Implant Replacement or Tooth Supported Bridges?
One decision that many patients have to decide on is whether to replace lost teeth with an implant or bridge. A summary of the advantages and disadvantages are as follows:
| BRIDGE ADVANTAGESCan be completely in about two weeksLook natural and are strong
Can be less expensive (short term!) than implants Can be used to additionally realign misplaced teeth |
BRIDGE DISADVANTAGESBone loss is not stopped in the areas where the teeth are lost-leading to gaps and food getting caught beneath bridgework over timeDifficult to floss beneath requiring special floss or cleaners
If any of the supporting crowns are compromised or get decay around them, the entire bridge needs 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 crowns |
| IMPLANT ADVANTAGESPreserves the bone in the areas where the teeth are lostMuch easier to floss and clean around than bridges
Longevity 15 to 40 years Are not susceptible to decay |
IMPLANT DISADVANTAGESInitial cost is usually more expensive than bridgeworkIf 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 |
In short, most patients find that the implant replacement to more comfortable and easier to care and get less caught around them. The cost of implants is more costly short term, but over a 5 to 20 year period much less expensive and expected longevity is greater. Surrounding teeth are also healthier with implant replacement.