Dentists replace missing or lost teeth with bridgework, implants, and / or removeable partial dentures that can be undetectable to the eye. Choosing the best tooth replacement technique depends upon several factors, including the condition of the teeth adjacent to the space, the shape and the amount of shrinkage of the boney ridge after the extraction of the original tooth, the gum tissue thickness and continuity of symmetry with the other gum scallops, the esthetic display of the smile, the health of the gums, and budget considerations.
Dr. Fondriest works with his favorite surgical and or orthodontic specialists if necessary to make the false tooth in the future bridgework to appear as though it was never lost achieving amazing results.
After treatment photos below
TYPES OF DENTAL BRIDGES
There are two mainstream types of fixed (meaning non-removeable) dental bridges:
1) All-Porcelain Bridge
When dental implants cannot be employed to replace a missing or extracted tooth, then a fixed or permanently cemented dental bridge is the next best solution. These non-removeable tooth replacements can be constructed out of many materials. It is easier to achieve a high level of esthetics when the restorations are entirely constructed of porcelain. The design and overall strength of these restorations is evolving quickly. At this time, the most common porcelain varieties (e.g. Zirconium, Procera, E Max) used as substructures or frameworks still have lower flexural strength relative to metallic versions but their popularity is growning rapidly. The restorative dentist and patient must weigh the risk of occlusal forces and abuse against the ease of creating an esthetic result.
2) Porcelain supported by a metal substructure (PFM) Bridge
When the supporting substructure is placed under unusually heavy loads, veneering porcelain can chip or fracture off of any bridge or crown. Porcelain is like glass; it has a low tensile strength. If there is significant flexure, it will crack, chip, or break. Adding a metallic substructure under the porcelain will reduce flexing under trauma or excessive loads. If the patient is hard on their dentition with clenching or grinding, it is advisable to support the superficial veneering layer of ceramic with some sort of metal substructure. There are many types of metallic substructures which can be added when maximum strength is needed. The patient rarely is advised of the choices being made on their behalf but these choices determine biocompatibility, tissue health, and longevity. These metallic substructures are cast in the lab with various quality levels of metal alloys. A non-precious alloy will not cast as well and will not be as biocompatible as a high noble alloy with high gold content. Dr. Fondriest always chooses a very biocompatable “high-noble” precious alloy made primarily of gold.
Hiding the dark metal margins at the gumline of bridges
It is rare for Dr. Fondriest not to elect the optional choice of prescribing butt-joint margins which cover the metal edges of your bridge with porcelain to prevent the dreaded “black line at gumline“. Most of our PFM bridge versions totally enclose the gold within the ceramic so that the metal is not exposed to the mouth.
Other photographic examples of all-porcelain and porcelain on gold bridges below.
We are proud to serve the Chicago, Illinois area, including the North Shore suburbs of Winnetka, Highland Park, Northbrook, Northfield, Glenview, Lincolnshire, Deerfield, Lake Bluff, Libertyville, Vernon Hills, Gurnee, Grayslake, and Barrington.