A dental bridge is permanently fixed in place to span a gap created by at least one missing tooth. Most involve three to four teeth -- one or two false teeth to fill the gap, plus either crowns or metal wings that attach the false teeth to the anchor teeth (also called abutment teeth) on either side of the gap.
Typical costs:
A Maryland (or resin-bonded) bridge typically costs about $250-$550 for each wing and $600-$1,200 per false tooth, or a $1,100-$2,300 for one false tooth with two metal wings and $1,700-$3,500 with two false teeth. Maryland bridges require less shaving of the anchor teeth and with care typically last four to eight years.
Traditional or cantilever bridges are usually priced based on the number of teeth (units) involved; a three-unit bridge to fill the gap created by a single missing tooth uses one false tooth and two anchoring crowns. Depending on the materials used (porcelain-fused-to-metal, all-metal or all-ceramic), traditional or cantilever bridges can cost $500-$3,000 or more per unit, or $1,500-$6,000 or more total for a three-unit bridge; but they average about $700-$1,500 per unit or $2,100-$4,500 for a three-unit bridge. A four-unit bridge (two false teeth, two anchor crowns) can cost $2,000-$12,000 or more. Traditional or cantilever bridges typically last five to 15 years.
Two to six dental implants topped with a partial or full-mouth bridge can cost $3,500-$30,000 or more, depending on number of implants, bridge size and materials, and any other needed procedures (like extractions, bone grafts or tissue grafts). CostHelper readers report paying $4,000-$16,000 for a three- or four-unit bridge attached to two implants, at an average cost of $8,486.
Dental insurance might cover up to 50% of the cost of a dental bridge, but many dental plans have an annual limit (typically $1,000-$2,000). For example, the University of Iowa offers its employees a Delta Dental plan with a $25-$75 deductible and 50% coinsurance rate for dental bridges, with up to $1,000 covered per calendar year. However, most dental insurance policies either have a clause that specifically says the company will not pay for replacing a tooth that was missing before the coverage started or a clause saying the policy has to be in effect for a specific period of time (such as two years) before it covers these replacement procedures.
What should be included:
A traditional or cantilever bridge typically requires two appointments, plus follow-up visits to check bite and fit. At the first appointment, the dentist typically removes some of the enamel from the anchor teeth to make room for the crowns, makes an impression of the patient's teeth and then installs a temporary bridge. The impression is sent to a dental laboratory, which manufacturers the bridge. At the second appointment the dentist removes the temporary bridge and installs and adjusts the permanent bridge. WebMD.com provides an overview of dental bridges.
A Maryland bridge also typically requires two appointments, plus any follow-up visits. In the first appointment the dentist prepares the area (including slightly grinding the back of the anchor teeth), makes an impression of the patient's teeth and installs a temporary bridge. At the second appointment the dentist installs the permanent bridge. An implant-supported bridge has several phases, starting with the installation of the implants. The process can take three months to a year or more, including healing time.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
Posted by: dentists decay like me in Princeton, NJ.
Posted: December 27th, 2009 08:12PM
Dentist: good general dentist
Type of Bridge:
I got the regular fixed 3-unit bridge: a pontic, with porcelain-fused to high nobel metal crowns on each side of a molar/pre. Dentist billed me for bridge at $3100.(an extra $325 for the molar extraction, intraoral periapical film xray). My Dental Insurance lowered fee to $2,800; and I had to pay $1800 (the $1500 deductible used up).
People, take it from me, if given the choice of Bridge vs. more expensive implant..take the implant for God's sake and yours! I opted for the cheaper route, and am now paying dearly. Bridges require the Dr. to grind-down the two prob. good teeth on either side of the bridge and then these appliances collect food debris underneath requiring you to waterpik underneath them almost daily, okay, ultimately this is merely a short-term fix which they readily admit will require replacement & adjustments. All this can aggravate the one or both of the teeth that were ground down..now as w/me, 5 yrs later, I had to have bridge removal & extraction of the ground down teeth..so at 45 something yrs. of age, I'm missing 3 teeth on R lower left, began chewing on R to compensate, cracked upper left, where I just underwent root canal 2-4 mths ago! Got the picture? Instead of initial 1 tooth implant, which is supposed to last lifetime for $3-4K, I'm now looking at 4X that amount minimum, just 5 yrs. later..so if given the choice, GO IMPLANT and you'll likely never have to look back!! p.s. and I wished I'd come across a message like this 5 yrs. ago :-( & no matter what she looks like in the picture, who wants to date a girl with dentures or worse..no teeth! This is my painful reality.
Jillian, it is easy to say GO IMPLANT, but you have to have good bone to attach it to. In this article, it says it could cost more than $30,000, depending on how much building up of the gums and bones you need. My dentist said I am not a good candidate for an implant (which I would have definitely preferred)but I obviously have no other choice(besides keeping the space there!) Your comment was helpful to me, and I will ask my dentist more about the future situations that could arise. But he also told me, the starting prices between a bridge and implant isn't that much difference..$3,300 for bridge and $3,700 for implant. I would have paid the higher for implant..but like I said...not a good candidate...and the more work to restore bones and gums...WOOH!..just cannot afford that much!I am sorry for the situation you are in, that's what I am worried about for myself...so it was good to get your info!!!
