Dental Implants Vs. Dental Bridges–Pro & Cons of Dental Implants

Implants or Bridges?

One decision that many patients have to decide upon is whether to replace lost teeth with an implant or bridge.implant-crown-UA-bridgeimplant-crown-UA-replace bridge

If you are considering having a conventional bridge, please be aware that your other teeth may be compromised.  To place a conventional bridge, the teeth adjacent to the site need to be reduced to hold crowns, which then support the missing tooth.  This may be acceptable if the teeth are already broken down, but why destroy healthy teeth?  And unfortunately, according to insurance company statistics, the average crown placed in America only has about a five year success rate. The implant not only preserves the adjacent teeth, but is easier to clean—and long term can be a better investment. Dental implants can be a highly esthetic solution even in the front teeth.

A summary of the advantages and disadvantages are as follows:

BRIDGE ADVANTAGES

  • Can be completely finished in about two weeks.  Looks natural and is strong.
  • Can be less expensive (short term!) than implants
  • Can be used to additionally realign misplaced teeth

BRIDGE DISADVANTAGES

  • Bone loss is not stopped in the areas where the teeth are lost-leading to gaps and food getting caught beneath bridgework over time
  • Difficult to floss beneath requiring special floss or cleaners.  Since bridges are more difficult to clean, they are much more likely to develop gum disease or decay.
  • If any of the supporting crowns are compromised or develop decay around them, the entire bridge will have to be replaced
  • Expected longevity only 5 to 15 years
  • The teeth that will be needed to support the bridge, even if they are in good condition, will need to be drilled away to fit supporting teeth of bridge

IMPLANT ADVANTAGES

  • Preserves the bone in the areas where the teeth are lost
  • Much easier to floss and clean around than bridges
  • Longevity 15 to 40 years.
  • Are not susceptible to decay
  • Easy to keep clean
  • Can be highly esthetic
  • Lower long term cost than bridgework due to very low failure rate

IMPLANT DISADVANTAGES

  • Initial cost is usually more expensive than bridgework
  • If the patient waited too long for the implant to be placed additional procedures may need to done to increase the amount of bone for implant support
 

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