Use neighboring support thoughtfully
A traditional bridge uses nearby teeth as supports, so their condition matters. Preparing them is part of the tradeoff when comparing a bridge with other replacement options.
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Atlas Dental
Atlas Dental
General Dentistry / Treatment guide
A dental bridge replaces a missing tooth or teeth using support on either side or another planned support arrangement. This guide shows a traditional tooth-supported bridge: the replacement tooth is connected to crowns on neighboring teeth.
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A connected bridge replaces a missing tooth using support from the neighboring natural teeth.
This is a traditional tooth-supported design. The supporting teeth are prepared for crowns and must be suitable to carry the bridge.
Understanding your care
Start with the purpose of treatment, then explore what matters for your own care.
A traditional bridge uses nearby teeth as supports, so their condition matters. Preparing them is part of the tradeoff when comparing a bridge with other replacement options.
The shape of the replacement tooth should work with your bite and the surrounding smile. The size of the gap and available support help guide the design.
The connected section needs a cleaning approach that reaches underneath it. The team should explain access around the supports and replacement tooth as part of planning.
From questions to a plan
The details and sequence depend on your assessment and individual treatment plan.
The dentist examines the missing-tooth area, nearby teeth, gums, and bite. Other replacement options are discussed before deciding whether a bridge is appropriate.
For this traditional design, the support teeth are shaped and recorded with an impression or scan. A temporary bridge may be used during fabrication.
The bridge is assessed for fit, appearance, contacts, and bite. The relationship of the replacement tooth to the gum is also part of the evaluation.
The bridge is attached when ready. Your team explains how to clean the connected areas and monitors the supporting teeth and tissues at future visits.
Before you decide
A traditional bridge requires preparation of supporting teeth and may be unsuitable if those teeth or gums cannot provide reliable support. Decay, gum problems, fractures, or loss of retention can affect it. Implant-supported replacement and removable options may be alternatives. The example shows one design, not a recommendation for every missing-tooth space.
A conventional fixed bridge is attached to its supports and is not removed for daily cleaning. It needs cleaning around the supports and beneath the replacement tooth.
Not in the design shown here. Its replacement tooth is supported by the connected crowns on neighboring teeth. Implant-supported bridges use a different type of foundation.
The best option depends on your teeth, gums, bite, preferences, and treatment needs. A fixed bridge, implant option, or removable denture can each fit different circumstances.

A place to begin
Talk through your priorities, alternatives and who would provide your care. An assessment helps clarify the next step.
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The treatment images and animations in this guide illustrate examples of care. They are not Atlas Dental patient results, personal treatment recommendations or statements about an individual clinician’s scope. Your assessment and care plan determine which options are appropriate for you.