I was born without my upper lateral incisors. After braces, at 17 I had 2 cantilever bridges put in. Both of my upper canines were shaved down and then a porcelain cap with the fake tooth connected was cemented on. I only had 1 tooth shaved down for each bridge. I am now 31 and my cantilever bridges are still fine and have caused me no problems. I have wasted time and money to find out I'm not a good candidate for implants. The color of my bridges was great until whitening became popular. After years of thinking about it, I have decided to have my bridges replaced with new ones after my teeth are whitened. It is only $3000.00 compared to the $7500.00 plus I was told I would have had to pay if I was able to get implants. My point is everyone is different. No mouth the same, no hygenie the same, no dentist the same. You shouldn't sway someone to not get a bridge just because you had a bad experience. I've had a great experience. No one even knows those two teeth are fake. I recommend you tell people about your experience and let them make their own decisions.
Just got an estimate to have a bridge done on my front teeth that will also call for a buildup etc on the top of my mouth...is this the practical cost of this??
Posted by: katherine.r.w in Auckland, New Zealand, Other.
Posted: June 19th, 2010 09:06PM
after having braces for four years with two false teeth bonded to the bracket it was now time to have a permanent fixture for my two front incisors. i was not willing to have the operation, prep and recovery time required for implants so a bridge was my only option. granted that the teeth on either side of the false teeth are slightly grey due to the metal bonded at the back, my teeth look great, i now smile naturally and don't have the constant fear of something snapping. the hygiene required is a nuisance however after years of braces and gaps it's all worth it.
I have worn porcelin crowns for 30 years because my front adult teeth were decayed. No regrets at all however now I want to have them replaced with newer crowns and a fixed bridge. the price to get this done is about 12,000. Based on your experience, do you think this is too much?
I had a fracture on one of the roots of tooth #14. Not knowing the 'depth' of the crack, and in an attempt to 'fix' the tooth, I had a laser procedure with bonding @ a cost of $525 (in New York), which failed. The Dentist referred me to an Endodontist, for a root canal and hemisection, which seemed expensive and compromised the tooth, possibly costing me additional expense in the future. Instead, I got a 2nd opinion with another dentist, who suggested that I have #14 extracted, and get a permanent 3 tooth bridge to attach to teeth on either side, both which had already had root canals and post and cores. Cost in NY=$525 for extraction/Bridge $4800=$5325. Cost in NJ=$250 for extraction/Bridge=$3000=$3250. Cost difference from NY to NJ=$2075!!!!!!
I'm missing 6 teeth, and the amnount I was quoted for a bridge, was $15,000. Implants would cost $$$$ more. I was told that the Dentist uses material made in Sweden, and that was the reason why I would need to pay $$$ for the bridge. I'm discovering that Dentist's live a pretty good life.
had a root canal done. a few weeks later i had a crown on the same tooth. about 4 weeks after the crown, i had an abcess of that tooth. tooth can not be saved, now looking at the tooth being pulled and a bridge put n. should have done the bridge first.
In my 30's, had a 3 pt bridge put in my upper left quadrant. 20 years later, had to have root canals on the anchor teeth. Now I have to replace the bridge at a cost of 1200 per point (3600). Now he's talking about using an implant for one of the anchor teeth (failed root canal). That's an extra 3500 for one implant. I asked about doing a 4 pt bridge...that will be a total of 4800. 4800 vs. 7100 neither of which my insurance will cover. Guess I will just tolerate the current condition for a while
i have spent only $5400.00 for 6 tooth bridge,thanks to my doctor who helped me on this ..God knows it might cost me trible ...excellent job ..if you need help on this you can email me for refrences. nassar7@msn.com
Posted by: Dentists are not doctors. in Valencia, CA.
Posted: January 23rd, 2011 08:01PM
Dentist: Allen Smudde
Type of Bridge:
I just had a replacement bridge of 4 units in place of one missing tooth but doctor decided to make it 4 smaller units instead of 3 large one. Disadvantage of the 4smaller units is the grooving of the bridge is not as good as of the 3 larger units which allows the chewing be more effective. If the bottom of the table teeth are flat then chewing will be painful. A simple mechanism can be used to determine that, as the millstone the way designed to have spiky tiny teeth to grind down the grain. I'm not a dentist and yet i am able to apply to common sense. These brainless mammals call themselves dentist and yet don't understand that the bottom of the table teeth cannot and must not be flat. I'm tired of explaining those donkeys but they don't sync. I changed 4 dentists and the results are the same. It seems as if they all went to the same dental school. As I mentioned earlier that this bridge is the replacement bridge, meaning it's the second bridge for the same teeth within a year.
