New York Dentist, Dental Visits NYC Midtown Manhattan Center for Cosmetic Dentistry accepts dental insurance payments for most dental care, e.g. dentures, dental braces, fillings, root canals, bad breath etc, NYC PPO dentist visits are classified general dentistry, so cosmetic teeth whitening is not a covered expense.
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Bridges

There are three types of dental bridges:

1. Traditional Fixed Bridge -- Fixed bridges cannot be taken out of your mouth as you might do with removable partial dentures. A fixed dental bridge has a false tooth, known as a pontic, which is fused between two porcelain crowns to fill the area left by a missing tooth. These two crowns are held in place because they are attached onto your teeth on each side of the false tooth. This procedure is used to replace one or more missing teeth. Bridges can reduce your risk of gum disease, help correct some bite issues and even improve your speech. Bridges require your commitment to serious oral hygiene, but can last as many ten years or more.
2. Resin Bonded Bridges -- The resin bonded is primarily used for your front teeth. Less expensive, this bridge is best used when the abutment teeth are healthy and don't have large fillings. The false tooth is fused to metal bands that are bonded to the abutment teeth with a resin, which is hidden from view. This type of bridge reduces the amount of preparation on the adjacent teeth.
3. Cantilever Bridges -- In areas of your mouth that are under less stress, such as your front teeth, a cantilever bridge may be used. Cantilever bridges are used when there are teeth on only one side of the open space. This procedure involves anchoring the false tooth to one side over one or more natural and adjacent teeth.
   
   
   

   Clasps and metal

   If you are an appropriate candidate, a porcelain bridge can look as natural as (or in many cases better than) your own teeth, in color and shape, in proportion and alignment, with no clasps or metal appearance. Some bridges are designed with a metal support structure or a metal lining, covered with porcelain (porcelain-fused-to-metal or PFM). At one point in time, most restorations were made this way. When placed, they usually can often look opaque or "flat" because they do not let light pass through like a natural tooth. There can also be a tell-tale dark band showing through the teeth or showing next to the gum-line that is undesirable (often the darkness invades the adjacent gum tissue as an adverse reaction). All-porcelain bridge restorations are what we chose to use unless there is a compelling reason otherwise. Again, when properly seated, they are virtually as strong or stronger than their metal predecessor. And the appearance can be identical to a natural tooth, allowing light to pass through (referred to as translucency).
   
   
   

   Bridge candidates

   If you have one or more missing teeth and have good oral hygiene practices, you should discuss this procedure with your cosmetic dentist. If spaces are left unfilled, they may cause the surrounding teeth to drift out of position. Additionally, spaces from missing teeth can cause your other teeth and your gums to become far more susceptible to tooth decay and gum disease.
   
   
   

   Bridge placement

   We prepare your teeth on either side of the space for the false tooth. You will be given a mild anesthetic to numb the area, and then remove an area from each abutment (teeth on either side of the space) to accommodate for the thickness of the crown. When these teeth already have fillings, part of the filling may be left in place to help as a foundation for the crown. We will then make an impression, which will serve as the model from which the dental laboratory will be make the bridge (false tooth and crowns). A temporary bridge will be placed for you to wear while your bridge is being made until your next visit. This temporary bridge will serve to protect your teeth and gums. On your second appointment, the temporary bridge will be removed. Your new permanent bridge will be fitted and checked and adjusted for any bite discrepancies. Your new bridge will then be cemented to your teeth.
   
   
   

   Pros and cons

   The advantages include that bridges are natural in appearance, and usually require only two visits to place. If you maintain good oral hygiene, your fixed bridge should last as many as ten years or more. Some of the disadvantages of having a bridge include that it is common for your teeth to be mildly sensitive to extreme temperatures for a few weeks after the treatment. The build up of bacteria formed from food acids can cause decay and your teeth and gums can become infected if proper oral hygiene is not followed.