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Nargiz I. Zadeh, DMD
General, Cosmetic, and Implant Dentistry
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Dental Implants vs. Bridges: Choosing the Right Replacement Option

November 15, 2024
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Posted By: Dr. Nargiz I. Zadeh

When you lose a permanent tooth, you’ll need to make a decision. Which dental prosthetic is right for you? Do you choose a dental implant or a dental bridge to replace it? Both options have advantages and disadvantages, but ultimately, the best choice depends on your situation, preferences, and the advice of your dentist.

While countless factors may affect your choice, this blog explores the critical differences between implants and bridges, so you have all the information before making a final decision. Let’s begin by explaining the differences between dental implants and bridges.

What are Dental Implants?

Dental implants are artificial, titanium tooth roots that a qualified dentist surgically places into the jawbone to replace the roots of missing teeth. Your dentist will attach a false tooth crown over 3-6 months after the implant fuses with the bone (also called osseointegration).

The main drawbacks of dental implants are the higher upfront cost, the extended treatment time, and the small risk of complications like implant rejection or infection. However, dental implants offer several key benefits that make them one of the most popular choices to replace missing teeth:

  • Implants look, feel, and function like natural teeth
  • They are a permanent solution and can last a lifetime with proper care
  • Dental implants preserve the jawbone by preventing bone loss
  • Implants don’t require any modification to the surrounding teeth
  • They are secure and do not shift while eating and speaking

What Are Dental Bridges?

A dental bridge is an oral prosthetic device used to replace one or more missing teeth. Bridges consist of a false tooth, called a pontic, supported on either side by a dental crown. The dental crowns are placed over the teeth adjacent to the missing tooth gap, effectively bridging the space and supporting the pontic. Let’s discuss the main pros and cons of dental bridges.

Pros

  • They are generally less expensive than dental implants
  • Bridges have a shorter treatment timeline—usually complete in 2-3 visits
  • Bridge placement is a non-surgical, non-invasive procedure

Cons

  • Bridges require modifications to the adjacent healthy teeth, which can weaken those teeth over time
  • Do not prevent bone loss in the missing tooth area
  • They have a more limited lifespan of roughly 10-15 years
  • May make it more difficult to clean around the prosthetic, increasing the risk of decay

When is a Dental Implant the Better Choice?

Dental implants are considered the superior tooth replacement option for most medically eligible patients compared to bridges. Implants offer more benefits in terms of durability, function, and preservation. They are typically recommended in the following situations:

  • You are missing a tooth or multiple non-adjacent teeth. Implants can replace individual teeth without affecting surrounding healthy teeth.
  • You have adequate bone density in your jaw to support an implant. Those with significant bone loss typically need a bone graft first.
  • You practice good oral hygiene and are fully committed to the longer treatment timeline of dental implants.
  • You want a permanent, reliable tooth replacement that will last for the rest of your life.
  • You have a large budget or excellent dental insurance.

When Is a Dental Bridge the Better Choice?

While dental implants are usually preferable, some patients prefer bridges for several reasons, including time and finances. In some circumstances, bridges are the more suitable option:

  • You are missing multiple adjacent teeth. A dental bridge may be more cost-effective compared to numerous individual implants.
  • You have insufficient bone density to support dental implants and aren’t interested in or don’t qualify for a bone graft.
  • You need a quick tooth replacement solution. The timeline for bridges is typically much shorter than for implants.
  • You have financial constraints that make the higher upfront costs of implants unaffordable. Bridges offer a more affordable alternative.

Consult Your Dentist for the Best Solution

Both dental implants and bridges are effective tooth replacement methods for restoring functionality and reconstructing your smile. However, the choice between the two can be complicated due to the intricate factors involved. The decision typically depends on your needs, budget, personal preference, and medical eligibility for each option.

Dental implants are generally the preferred choice whenever possible due to their superior durability, function, and ability to preserve natural teeth. However, dental bridges remain a viable, budget-friendly alternative, especially for patients who need a faster solution or have medical limitations.

Ultimately, your dentist should decide whether to choose dental implants or bridges. Your dental practitioner will evaluate your circumstances and provide a personalized recommendation based on your health and budget.

Contact Dr. Nargiz Zadeh to discuss your options if you need a tooth replacement treatment. We will consider your circumstances and work with you to make the best decision. We can help you regain a complete, functional, confident smile with the right solution.