bridges still leave them as an option for replacing missing teeth due to the financial aspect, patients’ fear of surgery and time to produce the structure.