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Fixed or removable bridges? Making the right choice

Posted on 14.11.2012 by perfectsmile

Fixed or removable bridges? Making the right choiceGetting to know all the advantages and disadvantages of each treatment is the key to make the wisest decision

When it comes to making decisions which directly affect health, gathering enough information becomes essential for the patient to make the right choice. In need of a bridgework to solve a missing teeth problem, the decision stands between getting fixed or removable bridges. Lack of accurate information can be a tough obstacle to choosing what’s best.

Thus, the first step is always listening to the advice of professional dentists, who generally differentiate two main cases for which each treatment is the best option:

  • 1) When patients have lost all their teeth but not substantial bone, a fixed bridge may be the right treatment because the new bridge doesn’t need facial or lip support.
  • 2) For patients who present teeth loss as well as significant bone, facial and lip support loss, a removable bridge would be the better treatment.

The choice, therefore, will mainly depend on the quantity and quality of the remaining bone, gum tissue, lip and cheek support of the patient.

There are four principal advantages of over dentures in these cases worth considering:

  • 1) Re-establishment of facial harmony with remarkable results because of the replacement of lost tissues.
  • 2) Generally better speech compared to fixed bridgework.
  • 3) Direct access to the tissues surrounding the underlying implants for a more thorough hygiene.
  • 4) Easier and more cost effective long-term maintenance.

However, when removable bridge work is not needed, a fixed dental bridge can be the best option. Bridges are known to be less resilient than dental implants, but how long do they last? While implants have a 40 years’ useful life, bridges can last up to 15 years when well taken care of. They are less permanent solutions to missing teeth problems, though they also are much more affordable than implants.

Specialists in bridgework, cosmetic dental implants and orthodontic braces in London, Perfect Smile’s dental professionals explain the 3 types of fixed bridges available nowadays:

  • 1) Traditional bridges, which consist in creating a crown for the tooth on either side of the missing one with a “pontic” in between.
  • 2) Cantilever bridges, which are used when there are adjacent teeth only on one side of the jaw.
  • 3) Maryland bonded bridges, made of plastic teeth and gums and supported by a metal framework, with metal wings on each side of the bridge bonded to existing teeth.

Again, to choose which fixed bridge treatment is the right one for every particular patient, his teeth and gums condition has to be considered along with the professional advice of a qualified dentist. Right choices regarding dental treatments consequently require being conscious of one’s dental health and having the advice of a specialist

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