Replacing a front missing tooth with a fixed dental bridge
A front tooth was damaged after an accident and couldn’t be saved. We talked through the options clearly, and the patient chose a bridge for a fixed, natural-looking result that suited her budget.
Individual results vary. We’ll always explain what’s realistic for your bite, gums and smile line.
A calm, friendly team — and a clear plan from the first visit.
At a glance
- The problem: a front tooth was damaged after trauma and couldn’t be saved
- The goal: restore the smile with a fixed tooth that looks natural
- The choice: a dental bridge (fixed replacement)
- Key detail: the tooth next to the gap was prepared to support the bridge (the “retainer” tooth)
- Appearance while waiting: a temporary tooth was fitted so there was no visible gap
The case
The tooth next to the missing tooth was used as a support for the bridge. That tooth had to be reshaped to create space, so the bridge could fit neatly and look natural.
Photo note: Keep your existing image here showing the extracted tooth and the prepared adjacent tooth (retainer).
The bridge was cemented in place. The photos show the final result.Why replace a missing front tooth quickly?
- Confidence: front tooth gaps can affect speech, smiling and day-to-day comfort
- Tooth movement: neighbouring teeth can drift into the space over time
- Bite changes: the opposing tooth may over-erupt slightly
- Gum and bone changes: after an extraction, the gum and bone often shrink as healing completes (commonly over 3–12 months)
If the gum level changes over time, a tiny shadow or gap can develop under the false tooth (the “pontic”). If aesthetics are affected, the bridge may need adjusting or remaking in the future.
Options we discussed
Removable denture (temporary or long-term)
- Pros: quick, usually low cost, no drilling of neighbouring teeth
- Cons: can feel bulky/loose, needs removing at night, can trap plaque, doesn’t prevent bone loss
Fixed bridge (chosen in this case)
- Pros: fixed (doesn’t come out), natural look, often completed in a few visits
- Cons: may involve drilling a supporting tooth; if that tooth is compromised later, the bridge may need remaking; doesn’t prevent bone loss in the gap
See also: Dental bridges
Dental implant
- Pros: fixed and independent (doesn’t rely on neighbouring teeth), helps preserve bone, very natural feel
- Cons: involves surgery and a longer timeline; not ideal for every case
See also: Dental implants
What is a dental bridge?
A dental bridge replaces a missing tooth by “bridging” the gap. A supporting tooth is carefully shaped, and we take an impression (or digital scan) so a custom bridge can be made to match your bite and shade. A temporary tooth is usually fitted while the final bridge is being made.
Typical steps
- Consultation and planning (including shade and bite assessment)
- Prepare the supporting tooth and fit a temporary tooth
- Fit and cement the final bridge, then fine-tune the bite
- Review and hygiene guidance
We don’t rush. If you need breaks, we pause and only continue when you’re comfortable.
Bridge materials: PFM vs zirconia
PFM (porcelain fused to metal)
- Proven option with good strength
- Can look slightly more opaque
- In some cases a faint metal margin may show over time
Zirconia
- Metal-free and highly aesthetic
- Strong, often allows a slimmer design (case dependent)
- Typically higher cost
How to look after a bridge
- Brush twice daily with fluoride toothpaste
- Clean under the bridge daily (this is the big one)
- Keep regular hygiene visits so we can check the margins and gums
Cleaning under the bridge is best done with superfloss (or floss threaders) or waterflossers.
Calm, honest care — led by the same dentist throughout
A local practice you can rely on
We’re based in Great Barr and easy to reach from across Birmingham and the West Midlands. If you’re deciding between a bridge, an implant, or a temporary option first, we’ll explain the pros/cons clearly so you can choose confidently.
Frequently asked questions
How long does a front tooth bridge last?
With good cleaning and regular reviews, bridges can last for many years. Longevity depends on bite forces, gum health, and how well the supporting tooth stays healthy.
Will a bridge look natural?
In most cases, yes. We match the shade and shape carefully, and we’ll talk honestly if gum levels or a high smile line may affect the final look.
Does preparing the supporting tooth hurt?
Treatment is done with local anaesthetic. We work gently, take breaks when needed, and make sure you feel in control throughout.
Do I need a temporary tooth while the bridge is being made?
Usually, yes — especially for front teeth. A temporary tooth helps you smile and speak normally while the final bridge is being made.
Is an implant better than a bridge?
Not always. Implants can be a great option because they don’t rely on neighbouring teeth and can help preserve bone, but they involve surgery and a longer timeline. We’ll help you choose what fits your mouth and priorities.
Will I get a gap under the false tooth over time?
After an extraction, the gum and bone can shrink as healing completes. If a visible gap develops later and it bothers you, we can discuss options such as remaking the bridge design.
How do I clean under a bridge?
Daily cleaning under the bridge is essential. Superfloss/floss threaders are commonly used. Your hygienist can show you the exact technique for your bridge.
What if I’m nervous about dental treatment?
You’re not alone. We explain everything clearly, go at your pace, and can stop at any point. Many nervous patients do well with a calm, unrushed approach.
Missing a front tooth? Let’s talk through the best option for you
Bridge, implant, or a temporary tooth first — we’ll explain the pros and cons clearly, with no pressure.
Related pages
Dental bridges
When a bridge is a good fit, types of bridge, and what to expect.
Dental implants
A fixed option that doesn’t rely on neighbouring teeth.
Replacing missing teeth
A simple overview of your choices and how to decide.
Contact us
Message the team or call to discuss your options.
