For the dentist and the dental technician to manufacture the dental bridge the patient is required to visit the clinic two to three times. On the first visit the abutment teeth are filed carefully down under anaesthetics, an impression is taken, and a temporal bridge is made and bonded to the abutment teeth. (In cases were the tooth/teeth being replaced is newly removed it can be wise to first let the patient wear a temporal bridge to await the healing process before taking the impression for a better long time fit of the permanent bridge). The dental technician scans the impression, and a plaster model is produced on which the bridge is manufactured. If the bridge is large and includes several teeth the dentist often wants to try in the metal skeleton. If the fit to the abutment teeth is good the skeleton is returned to the technician who can bond porcelain to finish the dental bridge. The goal is for the dental bridge to regain full function and aesthetics. When it returns to the clinic, the dentist will check the fitting towards neighbouring teeth, the bite, and movements of the jaw to make sure everything is in place before bonding it to the abutment teeth.
It is of utmost importance that the patient has a proper daily care routine to ensure a long-lasting result. Normal flossing is not possible around a dental bridge, so the patient will be given instructions how to maintain clean and healthy conditions around the abutment teeth. This is to prevent secondary caries and gum disease which in return can cause failure of the dental bridge. With proper care the life span of a dental bridge should exceed 10 years.
The dental bridge is fixed and unremovable. The supporting teeth of the dental bridge on either side of the gap must have sufficient strength to support the construction. If this is not the case, or if the neighbouring teeth of the gap are in perfect condition, never touched by a bure, a dental implant and not a bridge should be the first choice of treatment.