Canine to canine bridge OR double abutment bridge

 Canine to canine bridge or double abutment?

This image helps explain why we do a 6 unit bridge canine to canine but do not connect the premolar to get extra support.  The premolar ends up getting decay around the margin and rotting out.  The physics is explained pretty well by the photo.  Bite into something on the front and the canine is the fulcrum and the bridge lifts off the premolar.

canine bridge
Image from DT thread and more specifically Lane
Bryan Bauer, DDS, FAGD

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11 Responses to “Canine to canine bridge OR double abutment bridge”

  1. February 9, 2019 at 8:39 pm #

    I have a 17 year old 6 unit frontal bridge, left side abutments, canine and tooth # 22 and single canine on the right. #22 has a stress fracture of the root with decay and bone loss and cannot be saved. One option is to remove roof and fill void with synthetic bone, leaving the bridge as is with the remaining two canines as abutments. Is this a feasible option long term?

    • February 11, 2019 at 5:03 pm #

      Yes that is a good plan.

  2. February 17, 2019 at 11:58 pm #

    Thank you. The other option is two implants (# 22 & its opposite) as abutments for the two front incisors and leaving the canines unattached. Would you consider this a superior option or unnecessary in your opinion?

    • February 18, 2019 at 11:04 pm #

      Honestly that depends on how old you are and likely you are to get decay in the future. The implants are better but that might be more than you need if you are older than maybe 70. Of course no one knows how long it will last or how long you will need it (years left to live). No one knows how your physical and mental health will be in future either and the implants will take the most abuse. I personally would get implants but if money is an issue the bridge is fine.

  3. May 15, 2019 at 12:02 am #

    I’m 54. I had 3 crown put on my front teeth 5 years just broke at the gum line, on the bottom row teeth. At this point of time I’m sick of the trauma I’ve had since I fell off my bike when I was 12. I have a full bridge on my top teeth. Canine to canine. I have to get tooth 25 extracted now. I am thinking and almost 100 percent of getting another bridge canine to canine on my lower mouth..6 teeth.. how much should I pay for all this work.. Every dentist is giving me a diffrent price.. one dentist is 680 for extrication for tooth 25 and my oral sugean is 350. I’ve had a enough..I live in north shore Massachusetts…Any ideas…

    • May 15, 2019 at 8:16 pm #

      A bridge from canine to canine will cost between $5-10,000. It will likely last the rest of your life as they are usually very strong and only get lost if someone has gum disease and the canine gets loose from gum disease.

  4. July 26, 2021 at 9:57 pm #

    I had brace since I was 14 until 21 I was missing two upper laterals I had braces to create space to get 2 inplants in the future. implants are alot of money so I went to the dentist to get a Maryland Bridge to my understanding is temporary and get implants in the future when I saved more money… the dentist ended up taking me into his hands numbed my mouth up and started cutting 4 of my front teeth to put a 6 unit bridge in the front… I was so hurt he cut my real teeth. Can I sue him for Melpractice?

  5. September 7, 2021 at 12:24 pm #

    I hv a 76years old patient having 33,43 and 45 present with upper all missing and lower remaining teeth missing . I plan to place bridge from 33to 45 and extracoronal attachments in posteriors and upper complete denture . Is this a good treatment option?

    • September 20, 2021 at 9:14 pm #

      I would do a telescopic denture or just regular partial. Million ways you could treat that though

  6. November 10, 2021 at 4:24 pm #

    I got my front 4 teeth extracted. Placed 2 implants. Now i after 1 year i am facing irritation and gums are a bit swelled. There’s a lot of boneloss. The dr said they cannot perform the bone graft now. They will have to remove the implants, do bone graft, let it heal for 6 months then place implants again. I don’t want to go through this pain again. The other option is canine to canine bridge. If i go for this option will i need to get root canal done on my canine? Please help. I need a solution

    • November 16, 2021 at 7:34 pm #

      Yes you can probably do a canine to canine bridge. Just ask your dentist if they think that is a good idea. Implants are better but we take into consideration your desires so bridge may be best for you. You might need root canals on the canines after but not typically.

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