Removable Dental Bridge: Pros & Cons

Tooth loss is a common dental issue that can occur due to various reasons, such as tooth decay, gum disease, or trauma. If you have a missing tooth or more, you may wonder whether fixed or removable bridges would be better to restore your smile and improve your oral health. Both options can help you regain your smile and confidence. However, each option has pros and cons, so it’s important to understand the differences between fixed and removable dental bridges to make an informed decision. In this blog post, we will focus on the benefits and drawbacks of a removable dental bridge, also known as a removable partial denture.

What is a Removable Dental Bridge?

A removable dental bridge, also known as a partial denture, is a dental prosthesis used to restore the appearance and function of missing teeth. Complete dentures are used when all teeth are missing, but if only a few teeth are missing, a removable dental bridge (partial denture) may be a suitable option.

Unlike a fixed dental bridge, a removable dental bridge is designed to be easily taken out and cleaned. Removable bridges consist of artificial teeth attached to a gum-colored acrylic base and are supported by metal clasps attached to the surrounding natural teeth.

Benefits

A removable dental bridge is a dental prosthesis for replacing one or more missing teeth, which offers an array of benefits, including:

• Restore biting and chewing function.
• Improve your speech.
• Restore your smile and confidence.

Types of Dentures

There are different types of removable dental bridges available, depending on the specific needs of the patient:

• Acrylic denture
• Cast metal partial denture
• Flexible denture
• Implant-supported denture

Acrylic partial denture: This type of removable dental bridge is made of acrylic resin material and has a gum-colored base. The artificial teeth are attached to the acrylic base, and metal clasps are used to secure the denture to the neighboring teeth. Acrylic partial dentures are a more affordable option and are easily adjustable if changes in the mouth occur. However, they are less durable than other types and may require more frequent maintenance and repairs. This type can be used as a temporary bridge while waiting for a fixed option.

Cast metal partial denture: Another type of removable dental bridge is made with a metal base. This cast metal framework provides strength and stability to the denture and allows for a more precise fit. The artificial replacement teeth are attached to the metal base, and metal clasps or precision metal attachments are used to secure the denture to the natural teeth. Metal-based partial dentures are highly durable and resistant to fracture, making them long-lasting. They also require less maintenance and repairs compared to acrylic partial dentures.

Flexible denture: A newer option in removable dental bridges is the flexible denture. These dentures are made of a flexible thermoplastic material, which allows for a more comfortable fit and natural movement while wearing. The flexibility of these dentures also makes them more resistant to fracture. They do not require metal clasps or metal attachments, offering an esthetic advantage. However, flexible dentures may not be suitable for cases where a higher level of stability is required, such as multiple missing teeth in the same area.

Implant-supported dentures: This type uses dental implants as support. Dental implants are titanium posts surgically placed into the jawbone, providing a stable foundation for dental crowns, bridges, and dentures. They fuse with the surrounding bone through osseointegration. Implant-supported partial dentures offer a highly stable and secure solution, eliminating concerns about slipping or shifting. However, it is an expensive option.

Consult your dentist to determine which type is best for your specific needs. The dental decision depends on several factors, such as the budget, the number and location of missing teeth, the health of your surrounding teeth and gums, and your personal preferences.

Removable Dental Bridge Procedure

The process of getting a removable dental bridge begins with an initial diagnosis and examination by a dental professional. They will assess the condition of your teeth and gums, discuss your concerns and goals, and recommend the most suitable treatment option for you.

• Taking dental impressions: The first step in creating a removable dental bridge is to take dental impressions. These impressions are made by placing a putty-like material over your teeth and gums and allowing it to set. Then, the dental impressions are sent to the dental laboratory.
• Fabrication: The dental laboratory will use dental impressions to create a stone model of your mouth. This model is then used to fabricate a custom bridge that fits perfectly in your mouth.
• Customization: The removable dental bridge is done based on the individual’s specific needs. The dental laboratory will customize the bridge to ensure a proper fit and aesthetic appearance. This involves selecting the appropriate size, shape, and color of the artificial teeth to match the natural teeth in the mouth.
• Denture fitting: Your dentist will place the completed removable dental bridge in your mouth to ensure it fits comfortably and securely. Any necessary adjustments will be made to ensure proper alignment and functionality
• Care instructions: Your dentist will provide instructions on how to care for and maintain your removable dental bridge to ensure its longevity and effectiveness.

Pros & Cons of Removable Dental Bridge

Removable dental bridges, also known as partial dentures, are a cheaper option for replacing missing teeth, compared to fixed bridges or dental implants. One of the biggest benefits of a removable dental bridge is that it can be easily removed for cleaning. This allows you to maintain good oral hygiene and healthy teeth.

They also offer flexibility in terms of ease of maintenance, adjustment, and repair. If there are any changes in your oral health, such as the loss of additional teeth, the partial denture can be easily adjusted or repaired without much hassle. This makes them a more versatile option for long-term oral health maintenance.

Additionally, removable dental bridges offer a non-invasive option for replacing missing teeth. Unlike dental implants, which require surgical placement into the jawbone, removable dental bridges can be easily inserted and removed without any surgical procedures. This can be a more appealing option for individuals who are hesitant to undergo surgery or have certain medical conditions that make them ineligible for implant placement.

However, there are some drawbacks to removable dental bridges as well. One of the main concerns is their potential for movement or slippage. Unlike fixed bridges and dental implants, removable partial dentures can sometimes shift or move while speaking or eating. This can be uncomfortable and may affect your ability to chew and speak properly.

