Bridges & Partial Dentures


Before bridge	Bridge	After bridge

Bridges and Partial Dentures

Why should I replace missing teeth ?

Your appearance is one reason, another is that the gap left by a missing tooth can mean greater strain is put on the teeth at either side. A gap can also mean your ‘bite’ is affected because the teeth next to the space can lean into the gap and alter the way the upper and lower teeth bite together. This can lead to food getting packed into the gap which cause both decay and gum disease.

How are missing teeth replaced ?

This depends on the number of teeth missing and on where they are in the mouth. The condition of the other teeth also affects the decision. There are two main ways to replace the missing teeth. The first is with a removable false tooth or teeth – a partial denture. The second is with a fixed bridge. A bridge is usually used where there are fewer teeth to replace or when the missing teeth are only on one side of the mouth.

What is a partial denture ?

This is a plate with a number of false teeth on it. It may be all plastic or a mixture of metal and plastic. Both types may have clips (clasps), to help keep the denture in place in the mouth. Depending on where they are some of these clips may show when you smile or open your mouth although tooth coloured clasps can be made if they are visible.

What are replacement teeth made of ?

Usually plastic and occasionally porcelain. Each replacement tooth is made specially to get the right the right shape , colour and size for you.

What is the difference between a plastic partial denture and one that contains metal ?

Plastic partial dentures are less expensive to make. But unless they are designed very carefully they can damage the teeth they fit against. Metal partial dentures are usually made from an alloy of cobalt and chromium and they are much stronger. They are lighter to wear and can be supported by the remaining teeth. The metal – based partial denture gives the best result.

How do I choose the best type for me ?

Be guided by your dentist. He or she will know the condition of your remaining teeth. In most cases a metal-based partial denture gives you the best results.

How do I look after my denture ?

You should remove the denture from your mouth for cleaning. You’ll be shown how to clean it by your dentist or hygienist, probably with a small toothbrush and toothpaste or by soaking it in a cleansing solution that’s suitable for metal.

Should I take my denture out at night ?

Yes, leave it in water to stop it warping.

What is the alternative to a partial denture ?

The main alternative is a fixed bridge. This is made by putting crowns on teeth at either side of the space and then joining these two crown together by placing a false tooth in the space. This is all made in the laboratory and then the pieces are cemented into place with special adhesives. The bridge can’t be removed.

Can I always have a bridge to replace missing teeth ?

Yes, if you have enough strong teeth with good bone support. Your dentist will help you to decide which is the best way of replacing them in your case.

What are bridges made of ?

Bridges are usually made of a precious metal. If the bridge will show, porcelain is then bonded to the base. Sometimes, there are other non-precious metals used in the base for strength.

Are bridges expensive ?

Although a bridge may seem more expensive it will last for years and will also improve your appearance and bite. A bridge uses the considerable skill of the dentist and technician, and in this way, it’s similar to ordering a piece of hand-made jewellery. The materials are also expensive. Though not cheap, many feel that a bridge is the right choice for them

How do I look after my bridge ?

You need to clean your bridge every day, to prevent problems such as bad breath and gum disease. You also have to clean under the false teeth every day. Your dentist or hygienist will show you how to use a special brush or special floss, as a normal toothbrush cannot reach.

Are there other methods for fixing false teeth ?

There are other methods such as using a combination of crowns and partial dentures that can keep the remaining clips out of sight. These are quite specialised dentures and your dentist will be able to tell you more.

Can I have teeth which attach to the jawbone ?

Yes, by having implants. The success of this technique means that you may be able to have missing teeth replaced without crowning other teeth. Your dentist will be able to discuss the matter with you as there are many issues to consider. Implants are not available on the NHS and are quite expensive, ( about £1200.00 per tooth.)