To get a dental bridge or not?

Question

I recently had to get an upper premolar (tooth#4) extracted. I do not want to go through the implant process for various health reasons so I’m looking to get a bridge. Regular dentist is reluctant due to adjacent teeth being healthy with one tooth only having some fillings and doesn’t think these teeth should be crowned. Why is a bridge in this situation not appropriate?

Jepssy Beltre, DDS · Answer

Dear Jayw77,

Dental bridges require the shaving of adjacent teeth.  Dentists might be reluctant to shave healthy teeth as their main job is saving teeth, not impacting them. Also, because a better option is available, which are implants. Implants mimic the natural teeth and, unlike bridges, prevent bone loss. With a bridge you run the risk of it "floating" after a few years as with time your bone and gum will start to "shrink", meaning it will not appear as it is attached to the gum.

I am unaware of your health reasons are for not choosing implants, but keep in mind there are different type of implants for different type of patients.

I hope to have answered your questions.

Kind regards!

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