Closed without surgery

Bridges, when surgery isn't the answer.

A way to close a gap using the teeth already standing either side of it. They are shaped to take a joined set of crowns, and the false tooth sits between them, fixed in place. No operation and no healing months.

One gap·No surgery·Usually two visits
Bridges, when surgery isn't the answer.

About this treatment

Three crowns, one piece, no gap.

A bridge is the older answer to a missing tooth, and for many mouths still the right one. The teeth on either side of the gap, the abutments, are reduced and crowned. Between those two crowns sits a third tooth, the pontic, that fills the space. The three are made as a single piece in a laboratory and cemented on together. That is a three-unit bridge. Two teeth missing side by side means two pontics and a four-unit bridge.

Nothing goes into the bone. That is the whole point, and the reason people who can't have an implant, or don't want one, end up here. Someone on medication that slows bone healing. Someone whose jaw has thinned where the tooth used to be and who would need a graft first. Someone who has simply had enough of surgery. A bridge asks nothing of the jaw. It asks the neighbouring teeth to carry the load instead.

That trade is worth understanding before you choose. A bridge costs the two abutment teeth a layer of enamel they don't get back, and if either of them is already crowned or heavily filled, that costs nothing at all, which is often what tips the decision. An implant spares those teeth and replaces the root, at the price of a small operation and months of waiting. Neither is the better treatment. One of them is the better treatment for your mouth, and that is what the consultation is for.

What to expect

Two appointments, a temporary in between.

Most bridges are fitted across two visits a week or two apart. The first prepares the two abutment teeth under local anaesthetic, takes the impression or scan the laboratory works from, and matches the shade. A temporary bridge is fitted the same day, so you leave with the gap closed rather than open. It is plastic, not ceramic, and the clinic will ask you to eat carefully on it.

The second visit fits the final bridge. The temporary comes off, the new bridge is checked for fit, bite and colour against the teeth around it, and once it's right, it is cemented into place. From that point you eat and speak as you did before the tooth was lost. Cleaning changes in one respect: floss can't pass between the joined units, so the clinic shows you how to clean under the pontic with a threader or an interdental brush. That habit is what keeps the abutment teeth healthy for the life of the bridge.

Time on site
Two short visits
One visit to prepare the teeth and take the impression, a second a week or two later to fit the finished bridge. Some people make it one stay; others fly twice. The clinic confirms the schedule.
Recovery
Brief and mild
Some sensitivity around the prepared teeth for a few days is normal. No surgery, no stitches, no healing period. You eat normally from the day the final bridge is fitted.
Longevity
Years, with care
How long a bridge lasts depends on the abutment teeth and on cleaning under it. Ask the clinic what it expects for your case and what it would replace, and on what terms, if something fails.

Information shown is for general guidance only and not medical advice. Any treatment plan, suitability, and final cost are determined by the licensed dentist after consultation.