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Cantilever Bridges: Innovative Solutions for Tooth Replacement

Missing teeth need replacement to restore oral function, form, and aesthetics. You could have several teeth replacement solutions according to your individual oral needs. Of all the dental restorations, a cantilever bridge is a common prosthesis offered by prosthodontists for replacing missing teeth permanently. 

In this article, the Orange Park general dentist will explore cantilever bridges for improved oral health and rehabilitation. 

What is a cantilever bridge?

A cantilever bridge is a type of fixed dental bridge that consists of a single crown or multiple crowns attached to a single abutment tooth on one side of the gap, allowing the bridge to “cantilever” or extend over the gap. This design provides a stable and functional solution for missing teeth, while also conserving more natural tooth structure compared to traditional bridges

When are cantilever bridges indicated?

The indications for a dental bridge include:

  • Missing teeth: Bridges are used to replace one or more missing teeth.
  • Aesthetic concerns: Bridges can improve the appearance of teeth and enhance self-confidence.
  • Chewing difficulties: Bridges can restore chewing function and improve nutrition.
  • Speech difficulties: Bridges can improve speech articulation and clarity.
  • Tooth migration: Bridges can prevent adjacent teeth from shifting or migrating.
  • Bite issues: Bridges can correct bite problems and improve occlusion.
  • Cracked or broken teeth: Bridges can be used to restore teeth that are cracked or broken.
  • Decay or fracture: Bridges can be used to restore teeth that are decayed or fractured.
  • Congenitally missing teeth: Bridges can be used to replace teeth that are missing from birth.
  • Trauma: Bridges can be used to restore teeth that are lost due to trauma.
  • Orthodontic treatment: Bridges can be used in conjunction with orthodontic treatment to improve tooth alignment.
  • Dental implants: Bridges can be used in conjunction with dental implants to replace missing teeth.

Advantages of cantilever bridges

Tooth Replacement

The benefits of cantilever bridges include:

  • Aesthetic appeal: Cantilever bridges can be designed to match the natural appearance of surrounding teeth.
  • Functional stability: They provide a stable chewing surface and help distribute forces evenly.
  • Conservation of tooth structure: By using only one abutment tooth, cantilever bridges preserve a more natural tooth structure.
  • Cost-effective: Compared to implant-supported bridges, cantilever bridges can be more affordable.
  • Reduced surgical time: Cantilever bridges typically require less surgical time compared to implant-supported bridges.
  • Improved oral function: Cantilever bridges can improve chewing, speaking, and overall oral function.
  • Boosts confidence: By restoring missing teeth, cantilever bridges can enhance self-confidence and overall quality of life.
  • Easy maintenance: Cantilever bridges can be cleaned and maintained like natural teeth.
  • Long-lasting: With proper care, cantilever bridges can last for many years.
  • Versatility: Cantilever bridges can be used for both anterior and posterior teeth, and for small to medium-sized gaps.

How is a cantilever bridge fabricated?

The procedure involved in fabricating a cantilever bridge typically includes:

  • Consultation and treatment planning: Discuss the patient’s needs and determine if a cantilever bridge is suitable.
  • Preparation of the abutment tooth: Shaping the tooth to accommodate the bridge.
  • Impression taking: Creating a mold of the prepared tooth and surrounding area.
  • Bite registration: Recording the patient’s bite to ensure proper occlusion.
  • Temporary bridge fabrication: Creating a temporary bridge for the patient to wear during the fabrication process.
  • Laboratory fabrication: Sending the impressions and bite registration to a dental laboratory for bridge fabrication.
  • Try-in: Checking the bridge’s fit, aesthetics, and occlusion.
  • Cementation: Permanently attaching the bridge to the abutment tooth.
  • Follow-up: Scheduling follow-up appointments to monitor the bridge’s performance and make any necessary adjustments.

The entire process typically takes several appointments and a few weeks to complete.

Takeaway 

Cantilever bridges offer a viable solution for individuals with small gaps and suitable oral conditions. While they present some limitations, advancements in materials and techniques continue to improve their durability and aesthetics. Consult a dentist to determine if a cantilever bridge is the right option for your specific needs.

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