An implant-supported bridge replaces multiple missing teeth with a prosthesis anchored to implants rather than to adjacent natural teeth. Several configurations exist, each with specific indications.

1. Three-Unit Implant Bridge

Two implants support a bridge of three teeth — one pontic (fake tooth) suspended between two implant-supported crowns. The classic indication is three missing teeth in a row where placing an implant for the middle tooth is not ideal anatomically.

2. Long-Span Implant Bridge

More than three teeth replaced on two or more implants. Requires careful biomechanical design — too many pontics between implants stresses the bridge and its supporting components.

3. Full-Arch Fixed Bridge (All-on-4 / All-on-6)

An entire arch of teeth — 10 to 14 — supported on four to six implants. See our dedicated All-on-4 page and the STAR Concept™ for our next-generation protocol.

4. Screw-Retained vs. Cement-Retained

Screw-retained bridges attach to implants via access holes sealed with composite. They are fully retrievable — we can remove the bridge for maintenance or repair without destroying it. Cement-retained bridges are bonded in place with dental cement; they are not retrievable and carry a risk of subgingival cement left behind, which can cause peri-implantitis. For full-arch and long-span cases, screw-retained is almost always the better choice.

5. Hybrid (Acrylic-on-Titanium)

A titanium substructure with acrylic teeth and pink acrylic gum tissue bonded on. Historically the standard full-arch design. Relatively inexpensive but subject to wear and occasional tooth fractures that require repair.

6. Monolithic Zirconia

The entire bridge milled from a single block of zirconia ceramic. Extraordinarily durable, aesthetically superior, resistant to staining and wear. More expensive than hybrid acrylic but frequently the right long-term investment. Our STAR Concept™ final prostheses are typically monolithic zirconia.

7. Porcelain-Fused-to-Metal (PFM)

An older but still-used option. A metal substructure with porcelain layered on top. Strong but less aesthetically refined than zirconia and subject to porcelain chipping.

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Serving Patients Across Greater Boston

The Face Dental Group welcomes patients from throughout Greater Boston:

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