What are Dental Bridges?
When you have one or more missing teeth, your doctor may recommend dental bridges to help fill the gap. It usually consists of two main components: the pontic (false tooth) and the abutments (the supporting teeth on either side of the gap).
The pontic is typically made from porcelain to help it aesthetically blend with your original teeth. It may be surgically anchored in place by dental crowns attached to the abutment teeth.
Aside from helping to improve your smile aesthetics, dental bridges may also offer functional benefits. By filling the gaps in your teeth, they can help distribute the bite force, maintain the shape of your jawbone, and prevent the remaining original teeth from shifting away.
Types of Dental Bridges
There are several types of dental bridges, each suited to varying needs and situations:
- Traditional Bridges: This is the most common type, where dentists may create a crown for the tooth or implant on each side of the missing tooth, with a pontic in between. Traditional bridges offer strength and may be suitable for replacing molars.
- Cantilever Bridges: The doctor may suggest this type of dental bridge when only one side of the missing tooth has adjacent teeth. These bridges may not be recommended for the back of the mouth, as they may exert too much force on other teeth, potentially causing damage.
- Maryland Bridges: Also known as resin-bonded bridges, this type of dental bridge typically uses a metal or porcelain framework that dentists may bond onto the backs of two adjacent teeth. This option may be less invasive.
- Implant-supported Bridges: This type of dental bridge may be suitable for those with more than one missing tooth. The dentist may place one implant for each missing tooth, potentially securing the bridge in place.
The procedure for getting a dental bridge may involve multiple steps. Initially, the dentist prepares the abutment teeth for the procedure. This may include recontouring these teeth by removing a portion of enamel to provide room for a crown to be placed over them.
Next, the clinic assistant may take impressions of your teeth, which serve as a model for a dental lab to make the bridge, pontics, and crowns. The dentist may then create a temporary bridge to protect the exposed teeth and gums while the bridge is being made.
During a follow-up visit, the dentist may remove the temporary bridge and adjust the new porcelain or metal bridge to achieve a proper fit. Depending on each individual’s case, multiple visits may be required to check the fit of the framework and bite.
Materials Used for Dental Bridges
The materials used to make dental bridges typically include porcelain, zirconia, and gold alloys. Porcelain is often preferred for its natural appearance, resulting in a dental bridge that looks like your original teeth.
Meanwhile, zirconia is known for its durability, strength, and aesthetic qualities, making it a popular choice for dental restorations. Gold alloys, while less common, are usually preferred for their strength and durability and are typically used for back teeth where aesthetics are less of a concern.
That said, the choice of material depends on the location of the missing tooth (or teeth), the function of the dental bridge, aesthetic considerations, and cost.
Pros and Cons of Dental Bridges
When considering dental bridges, it is advisable to consider their advantages and drawbacks:
- Minimally-Invasive Procedure: Dental bridges may not require surgery, which can make the process less invasive.
- Cost-Effectiveness: Dental bridges may be more affordable, especially when the treatment involves filling the gaps left by multiple teeth.
- Aesthetic and Functional Restoration: They can help improve aesthetic appearance and dental function, aiding in better chewing and speaking.
- Treatment and Recovery Time: The entire procedure may be completed in a few weeks, with minimal recovery time.
- Durability: Dental bridges may not be long-lasting, resulting in potential replacement after several years.
- Potential Adjacent Teeth Damage: To help prepare for a dental bridge, the adjacent teeth may be filed down, which can weaken otherwise healthy teeth.
- Oral Hygiene Challenges: Cleaning under and around the bridge may be more challenging than the original teeth, leading to potential dental issues like decay or gum disease.
Table Summary for Dental Bridges:
|Minimally invasive procedure, which may be completed in a few weeks.
|May be short-lived.
|May cost less when it involves filling multiple gaps.
|May damage adjacent teeth.
|Improve aesthetic appearance and dental function.
|Oral hygiene may be more challenging.
What are Dental Implants?
Another potential solution that may serve as a replacement for the root of a missing tooth is dental implants. They are surgically anchored into the jawbone, potentially offering a sturdy foundation for artificial teeth.
A dental implant typically consists of a titanium post, which serves as the tooth root substitute and is usually topped with a dental crown to mimic the appearance and function of the original tooth. One of the main benefits of dental implants is that they can help replace a missing tooth with minimal impact on the neighbouring teeth. They may also help preserve the jawbone and maintain facial structure.
Dental implants are typically known for their durability and can last a lifetime with proper care, making them a potential long-term solution for tooth loss. Let’s delve into the components of dental implants to understand how they work.
Components of Dental Implants
Dental implants have three main components:
- The Post: Usually made of titanium, the dentist may surgically insert it into the jawbone, enabling it to serve as a root for the artificial tooth.
- The Abutment: This component is typically attached to the post, serving as a potential connector between the post and the replacement tooth.
- The Crown: Custom-made to match the patient’s original teeth, the crown is the visible part of the implant. It is usually attached to the abutment and may function like the original tooth.
The procedure for dental implants may involve several stages, which can span several months. During the initial consultation, the dentist may conduct an assessment, including X-rays, to determine the necessity of the treatment. Afterwards, the clinic assistant may make a mould impression on your mouth.
During the surgery, you will be under local anaesthesia for optimal comfort. The dentist will then place the titanium post into your jawbone. This is followed by the recommended healing period, allowing for potential osseointegration whereby the implant fuses with the jawbone.
After the healing period, the dentist may place the abutment on the post. This may require a surgical procedure to help expose the implant and fit the abutment. After the gums heal around the abutment, the dental clinic may take impressions of your mouth to create the custom crown. Once ready, the dentist will attach the crown to the abutment.
