Missing lateral incisors in Lexington
& Replacement with Wing Bridges
The most common tooth missing from birth is the maxillary (upper) lateral incisor. Missing teeth have a strong genetic component, so if a parent is missing teeth, there is a great possibility that their children may be as well. An implant is not an option for children who are still growing and removable partials are easily lost or broken by children.
The best option for replacing these missing lateral incisors in children and teens is called a "wing lateral bridge." A very small area is prepped out of the back of the central incisor (the large front tooth in the middle), and a small wing attached to a lateral crown is bonded into place. This is a huge esteem booster, as it gives the illusion that the child is not missing the tooth at all!
Wing lateral bridges completed at PDA shown below:
What Causes Missing Lateral Incisors?
Missing lateral incisors are most commonly caused by a condition called hypodontia, in which someone is congenitally born with missing teeth. This is extremely common and is one of the most typical dental phenomena, right next to having extra teeth.
As much as 20% of the adult population have missing teeth and the most common cause is hypodontia. So, what causes the congenitally missing teeth? A problem with the dental lamina, the mechanism by which teeth form under the gums, is often the cause.
Congenitally missing teeth usually involve an issue related to the dental lamina, which prevents the tooth from forming. Certain genetic mutations can prevent the formation of the dental lamina and certain syndromes such as Down Syndrome are also associated with missing teeth. If a parents is missing teeth, it is also common for one or more children to be missing teeth as well.
How Do Wing Lateral Bridges Correct Missing Incisors?
A wing bridge, also known as a Maryland or Resin Retained Bridge, involves using a wing that is bonded to the inside of the tooth adjacent to the gap. This bridge requires less prep work of the abutment teeth so wing bridges do not necessitate as much shaving down of the enamel.
The bridge suspends an artificial tooth on top of the gum space where the tooth should be. This is a great option for missing lateral incisors because it fixes the cosmetic concerns one would have with visible gaps in the teeth, which boosts their confidence.
The bridge also assists with the function of the teeth by assisting with chewing, speaking more clearly, and preventing problems associated with gaps in the teeth, such as teeth shifting. Teeth shifting can happen as a result of the surrounding teeth attempting to lean into the space and can result in crooked or overcrowded teeth.
Benefits of Wing Bridges
Wing bridges fix cosmetic and functional concerns associated with having missing teeth. They require less prep work of the natural teeth than conventional bridges and are a great alternative to dental implants in patients whose jaws are still growing and who are therefore too young to receive implants. Some other great benefits of wing bridges include:
They can last up to 15 years
Less invasive than dental implants
Less expensive and faster procedure than dental implants
Restore cosmetic appearance
Improve smile confidence
Prevents food and bacteria from entering the gum
Maintains facial structure by preventing teeth shifting
Restores ability to chew and speak clearly
Minimal removal of tooth structure
Cause less gum irritation can conventional bridges
How to Take Care of Wing Bridges
You must maintain and clean your Maryland Bridge to prevent plaque from building up underneath, which can lead to tooth decay. Practice good oral hygiene by brushing your teeth for at least 2 minutes twice a day and flossing once a day, being sure to thread your floss underneath the bridge.
Ensure that you have a snug fit on your bridge. Many problems can occur from an ill-fitting bridge, such as discomfort, infection, and gum recession. Let your dentist know if your bridge ever feels loose.
Immediately following the Maryland Bridge installation, you may experience slight sensitivity. To minimize symptoms of sensitivity, avoid hard foods, as well as cold foods and drinks for a little while. For the long term, you should make adjustments to your diet and avoid eating foods that can get stuck in your bridge, like hard and sticky foods, and avoid using tobacco products. A wing bridge is not as strong as a natural tooth so be mindful to not bite into anything hard directly on the bridge tooth.
There are specialized tools that can make cleaning underneath and between your dental bridge much easier. Try investing in a water flosser, a floss pick, a floss threader, or an interdental brush.
The best way to take care of your wing bridge, ensure it’s fitting properly, and minimize the risk of damage, is to attend regular dental appointments every 6 months. At Palmetto Dental Associates, we’ll thoroughly clean your teeth and bridge to remove plaque buildup and reduce the risk of bridge failure, tooth decay, and gum disease.
Your regular checkups will monitor your oral health for early detection. Contact us online today to schedule an appointment in Lexington with Dr. Shull or Dr. Stanford.