Bridgework, known as oral rehabilitation, is a dental procedures that involve replacing one or more missing teeth with artificial teeth. This restoration aims to improve the aesthetics and functionality of the smile while maintaining the shape of the face and providing necessary chewing function. Bridgework can be performed using various materials, including gold, porcelain, and combinations of these, and can vary in complexity from a small fixed bridge to a large multiunit bridge.
History of Bridgework
The concept of replacing missing teeth with dental bridges was first introduced in the early 20th century. Since then, advancements in dental technology have led to the development of more sophisticated and conservative bridgework techniques that require less preparation of the adjacent teeth and result in shorter recovery times.
Who Needs Bridgework?
Women between the ages of 40 and 60, particularly those with hormone-responsive conditions like puberty, pregnancy, and menopause, are at higher risk of tooth loss due to periodontal disease. Additionally, individuals with genetics, poor oral hygiene habits, or previous dental trauma may also benefit from bridgework.
Types of Bridgework
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Fixed bridgework: This type of bridge is cemented in place and cannot be removed by the patient. It typically requires two or more visits to the dentist, and the abutment teeth are prepared by carving away the enamel to accommodate the crowns. Fixed bridges are more esthetic and are often preferred by patients seeking to preserve their natural teeth.
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Removable bridgework: This type of bridge can be removed by the patient and includes a metal band or clasp that holds the bridge in place. Removable bridges are more efficient at reducing wear on the abutment teeth and can be helpful for patients with multiple missing teeth.
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Hybrid bridgework: Combining principles of both fixed and removable bridgework, hybrid bridges are an alternative to traditional bridgework. They can be more secure and esthetic than removable bridges and often require fewer visits to the dentist.
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Cantilever bridgework: This type of bridge is supported by a single abutment tooth on one side, with no abutment teeth on the opposite side of the space. Cantilever bridges are less common due to the risk of applying excessive force to the opposing teeth.
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** Maryland bridgework**: Also called resin-bonded bridgework, this type of bridge uses porcelain or metal frameworks bonded to the back of the abutment teeth with "wings" that attach to the missing teeth, reducing the need for preparation of healthy adjacent teeth.
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Implant-Supported bridgework: Involves replacing missing teeth with dental implants, which are surgically placed in the jawbone. The bridge is supported by the implants and is not removed by the patient. Implant-supported bridges are particularly stable and resistant to loosening or displacement.
Why Choose Bridgework?
Bridgework can significantly impact a person's oral health, self-esteem, and overall quality of life by providing a secure and esthetic solution for missing teeth. It can also help prevent future tooth movement, which can lead to crowded or crooked teeth.
The Bridgework Procedure
The process of getting bridgework typically involves several visits to the dentist, including preparing the abutment teeth, taking impressions, making models, fabricating the bridge, and placing it in the mouth. The actual preparation of the abutment teeth may require the removal of a portion of enamel to allow for the seating of subsequent crowns.
The Costs of Bridgework
The cost of bridgework is determined by factors such as the number of teeth being replaced, the type of bridge, the location of the bridge within the mouth, and the expertise of the dentist performing the procedure. In some cases, dental insurance may cover a portion of the cost of bridgework, depending on the specific terms of the policy.
Bridgework Care and Maintenance
Proper care of a bridgework procedure is essential to ensure its longevity and effectiveness. Regular brushing, flossing, and periodic checkups with the dentist are necessary to prevent problems such as caries and periodontal disease.
Conclusion
Bridgework is a versatile and effective option for replacing missing teeth. When considered carefully, it can provide a natural-looking and functioning solution that enhances the patient's overall oral health and appearance.
