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Dental Bridges in San Francisco

Seamlessly replace missing teeth and restore your smile's beauty, function, and confidence with precision-crafted dental bridges at Madderra Dental Spa.

Bridge the Gap to a Complete, Confident Smile

A missing tooth is more than a cosmetic concern — it can affect your ability to chew properly, cause adjacent teeth to shift out of alignment, alter your bite, and even lead to bone loss in the jaw over time. A dental bridge is a time-tested, reliable restorative solution that literally "bridges" the gap created by one or more missing teeth, restoring both the appearance and function of your smile.

At Madderra Dental Spa, we craft custom dental bridges using the highest-quality porcelain and ceramic materials, meticulously shade-matched to blend seamlessly with your natural teeth. With Dr. Madderra's 34+ years of restorative expertise and our commitment to conservative, patient-centered care, you can trust that your bridge will be both beautiful and built to last. We take the time to ensure every restoration feels natural and comfortable from the very first day.

Our approach combines precision digital impressions, advanced materials science, and an artist's eye for detail. The result is a restoration that not only fills the gap but also supports the surrounding teeth, maintains your facial structure, and gives you the confidence to smile, speak, and eat without hesitation.

Precision dental bridge fitting

Is a Dental Bridge Right for You?

A dental bridge may be the ideal solution if you are experiencing any of the following:

  • One or More Missing Teeth: You have a gap from one to three consecutive missing teeth with healthy teeth on either side to serve as anchors.
  • Difficulty Chewing: Missing teeth make it hard to eat certain foods comfortably, affecting your nutrition and enjoyment of meals.
  • Shifting Teeth: Adjacent teeth are beginning to drift into the empty space, threatening your bite alignment and overall dental health.
  • Speech Changes: The gap is affecting your ability to pronounce certain words clearly and confidently.
  • Non-Surgical Preference: You prefer a proven, non-surgical alternative to dental implants that delivers excellent results with less downtime.
  • Self-Consciousness: You feel embarrassed about the visible gap in your smile and want a natural-looking, permanent restoration.

Types of Dental Bridges We Offer

Not all bridges are the same. Dr. Madderra will recommend the type that best suits your specific clinical needs, aesthetic goals, and long-term oral health.

Traditional Bridge

The most common type, using crowns on the teeth on either side of the gap (abutment teeth) to anchor the replacement tooth (pontic) in place. Ideal when you have strong, healthy natural teeth on both sides of the missing tooth.

Cantilever Bridge

Similar to a traditional bridge, but the pontic is supported by a crown on only one side. This is used when there are healthy teeth on only one side of the gap, such as at the back of the mouth.

Maryland Bridge

A conservative alternative that uses a metal or porcelain framework bonded to the backs of the adjacent teeth, requiring minimal preparation of the supporting teeth. Often used for front teeth where bite forces are lower.

The Madderra Approach: Precision-Crafted Bridges

With over three decades of restorative expertise, Dr. Madderra approaches every bridge with the precision of an engineer and the eye of an artist. Our process ensures a restoration that fits perfectly, looks completely natural, and provides lasting comfort and function.

Your Bridge Procedure: Step by Step

  1. 1

    Comprehensive Consultation & Treatment Planning

    Your journey begins with a thorough examination, including digital X-rays and a detailed assessment of the gap and surrounding teeth. Dr. Madderra will discuss your options, explain the recommended bridge type, and create a personalized treatment plan. We'll also take the time to answer all your questions and address any concerns.

  2. 2

    Abutment Tooth Preparation

    During your first treatment visit, the abutment teeth (the teeth on either side of the gap) are carefully prepared. A small amount of enamel is removed to create space for the crowns that will anchor the bridge. This is done under local anesthesia for your complete comfort. Precise digital impressions are then taken and sent to our dental laboratory.

  3. 3

    Temporary Bridge Placement

    While your permanent bridge is being custom-fabricated by our skilled dental laboratory, we place a comfortable temporary bridge to protect the prepared teeth and maintain your appearance. This ensures you can smile, eat, and speak normally during the fabrication period, which typically takes one to two weeks.

  4. 4

    Permanent Bridge Fitting & Cementation

    When your custom bridge is ready, you'll return for the final fitting. Dr. Madderra meticulously checks the fit, bite alignment, and color match. Any necessary adjustments are made to ensure the bridge feels completely natural and comfortable. Once everything is perfect, the bridge is permanently cemented into place, completing your smile transformation.

The Benefits of Choosing a Dental Bridge

Restore Your Smile

Fill the gap with a natural-looking replacement tooth that blends seamlessly with your existing teeth, giving you back the confidence to smile freely.

Prevent Tooth Shifting

A bridge keeps adjacent teeth from drifting into the empty space, preserving your bite alignment and preventing future orthodontic complications.

Quick & Non-Surgical

Unlike implants, bridges don't require surgery or lengthy healing periods. The entire process is typically completed in just two comfortable visits.

Long-Lasting Results

With proper care, a well-crafted dental bridge can last 10-15 years or more, providing a durable and reliable restoration for your smile.

