Facts you should know about adhesive bridges.

August 23, 2019

The trend is that today an increasing number of patients, after losing one or more teeth, resort to high-quality implantation methods. However, some still prefer prosthetics with bridge structures, which are cheaper. But did you know that bridges are also different? Have you heard anything about the most mysterious of them - adhesive bridges in dentistry? If not, read the article by the editors of the UltraSmile.ru portal. You will find a lot of useful information on this topic.

Fact #1: There is no need to grind your teeth for adhesive bridges.

An adhesive bridge, just like a classic one, is most often placed when one tooth is missing. It rests on neighboring units located on either side of the lost one. However, compared to the classic design, which consists of three crowns, the adhesive apparatus looks different: it has only one crown and plates extending from it, which look like “wings”. In this case, these same plates will be attached to the supporting teeth. But to install them, there is no need at all to grind and prepare the supports, change their appearance beyond recognition and remove the nerve - as this has to be done before installing classic bridges. It will be enough to make small ledges on the supporting units (on their lateral or palatal surface - from the side of the tongue) and use dental glue.

When installing such dentures, adjacent teeth are not ground down

Adhesive structures, like any other dentures, cannot be installed during bruxism, inflammation of periodontal tissues and the presence of severely loose or destroyed supporting teeth.

The absence of the need to prepare hard tissues and depulpate the tooth is a plus, because The installation procedure for such structures does not require invasive intervention and is painless. In addition, thanks to this approach, the supporting teeth take on minimal load and do not wear out as much as compared to those under classic traditional bridges consisting of three artificial crowns. Another advantage: their processing process is reversible; when the adhesive structure is removed, holes and ledges in the supports can be easily masked with composite material.

Features of fastening a bridge prosthesis

There are three ways to fix the bridge in the mouth.

Fastening with beams. A special beam is made from metal wire, and then it is attached to the teeth with a composite material. This makes the orthodontic structure stronger.
Fastening with a tire. To fix the prosthesis, fiberglass tape is used, which is placed in the area of the teeth that perform the supporting function. The tape helps secure the prosthesis firmly.
No grinding design. During this method, the doctor prepares the supporting teeth and attaches a bridge to them. Special glue can be used for fixation. Plastic or fiberglass strips are attached to the inside of the teeth to hold the teeth in place.

Fiberglass tape is used to secure the denture, it is placed over the teeth and helps secure the denture firmly. This type is called fastening using a tire.

Fact #2: There are different types of adhesive bridges.

An adhesive bridge in the absence of one tooth helps to hide the defect and restore the integrity of the dentition. However, depending on the clinical situation, the patient’s expectations and his financial capabilities, dentists can offer different designs of adhesive bridges.

Classic design with fiberglass stripes

This is the most popular model today. It looks aesthetically pleasing, is inexpensive, and can be done in one visit to the dentist.

The bridge consists of a crown, from which wing plates extend in each direction, made of a durable and very aesthetic white material, namely fiberglass. The crown itself is created (increased) from a composite. To install the structure, the doctor lightly sands the support units from the inside and attaches the plates using adhesive. Next, a composite tooth is built up on the plate.

The photo shows classic adhesive bridges

An adhesive bridge is very similar in appearance to a removable immediate butterfly prosthesis, but unlike it, it is non-removable, and therefore more comfortable and aesthetically pleasing for the patient. And it has “wings” only on one side.

Beam model

Here the “wings” of the product are made of a thin metal plate. First, the doctor fixes such a plate in the ledges of the supporting teeth, and then builds an artificial crown made of composite on it. The construction costs a little less than the one made of fiberglass. This type of prosthetics is the most inexpensive. However, we must remember that it should be considered with caution by allergy sufferers, because. the metal component can be rejected by the body, cause irritation of the mucous membrane, promote galvanic syndrome and oxidize, distorting the taste of food.

