A single tooth bridge, also known as a cantilever bridge, replaces one missing tooth using a pontic (artificial tooth) anchored to a single healthy adjacent tooth. Unlike traditional bridges that require support from teeth on both sides, cantilever bridges offer a practical solution when only one neighboring tooth is available. The procedure typically costs between $2,000 and $3,000 in Canada and can last 7-10 years with proper care.
Tooth loss is quite prevalent, and although most people associate the loss with aesthetic change, there is far more to tooth loss. The health of your mouth and body is compromised with each missing tooth.
Delaying replacing a missing tooth increases the risk of further tooth loss and may cause other health problems. Tooth loss can lead to several health issues, such as bone loss and an increased risk for health issues, which can make your teeth crooked.
There are various tooth replacement options today, thankfully, and one of the most common ones is dental bridges. A dental bridge is a fixed restoration that can last up to seven years if properly taken care of.
There are three primary types of bridges, crowns, and veneers: traditional bridges, Maryland resin-bonded bridges, and cantilever bridges. A cantilever dental bridge is also known as a single tooth bridge, and this guide will discuss single tooth bridges in detail.
Important Disclaimer: This article provides general information about single tooth bridges and should not be considered professional dental advice, diagnosis, or treatment recommendations. Only a licensed dentist can evaluate your specific situation and recommend appropriate treatment options. Treatment outcomes, costs, and timelines may vary based on individual circumstances. Always consult with a qualified dental professional before making decisions about your oral health care.
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Quick Self-Assessment: Is a Single Tooth Bridge Right for You?
Check all that apply to your situation:
6-8 checks: You may be an excellent candidate! Schedule a professional consultation for accurate evaluation.
4-5 checks: A cantilever bridge may work, but alternatives should be professionally evaluated. Contact us to explore your options.
0-3 checks: Other solutions like implants or traditional bridges might be more suitable. Let's find the best option for you.
Ready to discuss your options?
Our dental experts are here to help you find the perfect solution for your smile.
Note: This assessment is for informational purposes only and does not replace professional dental evaluation. Only a licensed dentist can determine your candidacy for any dental procedure.
What Is a Single Tooth Bridge?
Cantilevers are dental bridges used when there is just one healthy tooth on either side of the gap to anchor the pontic (an artificial tooth on a dental bridge) and keep the bridge in place. The pontic of a cantilever bridge is positioned outside of the adjacent teeth. A single-tooth bridge placement must be meticulously planned to limit the possibility of weakening the adjacent teeth.
How Does a Cantilever Bridge Work?
A cantilever bridge functions like a dental diving board, extending from one supporting tooth to fill the gap left by a missing tooth. The structure consists of three main components that work together to restore your smile.
The abutment tooth serves as the anchor point. Your dentist prepares this healthy adjacent tooth by removing a small amount of enamel to accommodate a crown. The pontic (artificial tooth) connects to this crown and fills the empty space along your gumline. Finally, dental cement bonds the entire structure, creating a permanent restoration.
According to the Canadian Dental Association, cantilever bridges work through lever mechanics. The single-sided support creates unique stress patterns, which is why these bridges are typically recommended for front teeth where biting forces are lower.
The installation takes two visits. During the first appointment, your dentist prepares the abutment tooth and takes impressions for your custom bridge. A temporary bridge protects the prepared tooth while the permanent restoration is fabricated in a dental laboratory. At the second visit, the dentist removes the temporary bridge and cements your permanent cantilever bridge into place.
When Should You Consider a Single Tooth Bridge
A cantilever bridge may be an appropriate option if you only have one healthy tooth on either side of the gap or there aren’t enough healthy teeth on either side to act as abutments. The dentist will place the pontic in the space and secure it to the adjacent tooth or teeth that are still healthy. Cantilever bridges secured to an implant have been shown to have favorable success rates in clinical studies.
You might be a potential candidate for a single tooth bridge if:
- You have a single missing tooth in the front or premolar area
- The adjacent supporting tooth is healthy and strong enough to anchor the bridge
- You want to avoid the time and cost of dental implant surgery
- You need a solution within 3-4 weeks rather than waiting several months
- Your gums and surrounding bone structure are healthy
- You’re looking for a fixed, permanent restoration rather than removable options
Individual candidacy varies. Your dentist will evaluate multiple factors including oral health, bone density, bite alignment, and adjacent tooth condition to determine if this option is appropriate for your situation.
