Bridges

Coronavirus COVID-19 Update

The Chief Dental Officer (CDO MARCH 2020) has released a statement :

ALL DENTAL PRACTICES IN THE UK HAVE BEEN ORDERED TO:

  • Cease all care of anyone who is classed as non urgent and stop all procedures that generate aerosols.
  • Dental Practices - the staff are at high risk of contracting the virus from the public and should only offer a dental service if they have the resources and the PPE.

At Hoddesdon Dental Surgery, until further notice, we will be stopping ALL Dental Care - from WEDNESDAY THIS WEEK (25th March 2020).

We strongly advise patients to avoid seeking dental assistance until the virus has been controlled and practice self isolation for their own and others safety.

IF YOU HAVE ANY OF THE FOLLOWING FOR EXAMPLE : then wait until the dental practice reopens :

Routine care such as a dental check up and hygiene treatment 

Fillings and other treatments that are not urgent .

  • Mild or moderate pain: that is, pain not associated with an urgent care condition and that responds to pain-relief measures
  • Minor dental trauma
  • Post-extraction bleeding that the patient is able to control using self-help measures
  • Loose or displaced crowns, bridges or veneers
  • Fractured or loose-fitting dentures and other appliances
  • Fractured posts
  • Fractured, loose or displaced fillings
  • Treatments normally associated with routine dental care
  • Bleeding gums
  • ORTHODONTICS/ INVISALIGN OR COSMETIC OR IMPLANT WORK

WHAT IS CLASSED AS A DENTAL EMERGENCY?

Dental emergencies include:

  • Trauma including facial/oral laceration and/or dentoalveolar injuries, for example avulsion of a permanent tooth
  • Oro-facial swelling that is significant and worsening
  • Post-extraction bleeding that the patient is not able to control with local measures
  • Dental conditions that have resulted in acute systemic illness or raised temperature as a result of dental infection
  • Severe trismus
  • Oro-dental conditions that are likely to exacerbate systemic medical conditions such as diabetes (that is lead to acute decompensation of medical conditions such as diabetes)

PLEASE NOTE – YOU WlLL NOT BE SEEN BY THE EMERGENCY DENTAL SERVICE OR BY OUR DENTAL STAFF AT HODDESDON DENTAL SURGERY IF YOU DO NOT FALL INTO THESE CATEGORIES.

WHAT TO DO IF YOU DO FALL INTO A DENTAL EMERGENCY CATEGORY THAT CAN NOT WAIT : 

  • Contact the practice on 01992 462 043

We are running a phone triage system and will have to filter those that we can and cannot see.

  • Contact NHS 111 services if you cannot wait for the practice to get back to you.

(it may take upto 48 hours for us to get back to you as we will be dealing with other emergencies)

NO HIGH RISK PATIENT WILL BE SEEN AT HODDESDON DENTAL SURGERY: 

  • All high risk or infected patients can find out the local high risk dental centre by calling NHS 111 (where special facilities have been set up)

Dental bridges literally bridge the gap created by one or more missing teeth.

A bridge is one of three ways in which missing teeth can be replaced. The other ways are by means of dental implants or a partial denture (removable false tooth or teeth).

A dental bridge is usually used where there are fewer teeth to replace, or when the missing teeth are only on one side of the mouth. You can have a conventional or an adhesive bridge each of which has its own merits.


An Adhesive Bridge is less damaging to the neighbouring tooth than a standard bridge. Speak to your dentist to discuss your options.


You should replace missing teeth for a number of reasons:

  • Your appearance and smile is one reason. By replacing the missing teeth, bridges will help to maintain the shape of your face keeping wrinkles away.
  • A bridge will help restore your ability to chew and speak properly
  • Another is that the gap left by a missing tooth can mean greater strain is put on the teeth at either side.
  • A gap can also mean your ‘bite’ is affected, because the teeth next to the space can lean into the gap and alter the way the upper and lower teeth bite together. This can lead to food getting packed into the gap, which causes both decay and gum disease.

 

Bridges - Commonly Asked Questions
 
What are the different types of bridge? 
 
There are three main types of bridges:
  1. Traditional fixed- fixed bridges- these are made up of two crowns for the teeth on either side of the gap – these two anchoring teeth are called abutment teeth – with a false tooth/teeth in between. These false teeth are called pontics. The anchoring teeth can be natural teeth or implants. Traditional bridges are the most common type of bridge and are made of either porcelain fused to metal or ceramics 
  2. Cantilever bridges- these are similar to the  traditional bridges but the false tooth is supported only on one side. Hence these are used when there are adjacent teeth on only one side of the missing tooth or teeth
  3. Maryland bridges (also called resin bonded bridges) - the false tooth is supported by a metal framework. The metal wings are then bonded to your existing teeth adjacent to the missing tooth 
 
How is a bridge placed? 
 
During the first visit, the abutment teeth are prepared so that a crown can be placed over them. 
Next, impressions of your teeth and gums are made, and sent to the laboratory where  the bridge will be made. We will usually make a temporary bridge for you to wear to protect the exposed teeth and gums while your bridge is being made. 
During the second visit, your temporary bridge will be removed and the new permanent bridge will be checked and adjusted, as necessary, to achieve a proper fit. Multiple visits may be required to check the fit of the metal framework and bite. This is dependent on each individual's case. 
 
Can I have a bridge fitted straight away? 
 
In many people it can take up to 3-6 months for the gums to heal properly after and extraction. This means that you may need to have a temporary denture for 6 months before the bridge is fitted. 
 
How do I look after my bridge?  
 
You need to clean your bridge every day, to prevent problems such as bad breath and gum disease. You also have to clean under the false tooth every day. Your dentist or hygienist will show you how to use a bridge needle or special floss, as a normal toothbrush cannot reach.  
Dental bridges can last 5 to 7 years and even longer. With good oral hygiene and regular prophylaxis, it is not unusual for the life span of a fixed bridge to be over 10 years.