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Step by Step

The Full Guide

Imagine two solid posts on either side of a gap, with a plank spanning between them. A bridge replaces one or more missing teeth by anchoring a false tooth (or teeth) to crowns placed on the natural teeth on each side of the gap.

Traditional

The false tooth is anchored to full crowns on both neighboring teeth. The most common approach, and what the guidance on this page describes by default.

Maryland

A metal or ceramic wing is bonded to the back of the neighboring teeth instead of full crowns. Less tooth reshaping is needed.

Cantilever

The false tooth is anchored to a crown on only one side instead of both. Used when there's only one neighboring tooth available to anchor to.

All three follow the same recovery below. Only the attachment method differs.

A bridge restores your ability to chew evenly and keeps neighboring teeth from drifting into the empty space over time. A common problem when a missing tooth is left alone. Unlike a denture, it's fixed in place, so there's nothing to take out at night.

Weighing a bridge against an implant or a denture? Book a consultation and we'll help you figure out what fits your situation.

Before Your Appointment

No special prep needed beyond a normal meal beforehand, since local anesthetic will leave you numb for a few hours after the prep visit.

Anesthesia

Local anesthetic numbs the area before we begin. For upper teeth, numbness is usually limited to the cheek, lip, and gum near the tooth. Lower back teeth typically require a "block" injection, which numbs an entire side of the lower jaw, including the lip, chin, and often the tongue, not just the tooth being worked on.

Duration

Each visit typically takes about an hour, though a bridge spanning more teeth (more units) can run longer.

What Happens (Visit 1: Prep)

The anchor teeth are reshaped (or, for Maryland, lightly prepared for the bonded wing), a scan or impression is taken, and a temporary bridge is placed to protect the teeth and fill the gap while the final piece is made.

What Happens (Visit 2: Cementation)

Usually 1–3 weeks later: numbing again if needed, the temporary is removed, and the final bridge is checked for fit and bite, then cemented into place.

Prep Visit, First 2–4 Hours

Numb. Avoid sticky foods (caramel, gum) and very hard foods on the temporary, and try chewing on the other side.

Between Visits

The temporary is functional but not as strong as the final piece. Treat it gently.

Cementation Visit, First 1–2 Weeks

Mild sensitivity to hot and cold is normal as the tooth adjusts. Some tightness between teeth for the first few days as your bite settles is also normal, like new shoes needing a break-in period.

General Care

It typically takes a few days to get comfortable flossing underneath the bridge using a floss threader or water flosser. This is a new skill, not a sign anything's wrong.

Call us if

the temporary bridge comes loose, or you have persistent pressure or pain on either anchor tooth.

A note on this guide: this is general guidance. Your treating doctor's specific instructions for your individual case always take priority over anything written here. If something feels off or you're unsure, call us. Don't wait it out.

Questions about your recovery?

We're always happy to talk through anything that feels uncertain. Never hesitate to call.

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