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San Ramon Dental Excellence

Cosmetic Dentistry

Two restorations that work as one.

A crown restores a single damaged tooth. A bridge uses crowns on either side of a gap to anchor a replacement tooth in between. Together, they're a fixed way for San Ramon patients to repair and replace teeth without a removable appliance — appropriate for some situations, and not others.

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3D illustration of a dental bridge fitted onto prepared abutment teeth

What they are

A cap for one tooth, and a bridge across several.

A crown is a cap that fully covers a single tooth, restoring its shape and strength. A traditional bridge is essentially two crowns — placed on the teeth bordering a gap — connected by a false tooth that fills the space where a tooth is missing.

Because the bridge is cemented to the surrounding teeth rather than removed daily, it functions and feels like a fixed part of your bite, not an appliance you take out.

3D rendering of a three-tooth dental bridge fitted onto two prepared abutment teeth

The bridge relies on the two neighboring teeth for support.

When it may be appropriate

Best when the neighboring teeth can carry the load.

A bridge tends to make sense when one or a few teeth are missing and the teeth on either side of the gap are healthy enough, or already need crowns of their own, to support the restoration. It's a well-established way to close a gap without a removable appliance.

It isn't automatically the right answer. If the neighboring teeth are healthy and you'd rather not prepare them for crowns, a dental implant may be worth discussing instead. If several teeth are missing across an arch, partial dentures or a broader full-mouth reconstruction plan may be a better fit.

Why planning matters

The abutment teeth carry the whole plan.

Because a bridge asks the neighboring teeth to support more biting force than they were carrying alone, we evaluate their health, the bone supporting them, and your bite before recommending this route over an implant or another option.

If those teeth aren't strong candidates, we'll say so rather than build a bridge on a weak foundation just because it's the more familiar solution.

Benefits and trade-offs

Fixed and familiar, with a cost to neighboring teeth.

What a bridge does well

It's fixed in place, restores chewing function relatively quickly, and doesn't require the healing time associated with an implant.

What to weigh

Preparing the neighboring teeth for crowns means altering healthy tooth structure, and the area under the false tooth needs a specific flossing technique to keep clean.

3D illustration of a dental crown being placed on a prepared molar

What patients can expect

Two abutments, one connected restoration.

The two supporting teeth are reshaped much like they would be for individual crowns, and an impression or digital scan captures the gap and surrounding teeth to guide fabrication of the bridge. A temporary restoration may protect the area in the meantime. Once the finished bridge is back, we check the fit and your bite before permanent cementation.

Long-term considerations

The abutment teeth still need decades of care.

A bridge's long-term success depends heavily on the health of the teeth supporting it. Cleaning underneath the false tooth with floss threaders or a water flosser, and keeping up with regular exams, helps catch any decay at the abutment teeth early — that's usually what determines how long a bridge lasts, more than the restoration itself.

Cost & coverage

How crowns and bridges get paid for.

We accept most PPO dental insurance plans and collect the patient portion at the time of service. For patients without dental insurance, CareCredit and an in-office financing option are both available. We'll walk through the specifics before treatment begins.

More on insurance and financing →

Missing a tooth, or need one repaired? Let's look at your options.

A consultation is a conversation, not a commitment. We'll compare a bridge against the alternatives honestly.

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