Materials Used for Dental Implants
Similar to dental bridges, the materials typically used for dental implants may include:
- Titanium: Known for its strength and durability, titanium is biocompatible and rarely causes potential allergic reactions. It may integrate well with the bone, providing a solid foundation for the replacement tooth.
- Zirconia: This material is generally new in dental implantology but may have gained popularity due to its colour and biocompatibility. It may be suitable for individuals with metal allergies or those who prefer a more natural-looking implant.
Pros and Cons of Dental Implants
Dental implants are typically considered the gold standard for tooth replacement. But, they may come with their own set of pros and cons:
- Durability and Longevity: Dental implants may last a lifetime with proper care, making them a potentially cost-effective solution in the long run.
- Bone Preservation: Dental implants have the potential to stimulate and preserve natural bone growth, which may help maintain facial structure.
- Minimal Harm to Adjacent Teeth: Dental implants may not require altering the surrounding teeth, potentially preserving more of your original dentition.
- Ease of Maintenance: Caring for your dental implants may be similar to caring for your original teeth, making oral hygiene straightforward.
- Surgical Procedure: A dental implant placement typically involves surgery, which may result in potential risks and require a certain healing period.
- Higher Initial Cost: The cost of dental implants may increase, especially when multiple implants are recommended.
- Time-Consuming Process: The dental implant process, from evaluation to final placement, can take several months due to the recommended healing time for osseointegration.
Table Summary for Dental Implants:
|May last a lifetime with proper oral care.
|Dental implant surgery may result in potential risks.
|Supports natural bone growth.
|The cost of dental implants may increase when multiple implants are recommended.
|Minimal damage to adjacent teeth.
|The procedure may take several months to complete.
Determining Your Suitability for Dental Bridges and Implants
Determining whether you are suitable for dental bridges or implants may depend on several factors, including your oral health, jawbone density, and individual preferences.
For dental bridges, your adjacent teeth may need to be in optimal health to support a bridge. If you have a tight budget, the dentist may recommend dental bridges, as they typically cost less when it comes to addressing multiple missing teeth.
Meanwhile, dental implants may require sufficient jawbones to support the implant. This means if you have adequate bone density, the dentist may recommend dental implants. Being in optimal health is also crucial, as the implant surgery may require extensive healing periods.
It is advisable to consult a dental professional who can assess your specific needs and advise on a suitable course of action. You may also seek advice and guidance on the pros and cons of each option regarding your oral health and lifestyle needs.
Combining Dental Implants and Bridges for Multiple Tooth Loss
In some cases, combining dental implants and bridges may offer a potential solution for multiple tooth loss. One such approach is the All-on-4 dental implant. This procedure typically involves using four strategically placed implants to support a full arch of teeth.
Additionally, the dentist may recommend this combination for individuals with insufficient bone density for individual implants for every missing tooth.
While the All-on-4 dental procedure may be a potential solution for many, it may only be suitable for some. A proper assessment by the dentist is advisable to determine if this treatment suits your specific needs.
Cost of Dental Bridges vs Implants in Singapore
The cost of dental bridges and implants may vary in Singapore, potentially influenced by several factors, such as:
- Complexity of the case
- The materials used
- Dentist’s expertise and location
That said, these procedures may be partially claimable under the Medisave and Community Health Assist Scheme (CHAS). For instance, Medisave claims for dental implants apply to surgical aspects, whereas CHAS dental subsidy covers various dental procedures, including the making of dentures.
Longevity Comparison: Dental Bridge vs Implants
The longevity of dental implants and bridges may vary based on several factors. However, with proper care, dental bridges can last up to 15 years, after which they may need to be replaced. Meanwhile, dental implants may last a lifetime with proper oral hygiene and regular dental check-ups.
The longer lifespan of dental implants can make them a more cost-effective solution in the long run despite the higher initial cost.
Frequently Asked Questions About Dental Bridges vs Implants
Does Singapore Insurance cover dental treatment for dental implants and bridges?
Most dental insurance plans in Singapore cover some portion of the cost of dental bridges and implants, but the extent of coverage may vary. It is advisable to check with your insurance provider to understand what is covered under your policy, including any deductibles and caps.
Which treatment hurts more? Dental implant or bridge?
Both procedures may be performed with anaesthesia to minimise discomfort. Dental implants may involve more discomfort post-surgery during the healing process, but this can be managed with prescribed pain medication. Dental bridges usually involve minimal discomfort.
What is the recovery speed for dental bridge vs implant?
Recovery from a dental bridge procedure is generally quick, often requiring a few days for gum tenderness to subside. Meanwhile, dental implants may require a more extended healing period, especially for the jawbone to fuse to the implant, which can take several months.
How long do these dental procedures last?
A dental bridge can last up to 15 years with proper care and maintenance, while a dental implant can last a lifetime. That said, the longevity of both treatments largely depends on your oral hygiene practices and regular dental check-ups.
Do I have to avoid certain foods after getting a dental bridge or implant done?
After getting a dental bridge or implant, avoiding hard, sticky, or chewy foods for a short period is advisable to allow for healing and to protect the new dental work. Your dentist may provide specific dietary recommendations post-procedure.
Make a Suitable Choice for Your Dental Health
Choosing between dental bridges and implants is an important decision that may affect your oral health and overall quality of life. Both options offer their own set of advantages and considerations, and the suitable choice depends on your dental condition, lifestyle, and preferences.
Ultimately, the best way to determine the suitability of dental bridges and implants is to consult a dental professional at a dental clinic in Jurong. They may assess your dental health, discuss your options, and help you understand what you are comfortable with.