Dental Education

Dental Bridge Work: A Comprehensive Guide to Pain, Lifespan, and Alternatives

Wells Family Dentistry

January 1, 2025

Key Points

Tooth loss is a serious yet common problem in the United States.
Dental bridge work is a minimally invasive solution to tooth loss.
There are many different types of dental bridges, each with distinct advantages and deficits.

According to the Harvard School of Medicine, approximately 47 percent of all adults 30 and older in the United States have periodontal disease, a leading cause of tooth loss. That number jumps 70 percent for adults 65 and older.¹ If you are someone who has experienced tooth loss and is searching for a solution, you may be asking, “How do dental bridges work and what is involved in the procedure?” This article answers those questions, explains the types of bridges available, and explores the pros and cons of each. Keep reading to determine which is right for your dental health needs and goals.

What Is a Bridge in Dental Work?

A dental bridge is a prosthetic device used to replace one or more missing teeth. The first thing to consider when answering “What is dental bridge work?” is the different available types:

Traditional bridges
Cantilever bridges
Resin-bonded bridges
Implant-supported bridges

Traditional Bridges

A traditional bridge consists of an artificial ceramic tooth, or “pontic,” connected to two or more adjoining crowns. The teeth adjacent to the gap left by the missing tooth are adjusted to accommodate the crowns, which are cemented into place.

This acts as an anchor for the pontic, creating a “bridge” and restoring the appearance and function of the missing teeth. For instance, when the individual bites down, the force gets transferred from the pontic, then to the crowns, and finally to the supporting teeth.

Cantilever Bridges

Cantilever bridges are used when only one tooth is present on a single side of the gap. The abutment tooth is reshaped to accommodate a dental crown, which is cemented in place and attached to the pontic.

An advantage of cantilever bridges is that they require less tooth structure removal (versus traditional bridges) and involve fewer teeth in the procedure. The downside is that they can be less stable, especially if multiple teeth need replacing with pontics. Also, the lone supporting tooth bears more strain, which makes the procedure unsuitable for situations where that tooth is weak or otherwise compromised.

Resin-Bonded Bridges

Resin-bonded bridges, also known as “Maryland bridges,”² are fixed dental bridges requiring minimal preparation to adjacent teeth. Small (usually metal) retainers or “wings” are bonded to the back of existing teeth using a special cement––these support the pontic.

This procedure is very fast and less invasive than other types of bridges. It can also be a cost-effective alternative.

However, resin-bonded bridges are less stable than other dental bridge options. Also, the bonding adhesive has the potential to stain teeth over time.

Implant-Supported Bridges

An implant-supported bridge relies not on adjacent teeth to support the pontics but on titanium implants anchored directly into the jaw. Implementing these bridges is more invasive and requires multiple office visits, but they are stronger, more stable, and can last much longer than traditional bridges.

What Are the Benefits of Dental Bridges?

There are several general reasons that someone might choose dental bridges. One is for appearance. Missing teeth can be unsightly, and replacing them can restore a smile and promote confidence and self-esteem.

Missing teeth can also impact dental health, speech, and chewing ability. They make the individual more susceptible to gum disease and misaligned teeth. Over time, they can even lead to more serious problems, like jawbone deterioration and facial structure changes.³ Dental bridges can eliminate these threats.

Another advantage of dental bridges is that, other than with implant-supported bridges, the procedure is quick, and the recovery time is minimal. They demand preparation, as pontics are custom-made, but generally only require up to two office visits.

Is Getting Dental Bridge Work Painful?

Implant-supported dental bridges require surgery. The procedure uses anesthesia, which staves off the pain. There can be some discomfort during the recovery process, although over-the-counter medications are usually sufficient for assuaging any pain.

The processes involved in installing cantilever, resin-bonded, or traditional dental bridges can cause some discomfort, but they are not painful. The procedures merely involve preparing the teeth adjacent to the gap by removing some enamel. This can temporarily make them sensitive to hot or cold temperatures.

After preparation, the bridge is attached. This too can cause minor discomfort for a few days until the patient becomes used to its presence.

How Long Does a Dental Bridge Last?

You can expect almost any dental bridge to last at least five to seven years. However, there are a few factors that can dramatically improve this duration––in fact, in some cases, dental bridges will last a lifetime. Major influences include:

Bridge materials
Oral hygiene
Food and lifestyle choices
Dental checkups

Getting high-quality bridges made from solid materials can significantly contribute to longevity. Other factors relate to the patient’s behavior.

Maintaining proper oral hygiene is one of the best things one can do to extend the life of dental bridges. It is also important to avoid foods that could damage the pontic or other bridge components. Avoiding behaviors like smoking or excessive alcohol consumption can promote teeth and gum health, prolonging the lifespan of bridges.

Finally, regular dental checkups are a good way to ensure dental bridges continue functioning and holding up as intended. These allow dentists to catch any minor issues and adjust accordingly.

Are There Any Disadvantages to a Dental Bridge?

While dental bridge work offers several advantages, it also has some drawbacks. It is essential to consider any risks before proceeding with the treatment.

One potential disadvantage is the risk of damaging the supporting teeth. Removing enamel can make them weaker and more susceptible to decay and fractures, although good oral hygiene can minimize these risks.

Over time, bridges can become loose or even break, leading to temporary discomfort or other problems. However, as mentioned, regular checkups can detect potential problems before they occur.

Bridges can make teeth and gums more difficult to clean, especially around the base of the bridge. Inadequate cleaning can lead to plaque buildup and gum disease. Your dentist can recommend products and techniques that ensure sufficient cleaning.

Another limitation of dental bridges is that they are temporary solutions. While they can last many years or even decades, they eventually will need to be replaced or upgraded.

A final potential downside to dental bridges is the cost. The total price tag of bridges can be substantial depending on the type of bridge and materials used. However, most dental insurance policies will pay for the procedure, but it is imperative to know your coverage parameters––including any out-of-pocket expenses––before proceeding.

What Are the Alternatives to Dental Bridge Work?

There are alternatives to bridges. Which ones are appropriate depends on your unique dental health circumstances and challenges.

Partial dentures consist of artificial teeth attached to a base that matches the color of your gums. They are removable and are a more economical alternative to most types of bridges. However, they are less permanent, stable, and can be uncomfortable.

On the other end of the spectrum are dental implants, another alternative to dental bridges. This option is more invasive, with a longer recovery time. They also are more costly. However, it can be a suitable long-term solution for some patients.

Schedule Dental Bridge Work Today

Dental bridge work is a major undertaking, but it can be a long-lasting, semi-permanent solution to tooth loss. Your dentist can advise you on the appropriate type of bridge work dental services and treatment plan.

References

1. 1. Jiang, Tien, “Tooth Loss Truth: It’s No Longer About the Tooth Fairy,” Harvard Health Publishing, August 2021, retrieved on December 5, 2024: https://my.clevelandclinic.org/health/diseases/tooth-loss.
  2. Gutmann, James L., “The Origin of the Maryland Bridge,” National Institutes of Health, 2019, from: https://pubmed.ncbi.nlm.nih.gov/32189627/.
  3. Hitte, Miranda, “9 Risk Factors for Tooth Loss,” WebMD, retrieved on December 5, 2024: https://www.webmd.com/oral-health/9-risk-factors-tooth-loss.