If you are missing one or more teeth, you may notice a difference when chewing or speaking. Your remaining teeth can also shift or tip without support. Bridges are similar to crowns but will “bridge” the gap present. These can be all porcelain (no metal), porcelain fused to metal alloys (porcelain on the outside, metal on the inside), and metal only (if indicated). Bridges are fixed and cannot be removed by the patient. Alternatives to bridges would be an implant and implant crown or removal of a partial denture.