Missing teeth can impact one’s confidence and sense of self-worth. Beyond the social anxiety and feelings of embarrassment, missing teeth may impair vital abilities like chewing and speaking correctly.
Ineffective chewing might restrict food options, affecting nutrition and general health. By the same token, the speech challenges posed by missing teeth can be psychologically frustrating.
Missing teeth may also result in changes in face shape over time due to bone loss and shifting teeth. This may negatively impact one’s confidence and looks. Fortunately, interventions like dental bridges offer a reliable solution to address these challenges posed by missing teeth.
This article discusses how dental bridges help restore oral function, restore smiles, revitalise confidence, and raise one’s quality of life. So, without further ado, let’s get started!
Table of Contents
ToggleWhat is a dental bridge?
A dental bridge refers to a fixed dental restoration uniquely designed to replace one or more missing teeth— effectively “bridging” gaps created by tooth losses.
Dental bridges seek to restore the function and aesthetics of the mouth. They allow individuals to chew and speak effectively while also enhancing their smile.
Bridges can be made from various materials, for example, porcelain, metal alloys, or a combination of these. In practice, the main components of a dental bridge are abutment teeth, the pontic, and crowns. Here is how each function works:
- The pontic: This is an artificial tooth that fills the gap left by one’s missing tooth. Designed to restore both function and aesthetics, it’s suspended between the abutment teeth.
- Abutment teeth: These are the natural teeth or dental implants adjacent to the gap. They are reshaped to serve as anchors for the bridge, providing support for the pontic, distributing chewing forces, and maintaining the bridge’s stability.
- Crowns: Custom designed and placed over the abutment teeth, crowns and bridges hold the pontic in place, contributing to the overall stability of the bridge.
Read more on: Dental Bridge vs. Dental Implant
What is a dental bridge made of?
A dental bridge can be constructed from various materials—each selected for its strength, resilience, and visual appeal. Here are some of the most common materials employed in dental bridges:
- Gold: Gold bridges are made from high-quality alloys that include gold and other metals like copper and platinum. While extremely durable and biocompatible, they are typically employed for posterior teeth due to their noticeable colour.
- Base metal alloys: Metal alloys, such as cobalt-chromium or nickel-chromium, are strong, lightweight, and resistant to corrosion. They are ideal for situations where minimal tooth preparation is required.
- Porcelain: Porcelain bridges offer excellent aesthetics and can closely match the colour of natural teeth. However, they are more prone to fracturing compared to other materials.
- Porcelain-fused-to-metal (PFM): PFM bridges constitute a metal framework covered with porcelain. They provide strength from the metal while allowing for porcelain’s natural look to overlay.
- Zirconia: This high-strength ceramic material is metal-free, biocompatible, and can withstand significant biting forces. This makes it ideal for both front and back teeth restorations.
Benefits of dental bridges
Dental bridges offer a broad range of benefits that improve an individual’s oral health. For example:
- Aesthetic restoration: Since they are designed to closely match the colour, shape, and size of one’s natural teeth, they can effectively restore one’s smile.
- Improved chewing function: Dental bridges fill the gaps left by missing teeth, allowing individuals to chew food more effectively. As such, patients can enjoy a wider variety of foods without discomfort.
- Enhanced speech clarity: Dental bridges help improve speech by providing support for the tongue and lips. Thus, allowing for clearer pronunciation and better communication.
- Preservation of tooth alignment: Dental bridges may help prevent teeth from shifting by occupying gaps, thereby maintaining the natural alignment of surrounding teeth.
- More permanent solution: Unlike dentures, dental bridges are fixed in place and don’t require daily removal or special cleaning routines.
- Cost-effectiveness: Dental bridges are generally more affordable than dental implants. As such, they are a practical option for individuals seeking reliable tooth replacement solutions within a budget.
- Less invasive and faster implementation: A dental bridge typically requires only two appointments. This is unlike implants, which are more invasive and may require multiple visits and longer healing times.
Types of dental bridge
The main types of dental bridges are:
Cantilever dental bridge
A cantilever dental bridge is designed for scenarios where only one adjacent tooth is available to support the bridge. Since this type of bridge consists of a single pontic (the artificial tooth) anchored by a crown on one side, it is less stable than other types.
Cantilever bridges are more recommended for the front of the mouth than the back. This is because biting forces are greater at the back of the mouth.
Maryland dental bridge
Unlike traditional bridges, which require crowns on both abutment teeth, Maryland bridges use a framework of metal or porcelain wings bonded to the backs of the existing teeth on either side of the gap.