Benefits and Drawbacks of Cantilever Bridges
Understanding both advantages and limitations helps you make an informed decision about whether a single tooth bridge suits your situation.
Potential Benefits
Preserves Natural Tooth Structure: Only one adjacent tooth requires preparation, leaving more of your natural teeth intact compared to traditional bridges that modify two teeth.
Cost-Effective Solution: The streamlined design typically costs $2,000-$3,000, making cantilever bridges more affordable than dental implants or traditional bridges in many cases.
Faster Installation: The procedure requires fewer dental visits and less chair time since only one abutment tooth needs preparation.
Natural Appearance: Modern cantilever bridges are crafted from porcelain or ceramic materials that can be matched to your natural teeth, creating aesthetic results.
Immediate Functionality: Once installed, your bridge restores chewing function and helps prevent remaining teeth from shifting into the gap.
Need urgent evaluation for tooth replacement? The Dental Team offers same-day emergency consultations across our 10 GTA locations.
Important Limitations and Considerations
Increased Stress on Supporting Tooth: The single-sided design creates a lever effect, placing more pressure on the abutment tooth compared to traditional bridges with two anchor points.
Potential for Complications: Studies have shown cantilever bridges may have a higher failure rate compared to traditional bridges, particularly when used in high-pressure areas like molars. The National Library of Medicine reports that anterior (front) placement shows better long-term success rates.
Location Restrictions: Dentists typically recommend cantilever bridges only for front teeth (incisors and canines) where biting forces are lower. They may not be suitable for replacing molars.
Specific Candidacy Requirements: You need healthy gums, adequate bone structure, and a robust adjacent tooth to qualify for a cantilever bridge.
Risk of Failure: Cantilever bridges can last for many years, but they could fail if not properly attached or maintained.
Potential for Damage: Since they’re only anchored to one side, there may be a higher risk of cracking compared to traditional bridges.
Important: Success rates and outcomes vary based on individual factors. Your dentist can provide personalized information about expected outcomes based on your specific situation.
Compare the benefits and limitations to help inform your decision. Your dentist can offer professional guidance to help you evaluate the most suitable option for your needs.
Comparing Your Single Tooth Replacement Options in Canada
Choosing the right tooth replacement solution depends on your priorities, budget, and timeline. This comparison provides general information about how single tooth bridges compare to other common options available in Canada.
| Factor | Cantilever Bridge | Dental Implant | Partial Denture |
|---|---|---|---|
| Treatment Time | 2-3 weeks | 3-6 months | 2-4 weeks |
| Typical Cost in Canada | $2,000-$3,000 | $3,000-$6,000 | $500-$1,500 |
| Expected Lifespan | 7-10 years | 20+ years | 5-8 years |
| Surgery Required | No | Yes | No |
| Affects Adjacent Teeth | Yes (1 tooth modified) | No | Minimal |
| Prevents Bone Loss | No | Yes | No |
| Removable | No (permanent) | No (permanent) | Yes |
| CDCP Coverage | Potentially (if medically necessary) | Potentially (if medically necessary) | Potentially |
| Commonly Used For | Front teeth, single missing tooth | Any location, long-term solution | Multiple missing teeth, budget option |
Cantilever Bridge
Front teeth, single missing tooth
Dental Implant
Any location, long-term solution
Partial Denture
Multiple missing teeth, budget option
Note: Costs shown are approximate averages for the Greater Toronto Area and may vary based on individual circumstances, materials used, and complexity of the case. Insurance and CDCP coverage eligibility varies by individual situation. Consult with a dental professional for personalized cost estimates and coverage information.
Cantilever Bridge vs Implant: Which Is Right for You?
Choosing between a single tooth bridge and a dental implant depends on several factors including your oral health, budget, timeline, and long-term goals. Both options have distinct characteristics that may make one more suitable than the other for your specific situation.
