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Dental bridges

Mind the gap! Or just get a bridge. A dental bridge is a way to fill in the gap left by one or more missing teeth.

If I have crowns, can i still do bridges next to the crowns?

Ramin Tabib (New York, NY) on Sep 26, 2011
I think the question should be “if I have a crown and need a bridge because a tooth next to the crown needs to be extracted, do you have to replace the crown in order to do a bridge?” The only reason a bridge is required is when a tooth is missing and in order to make a bridge you need to anchor the bridge adjunct to the missing teeth. In other words, at least two teeth need crowns in order to place a bridge. We don’t advise on bridges to replace a missing tooth. Dental implants that anchor to the bone are the most advanced and least invasive procedure. Long term dental implants are also the healthiest option.
Steven Bader (Newton Centre, MA) on Sep 26, 2011
If you are missing teeth next to a crown, and you would like to replace it with a bridge, you would need to replace the crown next to the space. But if you have teeth on either side of your missing tooth then you can have a bridge regardless of whether you have crowns nearby. I hope that helps. Good luck!
Amanda Seay (Mount Pleasant, SC) on Sep 26, 2011
That depends on whether the supporting teeth for the bridge(called abutement teeth) are in the correct position and angulation to support the bridge. It also depends on how long of a span your bridge will be and the quality of the abutement teeth. If you are replacing several missing teeth then sometimes a long span bridge is not always the best option and you may want to consider implants as a treatment choice. In my practice, I always recommend implants whenever possible instead of a bridge option (there are certain circumstances where a bridge may be better option). I do this for a number of reasons...1) it reduces the risk prognosis for a compromised tooth that has to carry the extra force as an abutement tooth, 2) it isolates the risk to individual teeth instead of a whole bridge span, 3) implants don't decay. Those things considered...implants usually involve another specialist to place the implants. There is a waiting period of about 3-4 months before you can have an implant crown placed, sometimes there may be additional procedures such as bone and tissue grafting if you are deficient in those areas.
Kamini Talati (Port Saint Lucie, FL) on Sep 26, 2011
Bridges can be used adjacent to crowns. Sometimes crowned teeth may be used in a bridge.
Aziza Askari (Farmington Hills, MI) on Sep 26, 2011
For stability, a dental bridge normally relies on crowns placed on healthy teeth. As an alternative, dental implants can secure a bridge. Another option is a partial, which usually attaches to hidden clasps on neighboring teeth.
Debra Glassman (New York, NY) on Sep 26, 2011
It's very hard to make a determination without examining you or seeing a radiograph. Generally, to replace a missing tooth with a fixed bridge to have to crown the adjacent teeth to the bridge. If they already have crowns you will have to redo them and make into one unit. An exception is a cantilevered bridge in which you crown two teeth and then hang the missing tooth off of the bridge. A better choice in many cases is to do a single tooth implant. You don't have to cut down healthy teeth or redo crowns. Implants won't ever get tooth decay. Implant placement is 95% successful and is often virtually painless with modern techniques.
Christopher Baer (Aurora, CO) on Sep 26, 2011
Bridges are used to replace missing teeth. If there is a tooth next to the crown and then a space, followed by another tooth, then you can likely do a bridge if the teeth on either side of the space are good candidates to support a bridge. And ask about dental implants as an alternative to a bridge.
Les Latner (Los Angeles, CA) on Sep 26, 2011
I'm not quite sure from your question, is the crown next to the space where the bridge fill the space? If yes, then the crown would need to be removed before placing the bridge. If the crown is next to the tooth that would hold the bridge, then a bridge can be done. Les Latner, DDS drles@ucla.edu
Michael Apa (New York, NY) on Dec 2, 2011
yes
LaSaundra Estelle (New York, NY) on Nov 23, 2011
A crown is a restoration that completely covers the tooth. A bridge is a restoration that replaces missing teeth that have a tooth in front of the area where the teeth are missing and a tooth in back of the area where the teeth are missing. If there is no tooth to "anchor" the crowns on in front of or behind the area where the teeth are missing- a bridge is not possible.
Elisa Mello (New York, NY) on Oct 25, 2011
I think the question should be “if I have a crown and eventually I need a bridge because a tooth next to the crown needs to be extracted, do you have to replace the crown in order to do a bridge?” The only reason a bridge is required is when a tooth is missing and in order to make a bridge you need to anchor the bridge adjunct to the missing teeth. In other words, at least two teeth need crowns in order to place a bridge. We don’t advise on bridges to replace a missing tooth. Dental implants that anchor to the bone are the most advanced and least invasive procedure. Long term dental implants are also the healthiest option.
Leonard Tau (Philadelphia, PA) on Oct 23, 2011
A bridge is two crowns with a fake tooth in the center all connected and cemented in your mouth. If you are missing a tooth between two crowns, you have two options 1) Place a dental implant 2) Cut off the crowns and place a bridge