With the beam model, the wings are metal

“I recently visited a dentist and he suggested I install an adhesive bridge. In the absence of 1 tooth (first injury, and then removal), I did not want to undergo prosthetics before, because... I would have to grind down other teeth for a regular bridge, and I had no idea or heard anything about the existence of adhesive ones. To be honest, I was interested in the offer, and the price suited me - I paid 12 thousand rubles. The big advantage is that there is no need to depulp the supports and kill them, which is very pleasing.”
Arkady F, review from 32top.ru

Tabbed design

For patients who want to get the most aesthetic and durable restoration, and are also willing to spend more money on treatment than in the first two cases, doctors offer adhesive bridges made of ceramic or zirconium dioxide, or plastic. They consist entirely of the selected material, i.e. and the crown and wings extending from it. Such structures are more reliable and stable than those made from composites; they are not subject to rapid loosening, because are installed inside the supporting teeth, just like inlays. However, it will not be possible to install such dentures in one visit to the dentist, because... they must first be made in a dental laboratory.

This is what dentures with inlays look like

Dentures with locks

The most perfect, aesthetic and high-quality, but at the same time the most expensive, and therefore not so common option in medical practice - bridges with locks. Such structures are classified as conditionally removable, because if necessary, the doctor can remove them without damaging the fastenings and return them back to their place.

The advantages of adhesive bridges: gentle treatment of the hard tissues of the supporting units, restoration of smile aesthetics in one visit, the ability to install the structure without the use of anesthesia1.

The photo shows designs with locks

The design consists of a crown in which one part of the fastening is located. The doctor performs the second part of the fastening in the supporting teeth: for this, he makes a small cavity in the hard tissues, which is then covered with a composite. The two parts of the micro-locks snap tightly together, and the restoration is completely invisible to others.

Value, cost calculation

Installation of a bridge, the price in Moscow depends on many factors. A doctor can determine the exact cost, taking into account the material from which the structure is made and the number of crowns. The cost of an orthodontic installation is calculated based on the following points:

How much does it cost to make an impression?
Price for fitting and installation.
On the number of replacement elements.
Is therapeutic preparation necessary?
If it is necessary to splint teeth, the number of supporting elements will be increased, as a result, the price of the bridge will increase.
What material will the structure be made of?

By going to the appropriate section of the clinic’s website, the patient can find out the preliminary cost for installing a prosthesis and related services.

Fact #3: Adhesive restorations are only suitable for front teeth

Experienced doctors advise installing them only on the anterior units, but they are not suitable for masking defects in the chewing teeth due to their fragility and unreliable fastening, because they will not be able to bear a significant load. It is for this reason that they cannot restore more than 1 tooth, while classic bridges can restore up to 4 missing teeth in a row.

The good thing about the structures is that they can be installed using the direct method, in just one visit to the dentist. But if you expect to perform higher-quality prosthetics, then it is still better to choose those varieties that are created by an indirect laboratory method from ceramics or zirconium dioxide - however, in this case, you will have to visit the doctor at least several times.

These designs are only suitable for front teeth.

We can say that adhesive bridges are structures whose main purpose is to restore the aesthetics of a smile and visually disguise the defect. They will also be able to prevent the displacement of neighboring units to the place of the lost tooth, but they will not help with restoring the full functionality of the dentition. They will have to follow dietary restrictions: no tough or solid foods. Therefore, it is recommended to use this type of device only as a temporary measure, for example, immediately after tooth extraction, when you need to hide this fact from others, or, for example, before implantation.

Recommendations for installation and possible contraindications

This method of prosthetics is not suitable for all patients. A specialist will be able to carry out the procedure only if there are minor defects. In cases with the absence of one premolar, canine or incisor. Exceptions are the absence of two incisors, but of small sizes. Sanitation of adjacent teeth is also a prerequisite. They may be healthy but have structural defects.

Main indications:

the patient has absolute contraindications to other types of prosthetics and implantation;
if for some reason the main prosthetics is postponed, this procedure is a temporary solution to the problem;
it is required to create a cosmetic effect in the shortest possible time.