Also known as a resin-bonded bridge, this design minimises the alteration of the adjacent teeth, making it a less invasive option. In practice, Maryland bridges are particularly suitable for replacing front teeth due to their lower impact on surrounding teeth.
However, they may be less durable than traditional bridges and can be prone to debonding or discolouration over time— which may necessitate replacement.
Traditional dental bridge
Traditional dental bridges are the most prevalent way to replace missing teeth. They comprise of one or more false teeth (pontics) supported by crowns placed on each of the adjacent natural teeth (abutment teeth).
They are highly effective in restoring both function and aesthetics, as they provide a strong and stable solution for gaps in the dental arch. In practice, traditional bridges can be manufactured from various materials that mimic the appearance of natural teeth, for instance, porcelain fused to metal or all-ceramic options.
However, they often require significant alteration to the abutment teeth, as enamel must be removed to accommodate the crowns.
Implant-supported bridge
This is an advanced dental bridge solution for replacing multiple missing teeth and preserving jawbone integrity. Generally, it’s anchored by dental implants rather than relying solely on adjacent natural teeth.
In practice, it involves surgically placing dental implants into the jawbone, which serve as stable anchors for the pontics. Implant-supported bridges are especially beneficial for patients who have lost several teeth in a row, as they provide superior stability compared to traditional bridges.
Dental bridge procedure
Dental bridges appreciably improve oral health by restoring the continuity of the dental arch. They also prevent issues like shifting of one’s remaining teeth as well as changes in facial structure due to bone loss.
However, an effective dental procedure is underpinned by several principal steps to ensure a successful restoration of missing teeth.
- Consultation: The consultation process typically commences with a visit to the dentist for an assessment. The dentist extensively examines the individual’s teeth and gums, discusses your dental history, and determines if a dental bridge is suitable for you. They will also explain the types of bridges available and create a personalised treatment plan based on your needs.
- Bridge preparation: During this stage, the dentist numbs the area and prepares the adjacent teeth, known as abutment teeth. This stage may involve reshaping these teeth by removing some enamel to accommodate crowns that will support the bridge.
After preparing the abutment teeth, the dentist will take scans of your mouth to fabricate a custom-fit bridge in a dental laboratory. A temporary bridge may also be placed while waiting for the permanent bridge to be made.
- Placement of the permanent bridge: Once the permanent bridge is ready, you will return for a session where the dentist removes the temporary bridge and checks the fit of the new one.
After confirming that the fit is satisfactory, the dentist typically applies dental cement to bond the bridge securely to the abutment teeth. Excess cement is cleaned away, and final adjustments are made to ensure that everything is functional and comfortable.
- Follow-Up Care: After placement, a follow-up appointment may be scheduled to monitor how well your new bridge is functioning and address any patient concerns.
Read for more information on the dental crown and bridge procedure.
How long does a dental bridge last?
In practice, the lifespan of a dental bridge typically ranges from 5 to 15 years. However, this figure depends on various factors.
For example, the choice of material. Metal bridges (like gold) are highly durable but less aesthetically pleasing. On the other hand, porcelain bridges offer better aesthetics but may be less durable. However, porcelain-fused-to-metal bridges balance strength and appearance.
One’s oral hygiene practices may also prolong the life of a dental bridge. Regular brushing and flossing help avert plaque buildup and gum disease, which may compromise both the bridge and the supporting teeth.
Dietary habits like eating hard or sticky foods may place excessive stress on a dental bridge, which can lead to fractures or damage. Individuals who often grind or clench their teeth may also put undue pressure on their dental bridges, potentially leading to premature wear and damage.
Overall, regular professional cleanings and assessments can appreciably extend the lifespan of a dental bridge by addressing any problems before they escalate.
Before and after dental bridge
Before a dental bridge installation, a patient comes in with missing teeth. The dentist evaluates the patient’s oral health and chooses the best course of action during the initial consultation before a dental bridge is placed.
In order to support the bridge, the neighbouring teeth (abutments) must be reshaped. Additionally, imprints must be taken for a precise fit. To safeguard the abutments while the permanent bridge is being built, a temporary bridge may be erected. By filling in the spaces created by missing teeth, the permanent bridge is fitted and put into place once it is ready.
After installation, patients usually feel more confident because they have a full grin and the remaining teeth are better aligned.
How to maintain a dental bridge?
For a dental bridge to last a long time, maintenance is necessary. As part of any maintenance efforts, establishing a good oral hygiene regimen is mission-critical. This entails employing a soft-bristled toothbrush and fluoride toothpaste to brush your teeth at least twice a day. During this activity, it’s imperative to pay close attention to the gum line where the bridge joins your natural teeth.