Cantilever bridges offer a faster, more affordable solution in many cases. The procedure typically takes just two visits over 2-3 weeks, and costs generally range from $2,000-$3,000. However, they require modifying your adjacent healthy tooth and typically last 7-10 years before potentially needing replacement.
Dental implants provide a long-term solution without affecting neighboring teeth. A titanium post is surgically placed into your jawbone, which can help prevent bone loss and may offer 20+ years of durability. The considerations include higher costs (typically $3,000-$6,000) and a longer treatment timeline of 3-6 months.
A cantilever bridge might be appropriate if you want faster results, have budget constraints, or cannot undergo implant surgery due to insufficient bone density or certain health conditions. A dental implant procedure might be considered if you’re looking for a long-term solution and want to help preserve your jawbone health.
Our team of 35 dentists (including 7 specialists) can evaluate your specific situation and discuss the options that may align with your needs. We accept the Canadian Dental Care Plan (CDCP), making quality dental restoration more accessible across our Brampton, Milton, Mississauga, and Vaughan locations.
Important: Individual results and outcomes vary. Your dentist will provide personalized recommendations based on a comprehensive evaluation of your oral health, medical history, and treatment goals.
Single Tooth Bridge Cost in Canada
In Canada, a cantilever dental bridge typically costs between $2,000 and $3,000. Several factors influence the final price, including the materials selected, the complexity of your case, your geographic location within the country, and the specific dental practice.
Material choices significantly affect cost. Porcelain-fused-to-metal bridges represent a mid-range option, balancing durability with aesthetics. All-ceramic or zirconia bridges may cost more but can offer enhanced appearance for front teeth. Traditional metal alloys provide an affordable choice, though they’re typically reserved for back molars where aesthetics are less of a concern.
Coverage and Payment Options
Many dental insurance plans in Canada cover 50-80% of bridge procedures, which can reduce your out-of-pocket costs to approximately $400-$1,500, depending on your specific plan and coverage limits. The Canadian Dental Care Plan (CDCP) may cover medically necessary dental bridges for eligible Canadians, with coverage levels varying based on individual circumstances and income.
💡 The Dental Team CDCP Information: We accept CDCP at our Brampton Corners Dental and Valleylands Dental locations. Our team can help you understand your insurance benefits and discuss payment options that may be available.
For personalized cost information specific to your situation, contact us for a consultation and transparent pricing discussion.
Disclaimer: Costs mentioned are general estimates and may vary. Actual costs depend on individual circumstances, treatment complexity, materials used, and other factors. Insurance coverage varies by plan and individual eligibility. The information provided does not constitute a price quote or guarantee of coverage.
The Installation Procedure: What to Expect
Understanding the step-by-step process helps reduce anxiety and ensures you know exactly what happens at each appointment.
Your Single Tooth Bridge Journey: Week-by-Week Timeline
Initial Consultation (Week 1)
What happens: Comprehensive exam, X-rays, treatment planning
Duration: 60-90 minutes
You’ll leave with: Custom treatment plan, cost estimate, questions answered
Tooth Preparation & Impressions (Week 1-2)
What happens: Abutment tooth reshaping, impressions taken, temporary bridge placed
Duration: 90-120 minutes
Anesthesia: Local anesthetic (area will be completely numb)
After care: Temporary bridge protects prepared tooth, avoid sticky foods
Laboratory Fabrication (Weeks 2-3)
What happens: Custom bridge created to match your natural teeth
Your role: Wear temporary bridge, maintain oral hygiene, avoid hard foods
Note: No appointments needed during this period
Bridge Placement (Week 3-4)
What happens: Temporary removed, permanent bridge tried in, adjustments, final cementation
Duration: 60-90 minutes
You’ll leave with: Permanent bridge in place, care instructions, follow-up scheduled
Follow-Up & Long-Term Care (Month 2+)
What happens: Check-up to ensure proper fit and function
Ongoing: Regular cleanings every 6 months, daily care with floss threaders
Expected lifespan: 7-10 years with proper maintenance
💡 Dental Team Advantage: Can’t wait 3-4 weeks? Ask about our expedited laboratory services available at select locations. Same-day emergency appointments also available if you need urgent tooth replacement.
