Old methods, limited choices Traditionally, if a tooth were missing or severely damaged, it would be treated with a partial denture “plate” or a bridge. A partial denture or “plate” is a removable appliance, which is secured by hooks around the adjacent teeth. Considerations: The least expensive option Correct fit is difficult and they are not secure The hooks cause negative wear on the healthy teeth Gum and bone continue to shrink A temporary solution Fixing a bridge requires that the teeth on either side of the missing tooth be prepared by grinding them down into posts, which serve as anchors for the bridge. Considerations: Healthy teeth must be compromised to serve as anchors Continued shrinkage of gum and bone leave a gap between the bridge and gum line Difficult to clean, can cause further decay Temporary, needing replacement in 5-15 years Cost comparable to implant
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