Although flossing is important, the design of bridges may make regular floss ineffective. So, instead, consider using specialist instruments like floss threaders or interdental brushes. Furthermore, use an antiseptic mouthwash to help avoid gum disease and decay.
Frequent dental examinations are also essential because your dentist can assess the state of your bridge, clean it professionally, and fix any problems before they become serious.
Apart from regular cleaning routines, some lifestyle decisions might help your dental bridge last longer. For instance, avoid sticky or hard meals that can harm the bridge. Additionally, consider minimising the intake of sugary snacks that may cause decay near the supporting teeth.
Dental bridge cost in Malaysia
The complexity of the treatment, the number of teeth to be replaced, and the type and material of the bridge all considerably impact the cost of a dental bridge installation.
For example, if multiple teeth are missing and require a bridge spanning several units, the overall cost may increase accordingly. Additional costs could also result from follow-up visits, X-rays, tooth preparation, temporary bridge insertion, and initial consultations.
Overall, dental bridges in Malaysia can cost anywhere from RM800 to RM3,000 per unit. With prices ranging from RM800 to RM1,500 per unit, traditional porcelain-fused-to-metal (PFM) bridges are typically the most affordable choice. Premium zirconia bridges can cost between RM2,000 and RM3,000, while all-ceramic bridges may cost between RM1,500 and RM2,500.
FAQ
How long does it take to get a dental bridge?
A dental bridge insertion usually takes two to three weeks to complete, with at least two appointments needed. During the initial appointment, a temporary bridge is placed to protect the prepped area, impressions are taken, and the dentist reshapes the abutment teeth to accommodate crowns. This may take about 90 minutes.
To fabricate the permanent bridge, which typically takes a week or so, this imprint is submitted to a dental lab. The second visit— which usually lasts 20 to 30 minutes— entails taking out the makeshift bridge, installing the permanent one, and cementing it in place. So, on average, the entire process from start to finish may take 2 weeks.
How often should you replace a bridge?
The answer to this question depends on several variables, such as the type of bridge, the materials used, and personal oral hygiene habits. However, on average, dental bridges need to be replaced every five to fifteen years.
When properly maintained, traditional fixed bridges can survive for 10 to 15 years. However, because of wear and tear, removable bridges may need to be replaced sooner, usually within 5 to 7 years.
Discolouration, noticeable spaces between the bridge and neighbouring teeth, soreness or discomfort in the surrounding area, or looseness of the bridge itself are all indicators that a dental bridge may need to be replaced.
What is better- a bridge or an implant?
Implants are surgically inserted directly into one’s jawbone, essentially replacing the tooth root and halting bone loss. In contrast, dental bridges depend on neighbouring teeth for support and necessitate modifying those teeth.
However, dental bridges may have a lower initial cost and shorter treatment time. But they often need to be replaced every 5 to 15 years, while implants can last a lifetime with proper care. As such, implants are a more cost-effective solution in the long run.
How painful is a dental bridge?
Because local anaesthesia numbs the area being replaced, a dental bridge is relatively painless. The majority of patients report experiencing pain levels between two and four out of ten.
However, the mouth may experience some sensitivity or discomfort in the days after the procedure as it gets used to the new repair.
Do dental bridges look natural?
Dental bridges are designed to share a semblance with genuine teeth, especially with advancements in technology and materials. For example, porcelain, ceramic, or metal-porcelain combinations are designed to resemble natural enamel in both shape and translucency.
How long does a bridge take to heal?
The healing process after getting a dental bridge takes from a few days to two weeks. During this time, patients may experience some mild soreness or sensitivity as the gums adjust.
Can I brush my teeth after getting a dental bridge?
Yes, one can brush their teeth after getting a dental bridge. Brushing is mission-critical to maintaining good oral hygiene to ensure the longevity of the bridge. However, it’s recommended to always utilise a soft-bristled toothbrush and fluoride toothpaste.
Furthermore, always pay special attention to the gum line and the area around the bridge to remove plaque and food particles effectively.
Can you feel a bridge in your mouth?
Yes, one can brush their teeth after getting a dental bridge. Brushing is mission-critical to maintaining good oral hygiene to ensure the longevity of the bridge. However, it’s recommended that one always use a soft-bristled toothbrush and fluoride toothpaste.
Furthermore, always pay special attention to the gum line and the area around the bridge to effectively remove plaque and food particles.
Can you eat normally with a dental bridge?
Yes, one should be able to eat normally with a dental bridge. However, getting used to the new installation could take some time. As such, softer foods should be introduced first, and as you grow used to the bridge, you should progressively resume eating harder foods.
