Types of Dental Bridges: Complete Guide to Options, Pros & Cons

Published by Elena Chachik, DDS Updated On:

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In dentistry, bridges are affordable, long-lasting tooth restorations that do not typically require surgery. They are designed to maintain the natural teeth positions and enable patients to chew and speak comfortably. You might have heard about the four main types of dental bridges: traditional, cantilever, Maryland, and implant-supported, but how to choose one that meets your needs? Let’s examine the advantages and drawbacks of all teeth bridges types to help you better navigate the theme of artificial teeth.

What Are the 4 Main Types of Dental Bridges?

Dental bridge types share one similarity: unlike dentures, they are firmly fixed. All types of tooth bridges look natural, restore oral functions, and improve the appearance of your smile as the construction mimics your natural teeth. Let’s examine different types of dental bridges in detail.

  1. Traditional Dental Bridge

A traditional dental bridge consists of a false tooth, or a pontic, firmly attached to crowns on either side that cover healthy teeth. It conceals the gap in the dental row, and a snug design ensures stability and resilience. However, a doctor has to file down some enamel to adjust the tooth shape.

  1. Cantilever Dental Bridges

A cantilever bridge needs careful planning: an artificial tooth is supported by a crown attached to one neighboring tooth. It is perfect when a front tooth is on one side of the gap, but might not be the best choice for back teeth restoration that implies significant chewing force. 

  1. Maryland Bonded Bridges

A Maryland bridge is mainly used for front teeth as it doesn’t require substantial reduction of the neighbouring teeth. A doctor lightly reduces the backs of the adjacent (or abutment) teeth to safely bond the bridge wings to this area. The wings are produced from metal or resin, and the artificial tooth is made from porcelain, gold, or porcelain fused to metal.

  1. Implant-Supported Bridges

An implant-supported bridge rests on dental implants and doesn’t require grinding natural tooth structures. Titanium posts serve as anchors to the bridge, so the remaining teeth are left untouched. This dental device can last over 20 years if cared for properly, but the remarkable lifespan and stability result in a higher price.

Pros and Cons of Different Kinds of Dental Bridges 

All types of bridges for teeth have peculiar benefits and drawbacks; knowing which can help you weigh the options and make an informed decision.

Bridge TypePros Cons
TraditionalThe procedure can be completed in two dental appointments.
Affordable price.
Proven lasting solution.
Do not require surgery.
The adjacent teeth commonly need to be trimmed down for crowns.
Might need replacement in 5 to 15 years.
Risk of tooth decay or gum disease around the neighboring teeth.
Bone density can decrease with time.
CantileverLess invasive than conventional bridges: one healthy tooth is filed down.
A natural look makes them suitable for front teeth.
Relatively budget-friendly.
Durable (may last around 18 years).
Can be applied without anesthesia.
Strict requirements to the condition of gums and oral tissue.
Enhanced risk of damage or failure due to one-sided anchoring.
MarylandHealthy teeth don’t require major modification for dental crowns.
Quick solution for tooth loss.
More affordable than implants.
Less sturdy than dental implants.
The adhesive can wear down.
Not perfect for back teeth.
Incompatible with bruxism.
Implant-supportedNo need to alter the adjacent healthy teeth.
Can last over 20 years with diligent care.
Dental implants prevent bone loss.
Enhanced stability and chewing functionality.
Naturally blend with other teeth.
Help preserve the original facial structure.
More expensive than traditional dental bridges.
Inevitable surgical intervention.
Needs more time for recovery and placement.
Require adequate jawbone density.

How to Choose the Right Bridge for You?

Choosing a dental bridge involves meticulous preparation and can be done only in cooperation with your dentist. All types of teeth bridges suit specific purposes, which makes them recommended for particular situations:

  • A traditional bridge is used in most cases due to its strength and withstanding abilities. 
  • A cantilever bridge is perfect when your case allows fixing the bridge on one side of the tooth gap.
  • A Maryland bridge ensures enhanced aesthetics, making it ideal for front teeth.
  • An implant-supported option offers utmost stability and prolonged lifespan but has strict requirements for a patient’s overall health and jawbone condition.

You should also discuss your oral health, number of missing teeth, budget, and aesthetic expectations with your dentist.

Conclusion

Finding a fitting tooth restoration might seem overwhelming, but a trained professional can evaluate the risks and guide you towards a suitable solution. Traditional, cantilever, Maryland, and implant-supported dental bridges have their pros and cons, but working with a reputable dental team can promote their benefits for years. Feel free to contact us if you have any concerns related to missing teeth replacement.

Frequently Asked Questions About Dental Bridge Types

What is the best type of dental bridge to get?

The best type of bridge varies in each particular case, since certain characteristics may suit one patient and constrain another. All options are designed to restore chewing and speaking abilities, but it’s reasonable to consult an experienced doctor prior to making your choice.

Which type of dental bridge is the strongest?

Implant-supported bridges are considered the strongest since they are securely anchored on titanium posts. With proper care, they can endure over 20 years.

Are dental bridges permanent?

No, though dental bridges are remarkably long-lasting, they might need replacement in 5 to 20 years. You can prolong their lifespan by diligent oral care and conscious lifestyle choices.

What is the most affordable dental bridge option?

Traditional bridges are considered a budget-friendly option: their price varies between $2,000 to $5,000 per missing tooth. Maryland bridges cost less, from $1,500 to $3,000, but they may not suit back teeth.

Additional Resources

Discover the study on the survival rate of dental bridges in a decade perspective.

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