What is a bridge and when to use it?

In modern society, the demand for cosmetic dentistry is increasing, especially in cases of missing teeth. Among the methods of dental bridge restoration, making metal bridges or porcelain bridges is the method of choice quite popular.

Bridge is a prosthetic method to replace one or more missing teeth by using adjacent teeth as pillars to create a bridge between two teeth next to the missing tooth. In cases where the patient loses a lot of teeth, they will be implanted before proceeding to bridge the teeth. The condition for the implementation of the method of making a bridge is that the two teeth next to the missing tooth must be strong enough, so the cases of missing tooth number 7 cannot be bridged because tooth number 8 will not be eligible for abutment.

Some outstanding advantages that make the method of prosthetic bridge making become popular in the field of dental prosthetics are:
Low cost: compared to other methods of restoring missing teeth, the bridge is expensive to perform. lower, still ensure aesthetics and improve the ability to chew effectively Safety assurance: titanium material has been tested for quality many times to ensure that it does not cause irritation to the patient's oral health, and also has a very high degree of compatibility with tooth tissue Aesthetic assurance: dental bridges are capable of creating teeth with many natural characteristics like real teeth, including the color, shape and size of aesthetics. Good strength: the patient can recover almost the same chewing ability and the bridge also has very good food sensitivity In addition, making a porcelain bridge has a quick implementation time, easy to clean and has high durability.

Cases of tooth loss where the two adjacent teeth are able to bear the load can be indicated by the bridge method. Note that the total bearing coefficient of the restored teeth must be less than the sum of the bearing coefficient of the teeth being made abutments. In addition, some contraindications for this method include:
The abutment can no longer support the periodontitis Inflammation, ulceration, oral mucositis, Wide pulp chamber, incomplete closure of the tooth apex Children under the age of adulthood Allergic to bridge materials

On the market today, there are many different types of bridges depending on the purpose of use of the patient:
Traditional bridge: a bridge is made by grinding 2 teeth next to the missing tooth, then attaching it. Porcelain crowns on top as pillars, between the abutment teeth, there will be a false tooth called a connecting span to replace the lost tooth. Bonded bridge: is a bridge that preserves real teeth in the best way. A denture is attached with 2 metal wings on both sides of the tooth that will be fixed to the inside of the 2 abutment teeth with dental cement. However, it should not be used if the patient has a deep bite or crossbite. Dental bridge with implant: is the most common type of bridge at this time, does not harm the teeth next to the missing tooth and also helps Proper spacing of teeth. Vinmec Times City International Hospital has successfully deployed implant technology for long-lost molars. This is the most optimal method of restoring lost teeth, especially tooth number 6, long-term molar loss and jaw bone resorption.
Methods indicated to apply to patients:
Loss of teeth with jaw bone resorption (except for cases with contraindications to bone grafting) Loss of teeth, ages (except for cases with contraindications to Implant) Use the Nobel and Mis kit (including drills, handwheels .. used in the implant steps). This is the most advanced and modern technology, trusted by many countries around the world. MSc Pham Thi Huyen Trang - In charge of the Dental - Jaw - Facial Unit, Vinmec Times City International Hospital, with many years of experience in maxillofacial trauma surgery, used to teach at the hospital. and abroad. Vinmec's modern clinic system, meeting international standards, has successfully performed implantation for many cases of long-term tooth loss. For long-term tooth loss, dental implants are considered the optimal solution and bring the most long-term effectiveness today.