I was quoted a pre-approved insurance quote and a cost for four porcelain teeth on a fixed bridge. When I got my replacement, I was told because I grinded my teeth and my hard bite may crack the porcelain crown. However, I was told because the bridge was a unit, there was no price difference because the back anchor crown was titanium and not porcelain. I know there is a big difference.
to Jillian: i had a bad experience with an implant, after 5 year the crown broke off. today i had a root canal done for a tooth, costing me 800 pesos = 70 usd, in one week he is adding a post for 600 pesos = 50 usd, after that i will get a crown for 1500 pesos = 120 usd. he gave me a quote for 2 bridges: one upper left 5 unit bridge and one upper right 4 unit bridge total: 10,800 pesos a little less than 1000 usd. overal very good experience so far.
I have had most of my remaining 17 teeth root canaled & capped for 25 years. I did great, now there is decay under some of the crowns (being replaced and rebuilding stump). My bottom middle four are doing the same thing. Dentist wants to extract them and give me bridge as a fill in. I had two previous bridges which I loved, however, the root canal's developed infections and after dental surgery(apicoectomy) they still could not be saveed and off came the teeth and the bridges. I don't know if I want to go thru bone grafts etc for a implant. My generation did not have the advantages they do today. I also have a bottom partial. I know that a lot of this is genetics, but I have spent at least $30,000.00 plus in fees since I was 16 years old.
I had a 3-unit bridge put in 30 years ago. One of the teeth under the bridge got decayed and I had to have it pulled this month. I now have 2 missing teeth and must decide on getting another bridge and gridding down another tooth or two implants. The cost of the implants 4,000 each the bridge 3400.00 but the problem is If I go with the bridge I will still have no tooth in the back of my mouth. If I go with the implant one of the spaces will need a bone graft build up. Or do both at cost of 7500.00. Undecided.
Had tooth removed 20 years ago and decided no bridge and yes some lateral tooth movement but not noticable and I chew on left side more than right but I spent $0 and I had no other teeth to grind down and loss them later to decay or bridges to replace. Dentist are great salesman with only facts to scare you into treatments
Five years ago I had two bridges made for the top teeth. I paid $15,000 plus whatever my insurance covered. The fit was perfect when he cemented them in but I've always noticed that when chewing on my right side in the back, I could feel pressure in the front as though it wants to pop off. Last week I bit on a popcorn kernel and since then I feel pain when cold air or food hits my front tooth. I just hope that the entire bridge doesn't have to come out to make the repair.
Every dentist I have had thinks they have the perfect fix, meaning whatever the previous one had done, needs to be redone. As it turns out, the new fix is just as flawed as the previous. I have been spending the last 15 years in the dentist chair. Once one problem is fixed and paid for, a new problem arises. I live paranoid, at the dentist's mercy because I work in Sales and missing teeth are not an option.
We spent $15,000 on 4 implants for my mother and the jaw pain never went away. I know they work for some people, but they don't for all no matter what you hear. So we had to have them removed and 6 months later she is still healing, and $15,000 OUT THE DOOR. Some peoples jaws don't do well with screws in them. Be aware some implants may last only 10 to 20 years, while longer in others. Implants based on my experience are either great, or just another expensive problem like us reeling from losing $15,000 on them.
I have a tooth missing on both sides of my mouth, #5 and #12 at the front. Last week (12/13/12) the dentist shaved down the teeth in front of and behind each missing tooth and I have temporary bridges in place now. On 12/28, I go back to get the permanent bridges and I'm hopeful that the lab put in "butt margins" so I won't have to deal with ugly black lines around my gums.
I'll start saving now because I know I may have to have these bridges either replaced or removed within 5 years.
I had a Maryland Bridge cemented in on my front tooth in 1984. It lasted until 2011 and would still be there if the car door had not hit me square in the front tooth and knocked it out. Since then, has been recemented in 5 times and just won't stay. Dentists states I need a new bridge. I think he should figure out a way to keep this one in my head as 5800 bucks is too much money for ONE tooth. He claims will make it stronger by anchoring the metal wing to two teeth on either side instead of one. Never had an issue. He doesn't re etch the metal and that is my issue I think. Ugh..don't know what to do cause husband out of work and broke.
Five years ago I had 4 lower front teeth pulled for a partial bridge/denture and the two on either side ground down for crowns to fit the whole aperture in my bottom arch. I am now 59 years old and naturally in the aging process one's gums recede. As did mine. On the two teeth ground down and fitted with crowns and holding the whole bridge in place. Come to find out, those two teeth with the recession of gum tissue beneath the crowns have so decayed below where any tooth enamel exists that I was told this year, I would lose that bridge as the teeth will simply fall out, having decayed to the point that the roots will not hold these crowned teeth. Who knew? And why wasn't this possibility (read probability) ever explained to me? I would have opted for implants then as that is what I'm up against now. I'm thinking of going for a lower arch denture with mini-implants IF my jaw can support this kind of implant. I hope.
My partner had cleaning, crowns and a two partial dentures. He had to go to many appointments, the dentist is graduating in May but the supervision by faculty is excellent.
Just received a quote. $1,300/tooth. I have had my original bridge for 28 years and now I am experiencing some resorbtion. Dentist states that I do not have much bone left. I do not have any pain. I need to get a tooth pulled and gums built up.