Relative and absolute contraindications include:

significant defect in the dentition with the absence of more than 2 units;
the supposed supporting units have diseases in the form of extensive carious lesions or periodontal disease, and are also characterized by significant mobility and abnormal development;
Acute inflammatory processes on the mucous membrane were detected in the oral cavity.

Important: Specialists often refuse to install an adhesive dental bridge if there are already installed ceramic or metal-ceramic structures on the opposing dental units. In such cases, prosthetics will not be effective.

Fact #4: Wearing bridges can cause tooth decay.

When installing a bridge, the dentist glues its wings to the surface and ledges made in the supporting teeth. The design itself seems simple, but caring for teeth in the area where the plates are located is not so easy. If the plates are not glued very well, then pieces of food and bacteria can get clogged under them, which will provoke inflammation and cause the development of caries.

“I wore such a bridge, I can say that at first it really seems quite beautiful, and its price is even more pleasing, and plus there is no need to depulpate the teeth. BUT, after 1-2 years the beauty of the smile deteriorates sharply, it seems that the bridge is not adjacent to the gum, but is simply dangling in the air, i.e. a distance appears between it and the gum. And this is inevitable, the doctor told me that it is bone atrophy that leads to this effect. Only an implant will save you from atrophy. And girls, in the end I spent 8 thousand on the bridge, and then 30 thousand on the implant. Now I understand that these bridges do not even delay the costs of treatment, but only increase them even more!”
Margot, review from otzovik.com

A patient who wears an adhesive device needs to improve oral hygiene and purchase an irrigator in order to efficiently remove the smallest food debris and plaque. You also need to visit the dentist twice a year to assess the condition of the supporting units and to check the quality of the bridge fastening. As practice shows, in some patients this type of construction partially or completely comes off during use, which causes some discomfort and forces you to constantly be on edge.

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prosthetics

Lutskaya I.K. Prospects for adhesive prosthetics in therapeutic dentistry. Modern dentistry, 2011.

Expert “Adhesive structures have a right to exist. They really help out those patients who are not yet ready to financially invest in a longer-term prosthetic option, but still want to restore the aesthetics of their smile. However, if you are choosing between types of adhesive bridges, then choose those that are made of higher quality materials: ceramics, zirconium dioxide. Products made from composites quickly lose their aesthetics; difficult-to-remove bacterial deposits, odors, and dyes accumulate on them; they do not recreate the shine of natural enamel and require constant polishing. However, here again you need to evaluate how long the prosthesis is installed.” Orthodontist Vagapov Zakir Irkinovich

Consulting specialist

Vagapov Zakir Irkinovich

Doctor rating: 7 out of 10 (3) Specialization: Orthodontist Experience: 16 years

Rules of care

Caring for adhesive dentures is not much different from classical hygiene. It is recommended to brush or floss your teeth after every meal. In order to improve the quality of hygiene, it is recommended to use irrigators and rinses that help wash away food debris from the interdental spaces. This reduces the risk of developing caries, gingivitis, and other dental diseases.

You need to visit the dentist 1-2 times a year. The doctor can determine the initial signs of caries and minor damage to the structure. If you have any complaints about your dental health, please contact our specialists.

Comments

I’m 50 years old, the doctor recommended that I have my front tooth removed - it put me at a dead end, I wasn’t ready, and I don’t have much money right now. I was very worried that I would have to install a regular bridge. Now, thanks to your article, I know that there is an inexpensive alternative - an adhesive bridge. But my question is, how long will it last me?

Taranova G.L. (09/06/2019 at 09:03) Reply to comment

Editorial staff of the portal UltraSmile.ru (08/09/2019 at 08:55) Reply to comment

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What are the advantages of dental prosthetics without grinding?

No discomfort or pain during the procedure.
No destructive load on soft tissues in the oral cavity.
A chance to create a beautiful smile without the suspicion of others about dentures.
Possibility to replace the prosthesis in a short time.
Uniform and gentle distribution of load on the gums.
No difficulties in preparing for the procedure. It is enough to maintain hygiene.
Repeating the prosthetic procedure cannot be ruled out.