Can A Dental Bridge Be Removed And Recemented

If you’re considering getting a dental bridge, you may be wondering whether it can be removed and recemented if necessary. In this article, we’ll discuss the different types of bridges, their design features, and the clinical process involved. So, let’s dive in!

Can A Dental Bridge Be Removed And Recemented
Can A Dental Bridge Be Removed And Recemented

Types of Bridges

There are three main types of dental bridges: resin-bonded bridges, fixed-fixed bridges, and hybrids. Each type has its own unique characteristics and uses.

Resin-Bonded Bridges

Resin-bonded bridges, also known as Maryland bridges, are a good option when you have a single missing tooth and want to replace the gap. These bridges have a reduced risk of secondary cavities compared to other designs. However, it’s important to note that the survival rate of resin-bonded bridges is around 80% at 5 and 15 years, depending on the expertise of the dentist and the bridge design. Cantilevers, which are bridges with a pontic and a winged retainer, are commonly used in this design.

Fixed-Fixed Bridges

Fixed-fixed bridges are ideal for longer spans where multiple teeth need to be replaced. For example, if you are missing premolars in the upper arch, a fixed-fixed bridge can be used. This design involves attaching a winged retainer to one abutment tooth and an occlusal coverage retainer to another abutment tooth, with pontics in between. While fixed-fixed bridges are also an option post-orthodontic treatment, there is a higher chance of secondary cavities if a retainer becomes partially debonded.

Hybrid Bridges

Hybrid bridges offer more flexibility in movement due to their male and female components. If one retainer debonds, the bridge can be easily repaired by replacing the pontic and retainer without removing the entire bridge. This design is highly beneficial for maintenance and reduces the need for additional dental work.

Design Features

When it comes to bridge design, there are a few key features to consider for optimal functionality and aesthetics. These include maximum coverage for better bond strength, a minimum retainer thickness of 0.7 millimeters to prevent warping, and cleansability to ensure proper oral hygiene. Additionally, occlusion should be carefully considered to avoid any protrusive or lateral excursive contacts. It’s important to work closely with your dentist to determine the best design for your specific needs.

Importance of Tooth Preparation

Tooth preparation is a crucial step in the bridge placement process. However, recent studies suggest that tooth preparation should be minimized to align with the principles of minimally invasive dentistry. While some cases may require minimal tooth preparation for guide planes, it’s generally best to avoid irreversible tooth preparation whenever possible.

Clinical Process

The clinical process of placing a dental bridge involves several steps. After taking impressions of the patient’s teeth and preparing the abutment teeth, the bridge is tried in using temporary cement. This allows for adjustments to be made to the retainer, occlusion, and aesthetics if necessary. Once the bridge fits perfectly, it is then permanently bonded in place using resin cement. Excess cement is removed, and the patient is taught proper cleaning techniques to maintain oral hygiene.

Conclusion

In conclusion, dental bridges offer an effective solution for replacing missing teeth. Whether you opt for a resin-bonded bridge, fixed-fixed bridge, or hybrid bridge, it’s important to work closely with your dentist to achieve the best results. With the right design and proper maintenance, dental bridges can provide functional and aesthetically pleasing solutions for your oral health needs.

For more information on dental bridges and other dental procedures, visit Make You Smile.