In fact, drinking just liquids and soft foods like smoothies and yoghurt is advised for the first 24 hours after the surgery. Nonetheless, most patients are able to resume their regular diet after two weeks.
How long before I can eat after bridge?
It’s advisable to wait 24 hours after installing a dental bridge before eating. This will give the anaesthesia time to wear off and prevent unintentional biting.
Patients can resume eating normal foods after roughly 72 hours, although they should still refrain from chewy, sticky, or hard foods that can strain the bridge.
Can I drink coffee after a dental bridge?
Yes, it is advised to avoid hot coffee for the first 24 to 48 hours after dental bridge installation. Hot liquids can worsen swelling and cause bleeding at the surgical site, which could impede the healing process. However, after this initial period, patients can choose to drink cold or warm coffee in moderation.
Can a tooth bridge break?
Despite being designed to be resilient and long-lasting, dental bridges sometimes break. This could be because of bad oral hygiene, which can cause decay in the teeth that support the bridge and jeopardise its stability.
Damage may also occur from the use of subpar materials, or from excessive force caused by behaviours like biting hard objects or bruxism.
How many teeth can you have on a bridge?
A dental bridge can typically replace one to four missing teeth. However, this number depends on various factors, such as the type of bridge, the condition of the surrounding teeth, as well as the patient’s overall oral health.
For instance, traditional bridges usually replace one to three adjacent teeth. Cantilever bridges can support one or two teeth. However, they rely on a single abutment tooth for support.
How long does bridge swelling last?
Swelling after getting a dental bridge typically lasts for about three to five days. However, some patients may experience mild inflammation for up to a week.
If swelling persists beyond this timeline—or is accompanied by severe pain, redness, or discharge— it is essential to consult a dentist. These could be signs of an infection or other complications that need to be addressed.
How do you know when a dental bridge needs to be replaced?
Visible damage, such as chips, cracks, or fractures on the bridge, are important indicators that a dental bridge needs to be replaced. If the bridge feels loose or intermittently moves when biting down, it might need replacement.
Gaps forming between the bridge and adjacent teeth, and discoloration of the bridge material may indicate bridge wear over time.
What happens when a dental bridge wears out?
Wear and tear on a dental bridge can cause several issues that impact oral health. For example, bacteria may grow, raising the risk of tooth decay and gum disease around the teeth that support them.
A worn-out bridge may eventually break loose and put excessive strain on the abutment teeth. This could lead to fractures or additional decay of those teeth. If not treated, these abnormalities may even develop into more serious dental problems, requiring more involved and expensive procedures.
Can a bridge be removed and put back on?
Yes, a dental bridge can be removed and installed back on, typically for repairs, adjustments, or to address issues with the supporting teeth. The removal process is generally not painful, as dentists use local anaesthesia to ensure patient comfort.
Conclusion
Missing teeth can have a negative emotional impact on mental health, resulting in low self-esteem and feelings of insecurity. Fortunately, dental bridges offer a dependable solution to appreciably enhance oral health and address aesthetic challenges related to tooth loss.
However, choosing a trustworthy clinic to perform the installation shouldn’t be done carelessly. Established practitioners take the patient’s comfort and cosmetic preferences into account, in addition to ensuring the bridge fits and works as intended.
To get the best dental bridge treatment, consider mydentist®. We provide state-of-the-art services, access to quality materials, conduct in-depth consultations, and provide post-procedure assistance to improve our patients’ quality of life and recover their smiles.

Dr. Foo Chi Chean is a highly esteemed dental surgeon and implantologist based in Kuala Lumpur, Malaysia.
He holds the position of Pacific Rim Representative of the American Academy of Osseointegration and has served as the first Malaysian President of the Asian Oral Implant Academy. With a Bachelor's degree from the University of Malaya (BDS, 1977), Dr. Foo has developed a profound expertise in oral implantology and cosmetic dentistry.
Dr. Foo's illustrious career includes extensive lecturing on cosmetic dentistry and implantology across the globe. He has been invited to share his knowledge in countries such as Japan, Korea, Hong Kong, Thailand, Taiwan, China, Indonesia, Singapore, Vietnam, the Philippines, and Malaysia.
He has been conferred prestigious Fellowships from the International College of Dentists (Washington), the International Congress of Oral Implantology (USA), and the Asian Oral Implant Academy (Tokyo).
In addition to his clinical and lecturing roles, Dr. Foo has served as the Consultant Cosmetic Dentist for the Miss Tourism International Pageant and the Queen of the Year International Finals.
Recognized for his contributions to dental wellness, he has been honoured as a diplomate of the International Congress of Implantologists (USA).
For more information or to make an appointment with Dr. Foo, visit mydentist.com.my