Additionally, the metal attachments or clasps used to hold the denture in place may be visible, which can affect the aesthetic appearance of your smile.

Another disadvantage of removable dental bridges is that they may break easily compared to fixed bridges or dental implants. The materials used for removable dental bridges, such as acrylic resin, are not as durable as the materials used for fixed bridges. This means a higher risk of cracking, chipping, or breaking, especially if not handled with proper care.

They also require periodic adjustments or relining to maintain a proper fit. Over time, the shape of your gums and the bone structure underneath may change, leading to loose or ill-fitting dentures.

Fixed vs. Removable Dental Bridge

Fixed dental bridges are a popular option for replacing missing teeth. Traditional bridges usually consist of two crowns fixed onto the adjacent teeth (abutment tooth), and a false tooth (pontic) in between. There are other fixed bridge types in dentistry, such as:

• Cantilever bridges
• Marland bridges (with metal wings)
• Implant-supported dental bridge

Fixed bridges are securely cemented in place, providing excellent stability and function. Unlike removable dental bridges, fixed bridges are not removable and are permanently bonded to the adjacent teeth or dental implants. They allow you to chew and speak with confidence, without worrying about movement or slippage. Also, they are designed to closely match the color, shape, and alignment of natural teeth, creating a natural-looking smile and boosting self-confidence.

Fixed bridges also provide a strong and durable solution for tooth replacement. They withstand the forces of biting and chewing, providing long-lasting results. So, you can get a bridge for back teeth (molars) to restore chewing function. Fixed dental bridges can last for 15 years or more with proper care.

However, there are some drawbacks to consider when it comes to fixed bridges. One of the main concerns is that fixed bridges require the preparation of adjacent teeth. This means that a small portion of healthy tooth structure needs to be removed to create space for the bridge’s support structure. This alteration can weaken healthy teeth and increase the risk of future dental issues.

Another disadvantage is that they may not be suitable when there is no sufficient support from surrounding teeth or when the surrounding teeth are not healthy enough to support the bridge. In such cases, alternative treatment options like dental implants may be recommended.

Fixed bridges are more expensive than removable partial dentures, but they are cost-effective in the long term. They offer a more permanent solution compared to removable dentures, which need to be periodically replaced or adjusted.

If you are missing one or more teeth, consult your dentist about replacement options available. They can help you make an informed decision. For example, if you have a missing lateral tooth, cantilever bridges and bridges with metal wings can provide a stable, durable, and cost-effective alternative to a removable partial denture for 1 tooth.

How to Care for a Removable Dental Bridge?

Caring for a removable dental bridge is essential to ensure its longevity and maintain good oral hygiene. Here are some care instructions:

• Daily cleaning: Clean your removable dental bridge thoroughly every day. Use a soft-bristled brush and a non-abrasive denture cleaner or mild soap to brush the bridge, including the artificial teeth and metal or acrylic components. Avoid using abrasive toothpaste or harsh cleaners that could damage the bridge.
• Rinse after meals: After eating, remove your dental bridge and rinse it under running water to remove any food particles or debris. This helps prevent bacteria buildup and maintains oral hygiene.
• Soak overnight: Soak your removable dental bridge in a denture cleaning solution or plain water overnight. This helps to keep it moist and clean while you’re not wearing it. Follow the instructions for soaking solutions and duration.
• Ensure proper handling: Take caution when handling your removable dental bridge to avoid bending or damaging the metal clasps or acrylic base. When removing or inserting the bridge, do it over a surface that provides cushioning and support, such as a folded towel, to avoid accidental drops and damage.
• Regular dental check-ups: Visit your dentist regularly for check-ups and professional cleanings. Your dentist can inspect the condition of your dental bridge, make any necessary adjustments, and ensure that your oral health is maintained.
• Avoid chewing gum and sticky foods: Chewing gum and sticky foods can damage or dislodge your partial denture. Avoid these foods to prevent any issues with the fit or integrity of the denture.
• Store properly: When not wearing your removable dental bridge, store it in a denture case filled with water or denture cleaning solution. This helps to prevent it from drying out and maintains its shape.
• Monitor fit: Pay attention to how your removable bridge fits. If you notice any changes in fit, discomfort, or irritation, contact your dentist for an evaluation. Adjustments may be necessary to ensure the partial denture fits properly and comfortably.

Conclusion

A removable dental bridge, also known as a partial denture, is a viable option for replacing one or more missing teeth. It offers many benefits, such as improved chewing ability, enhanced speech, and a restored smile and confidence. It is also a more affordable alternative to fixed bridges and dental implants.

However, these bridges can sometimes shift or move while speaking or eating, which can be uncomfortable. This movement can also affect your ability to chew and speak properly, causing inconvenience and potentially impacting your confidence. Also, they become loose or ill-fitting over time, requiring periodic adjustments or relining.

Regular cleaning and oral hygiene practices are essential for maintaining a removable dental bridge. Brush your remaining natural teeth twice a day using a soft-bristle toothbrush and toothpaste. This helps to remove plaque and bacteria, preventing gum disease and tooth decay.

In addition to teeth brushing, clean your bridge daily using a denture brush and cleaning solutions. This helps to remove any food particles or stains that may accumulate on the bridge. Remember to soak your removable bridge in water or a cleaning solution overnight.