How to Care for Your Single Tooth Bridge
Proper aftercare is essentially the same as what you’ve always done for your natural teeth. You must brush and floss your teeth regularly and continue to visit your dentist for checkups and cleanings. Pay particular attention to the space between the bridge and the abutment teeth using proper dental hygiene techniques.
Use a gentle toothbrush and toothpaste with fluoride. Avoid using abrasive toothpaste, as it may cause the pink portions of the single tooth bridge to turn white and may also degrade the enamel of the artificial teeth. Proper aftercare can also reduce the likelihood of tooth decay and gum disease.
Daily Care Essentials
- Brush twice daily with fluoride toothpaste and a soft-bristled brush
- Use floss threaders or interdental brushes to clean under the pontic
- Rinse with an antimicrobial mouthwash to reduce bacteria
- Avoid extremely hard foods (ice, hard candy, nuts) that could crack the porcelain
- Don’t use your teeth as tools to open packages or bite non-food items
- Wear a night guard if you grind your teeth while sleeping
- Schedule professional cleanings every 6 months
After Your Bridge: When to Contact Us Immediately
Most patients experience minimal discomfort after bridge placement. However, contact our emergency dental team immediately if you experience:
🚨 Urgent (Call Same Day)
- Bridge feels loose or moves when touched
- Severe pain that doesn’t improve with medication
- Swelling that worsens after 48 hours
- Difficulty opening your mouth
- Fever above 38°C (100.4°F)
- Foul taste or odor from the bridge area
⚠️ Monitor (Call Within 24-48 Hours)
- Mild sensitivity to hot/cold (normal for 1-2 weeks)
- Slight discomfort when chewing (should improve daily)
- Minor gum tenderness around bridge
- Food catching under bridge occasionally
- Feeling like bite is “off” (we can adjust this easily)
The Dental Team Commitment: We offer same-day emergency appointments at all 10 GTA locations. If you experience any issues with your bridge, we’ll see you within 24 hours. Contact your nearest location or call our after-hours emergency line.
Common Concerns: What Patients Really Want to Know
Based on thousands of single tooth bridge procedures at our GTA locations, these are the questions patients ask most often:
😬 “Will people be able to tell it’s not my real tooth?”
No. Modern cantilever bridges are custom-crafted from porcelain or ceramic materials that precisely match your natural teeth in color, shape, and translucency. Your bridge is designed to blend seamlessly with your smile. Even dental professionals often can’t distinguish a well-made bridge from natural teeth without close examination.
🗣️ “Will it affect how I speak?”
You may notice a slight adjustment period lasting 2-3 days where your tongue gets used to the new contour. This is completely normal and resolves quickly as your mouth adapts. Front tooth bridges rarely cause speech changes, and any temporary lisp typically disappears within a week. Practice reading aloud to speed up adaptation.
😰 “How much does the procedure actually hurt?”
During the procedure: You’ll feel nothing. Local anesthetic completely numbs the area. Many patients report feeling pressure but zero pain during tooth preparation.
After the procedure: Most patients describe mild soreness similar to having a regular filling, manageable with over-the-counter pain medication. Discomfort typically peaks on day 1-2 and significantly improves by day 3. About 85% of our patients return to normal activities the same day.
🍕 “What can I eat? When can I eat normally again?”
With temporary bridge (weeks 1-3): Soft foods recommended. Avoid sticky, hard, or chewy foods that could dislodge the temporary.
After permanent bridge placement: Resume most normal foods within 24 hours. Avoid extremely hard foods (ice, hard candy, nuts) that could crack the porcelain. You can enjoy steak, apples, sandwiches, and most regular foods immediately after the cement sets.
😴 “Can I sleep on that side of my mouth?”
Yes. Once the permanent bridge is cemented and the anesthetic wears off, you can sleep in any position. The bridge becomes a permanent part of your dental structure and won’t be affected by sleep position or normal grinding (though we recommend a night guard if you’re a heavy grinder).
💰 “Is it really worth the cost compared to other options?”