Recovery & Long-Term Bridge Care

Adjusting to your new dental bridge is typically quick and straightforward. Most patients feel comfortable within a few days. To maximize the lifespan of your bridge and maintain optimal oral health, follow these guidelines:

  • First Few Days: Stick to softer foods while you adjust to the feel of your new bridge. Mild sensitivity is normal and will subside quickly.
  • Clean Under the Pontic: Use a floss threader, interdental brush, or water flosser daily to clean beneath the artificial tooth where bacteria can accumulate.
  • Brush & Floss Regularly: Continue brushing twice daily and flossing the abutment teeth to prevent decay at the crown margins.
  • Avoid Hard & Sticky Foods: Protect your bridge by avoiding chewing ice, hard candy, caramel, and other sticky or excessively hard foods.
  • Regular Check-Ups: Visit our San Francisco office for routine cleanings and exams so we can monitor the health and integrity of your bridge.

Dental Bridges vs. Dental Implants

Both bridges and implants are excellent solutions for missing teeth. The right choice depends on your unique clinical situation, preferences, and goals. Here's a quick comparison:

FeatureDental BridgeDental Implant
Surgery RequiredNoYes (minor oral surgery)
Treatment Time2-3 weeks (2 visits)3-6 months (healing period)
Longevity10-15+ years20+ years (often lifetime)
Adjacent TeethRequires preparation of neighboring teethNo effect on adjacent teeth
Bone PreservationDoes not prevent bone lossStimulates and preserves jawbone
CostGenerally lower upfront costHigher initial investment

What Our Patients Say

"The crown work was flawless. Perfect color match, comfortable fit, and completed in just two visits. You can't even tell which tooth has the crown!"

Robert H.

Dental Crowns

August 2025

"The crown looks and feels completely natural. Dr. Madderra is meticulous about fit and aesthetics. I forget which tooth has the crown!"

Michelle R.

Dental Crowns

June 2024

"After cracking a molar, I needed a crown quickly. The entire process was efficient and painless. The quality of work is outstanding."

Charles P.

Dental Crowns

May 2024

Frequently Asked Questions About Dental Bridges

With excellent oral hygiene and regular dental check-ups, a dental bridge can last from 10 to 15 years, and sometimes even longer. The longevity of a bridge depends on the health of the supporting teeth and gums, as well as the materials used. Dr. Madderra uses high-strength, durable materials to ensure your restoration stands the test of time.
We prioritize your comfort at every stage. The procedure is performed under local anesthesia, so you won't feel any pain while the teeth are being prepared. You might experience some mild sensitivity or tenderness in the gums for a few days afterward, which is normal and can be managed with over-the-counter pain relievers. Our spa-like amenities are also there to ensure you feel relaxed and at ease.
Caring for a bridge requires diligent oral hygiene. It's crucial to clean under the pontic (the artificial tooth) daily using a floss threader or water flosser to prevent plaque buildup. You should also continue to brush twice a day and floss the supporting teeth. Regular cleanings at our San Francisco office are essential to monitor the bridge and maintain the health of your entire mouth.
A dental bridge is a restoration that 'bridges' the gap left by a missing tooth, supported by crowns on the adjacent natural teeth. A dental implant is a titanium post surgically placed into the jawbone, acting as a new root for a crown. While implants are a standalone solution that preserves the adjacent teeth, bridges can be a more suitable and less invasive option for some patients. Dr. Madderra or Dr. Holmann can help you decide which is best for your specific situation.
Dental bridges are made from ceramic or porcelain materials that do not respond to teeth whitening treatments. If you are considering whitening your natural teeth, it is best to do so before the bridge is placed. This allows us to match the shade of your bridge to your newly whitened teeth for a seamless, beautiful smile.
The health of the abutment teeth is critical to the success of a bridge. If a supporting tooth develops a cavity, it must be treated immediately. Depending on the extent of the decay, we may be able to treat it without removing the bridge. However, in some cases, the bridge may need to be removed to properly restore the tooth, and a new bridge may be required.
For the first few days after your bridge is placed, we recommend sticking to softer foods. Once you're accustomed to it, you can return to a normal diet. However, it's wise to avoid excessively hard or sticky foods, such as hard candies or chewing ice, as they can potentially damage the bridge or the supporting teeth.
The cost of a dental bridge varies depending on the number of teeth being replaced and the materials used. At Madderra Dental Spa, we provide a detailed treatment plan and cost estimate after your initial consultation. We also offer financing options to help make your dream smile accessible. Investing in a high-quality bridge from an experienced dentist like Dr. Madderra is an investment in your long-term oral health and confidence.

Related Services

Dental Implants

A permanent, surgical solution for missing teeth that replaces the tooth root and preserves jawbone health.

Learn More →

Dental Crowns

Custom-crafted caps that restore strength, shape, and beauty to damaged or weakened teeth.

Learn More →

Full Mouth Reconstruction

A comprehensive plan to rebuild and restore all teeth for patients with multiple complex dental needs.

Learn More →

Ready to Bridge the Gap in Your Smile?

Don't let a missing tooth compromise your health or confidence. Contact Madderra Dental Spa today to schedule your consultation with Dr. Madderra or Dr. Holmann and discover if a dental bridge is the right choice for you.