You may not know this, but dental bridges are actually an ancient technology. Archeological finds from ancient Egypt have shown evidence of dental work that we today would consider to be bridges. Thin wire of metals such as silver or gold were wound around existing teeth, and used to stabilize cosmetic material like bone or ivory, inserted to fill unsightly gaps. These bridges would have been installed and kept for the lifespan of the patient. But still, despite the pedigree of dental bridge technology, problems arise and are a reality for many who have undergone this cosmetic procedure.
A bridge is inserted into your mouth to fill gaps in your smile by placing a false tooth, also called a pontic, by means of crowns attached to your healthy teeth. It’s easy to understand where the name bridge comes from, as the prosthetic is installed between two stabilizing structures that “bridge” the gap. There are three main categories of bridge, which are traditional, linked crowns supporting a metal and porcelain prosthesis, Maryland, flaps securing a prosthesis to healthy teeth, and cantilever, where the prosthesis is attached to a single healthy tooth.
Your dentist will not be able to put a bridge into your mouth on your first visit. First, they have to take impressions of your mouth and craft a bespoke bridge that will be unique to your teeth. It is in this crafting process where many of the common bridge problems will arise. Common problems with bridges are usually:
- Ill-fitted bridge: When a poor impression is made, or the bridge is not crafted according to the correct standards, the result is a dental prosthetic that will not fit well in your mouth. This can cause pain and possibly tissue damage.
- Tooth decay: When the cap of a traditional bridge doesn’t fit correctly, bacteria can get under it and begin to multiply and attack the teeth. Tooth decay will follow, and patients will experience issues such as pain, discomfort, and discoloration. Proper hygiene, such as brushing, flossing, and using mouthwash can help to prevent decay.
- Sensitivity: Some amount of sensitivity is normal after a bridge is installed. But when it occurs months or even years after, that is a sign that something is wrong. It may be an indicator of damage or decay.
- Damaged bridge: While most people won’t think twice about enjoying a treat like an apple, caramel, or a hard candy, for those with bridges, some pause should be given. Caps and pontics are not as hardy as natural teeth, and damaging a bridge is a real possibility when chewing on hard or sticky foods.
- Cracked tooth: Sometimes teeth have underlying issues that are not immediately obvious. Cracks can turn into full on fractures when strain is placed on them, and a dental bridge may accidentally cause damage to such teeth.
- Bad taste or smell: If you have a bridge and experience chronic, unrelenting bad breath or a consistent bad taste in your mouth, consider visiting your dentist. Bacteria may have found its way into your bridge.