A single tooth bridge offers excellent value when you prioritize: (1) avoiding surgery, (2) getting results quickly (3-4 weeks vs 6 months for implants), and (3) preserving your budget. While implants last longer, bridges provide 7-10 years of reliable function at about half the cost. For front teeth where aesthetics matter, bridges deliver comparable appearance to implants.
Have a concern we didn’t address? Ask our team – we’re here to ensure you feel completely confident before proceeding.
Alternatives to Cantilever Dental Bridges
Not everyone can use a cantilever dental bridge, so if this isn’t a suitable option for you, try the following alternatives.
Traditional Bridge
A traditional dental bridge comes with one or more artificial teeth kept in place using the adjacent abutment teeth. You can use a traditional dental bridge when there are two healthy teeth on either side of the gap left by a lost tooth.
Dental Implant
Your dentist may suggest you get a dental implant under certain circumstances. It’s important to keep in mind, however, that a few conditions could increase the risk of implant failure – for example, if you have a history of smoking or osteoporosis, the chances of implant failure are high.
Partial Dentures
Dentures are removable artificial teeth that can be used to fill in the gaps left by missing teeth. Remember to keep your dentures clean to avoid decay.
Any of these alternatives could help you with tooth replacement, and your dentist will help you choose the most suitable option for you.
Get Expert Guidance on Single Tooth Bridges
Choosing the right tooth replacement solution requires professional evaluation of your unique dental needs. At The Dental Team, our experienced dentists will assess your oral health, discuss all available options, and help you make an informed decision about restoring your smile.
With 10 convenient locations across the Greater Toronto Area—including Brampton, Milton, Mississauga, and Vaughan—we make quality dental care accessible. We accept the Canadian Dental Care Plan (CDCP) and work with most insurance providers.
Ready to restore your smile? Schedule your consultation today. Same-day emergency appointments available.
FAQs About Single Tooth Bridges
Can you get a dental bridge for just one tooth?
Yes, a cantilever dental bridge is specifically designed to replace one missing tooth when you only have a healthy supporting tooth on one side of the gap. This single-sided design makes it an ideal solution for front teeth where biting forces are lower. Your dentist will evaluate whether your adjacent tooth is strong enough to support the bridge and if the location is appropriate for this type of restoration.
How long does a single tooth bridge last?
A well-maintained cantilever bridge typically lasts 7-10 years, though some can remain functional for up to 15 years. Longevity depends on several factors including the quality of materials used, the location in your mouth, your oral hygiene habits, and the health of the supporting tooth. Regular dental checkups and proper cleaning techniques significantly extend your bridge’s lifespan.
What’s the difference between a cantilever bridge and a Maryland bridge?
Both bridges provide single-sided support, but they differ in attachment method. A cantilever bridge uses a full crown cemented onto the adjacent tooth, requiring significant tooth preparation. A Maryland bridge uses thin metal or porcelain wings bonded to the back of the supporting tooth, preserving more natural tooth structure. Maryland bridges work well for front teeth with minimal bite pressure, while cantilever bridges offer greater strength and durability.
Is the single tooth bridge procedure painful?
The procedure itself is not painful as your dentist uses local anesthetic to numb the area completely before preparing the supporting tooth. You may experience mild sensitivity or soreness for a few days after each appointment, which typically responds well to over-the-counter pain medication. Most patients report minimal discomfort throughout the process and find the temporary bridge protects the prepared tooth effectively between visits.
Can I eat normally with a cantilever bridge?
Once your bridge is fully adjusted, you can eat most foods normally. However, it’s wise to avoid extremely hard or sticky foods that could damage or dislodge the bridge. Cut tough foods into smaller pieces and chew carefully on both sides of your mouth to distribute pressure evenly. Your dentist will provide specific dietary guidelines during your follow-up appointments to ensure your bridge remains secure and functional.
Will my insurance cover a single tooth bridge in Canada?
Most Canadian dental insurance plans cover 50-80% of bridge procedures as they’re considered a medically necessary restoration. The Canadian Dental Care Plan (CDCP) also covers dental bridges for eligible Canadians, with 100% coverage available at participating locations. Contact our team to verify your specific coverage and explore payment options that fit your budget.
