Living with a missing tooth is difficult. Eating, speaking, and self-confidence may all be significantly impaired by this common dental concern. Fortunately, missing teeth can be replaced with prosthetics that look and work just like natural teeth. Two of the most common prosthetic options are dental implants and dental bridges.
Choosing between a bridge and an implant is an important decision. While both options offer excellent long-term results, there are advantages and drawbacks to both. Let’s step through a brief comparison of dental implants and dental bridges, including how both procedures work, the differences between the two, and guidance for choosing one or the other.
How a Dental Implant Works
Dental implant surgery involves replacing a missing tooth with a prosthetic. A titanium metal post is used to replace the missing tooth’s root.
There are two common types of dental implants: endosteal and subperiosteal.
An endosteal implant uses a screwlike root replacement inserted into the jawbone. The root replacement fuses with the bone to create a stable anchor for the prosthetic tooth.
A subperiosteal implant is used for patients whose jawbones aren’t dense enough to support an endosteal implant. Rather than inserting an anchor post into the jawbone, a subperiosteal implant anchors the post to a metal frame under the gum. The prosthetic tooth attaches to the frame and the implant stabilizes as the gums heal around the frame.
How a Dental Bridge Works
A dental bridge is another type of permanent prosthetic replacement for a tooth. A dental bridge consists of crowns on the two neighboring teeth and a new prosthetic tooth that “bridges the gap.” The crowns hold the prosthetic tooth in place. A dental bridge can replace a single tooth or several teeth.
Dental bridge prosthetic teeth are made from porcelain, zirconia, or metal.
There are several types of dental bridges. The three most common types are:
Traditional dental bridge: consists of a prosthetic tooth supported by crowns on the teeth on both sides. This is the most common type of dental bridge, used when there are healthy teeth on both sides of the missing tooth or teeth.
Cantilever dental bridge: similar to a traditional dental bridge, but with a supporting crown on only one adjacent tooth, because one side lacks an existing natural tooth.
Maryland dental bridge: uses metal wings, rather than crowns, to support the bridge. The Maryland dental bridge procedure is less invasive than other bridge types. However, this type is usually only used for front teeth because the wings aren’t strong enough to withstand chewing activity by premolar and molar teeth.
Dental Implant vs. Dental Bridge–Which One Lasts Longer?
A dental bridge usually lasts for between five and fifteen years. Practicing good oral hygiene helps the prosthetic to last longer. When decay occurs around the bridge, it must be replaced.
A dental implant is more expensive than a dental bridge. However, implants can last for a lifetime when properly cared for.
Dental Implant vs. Dental Bridge: How to Choose
If you need a procedure to replace a missing tooth, schedule an exam appointment with your dentist. They’ll help you understand your condition and offer a recommendation for either a dental implant, dental bridge, or other treatment.
When making a recommendation for replacing a missing tooth, a dentist considers a number of factors. These include:
Patient Age: A dental bridge is a less permanent solution. Therefore, bridges are often recommended for older patients or for children who haven’t yet finished growing. Meanwhile, dental implants are commonly recommended for young and middle-aged adults who are likely to benefit from decades of use.
Insurance Coverage: Compared to dental implants, dental bridge procedures are more often covered by health insurance plans.
Jawbone Condition: If a jawbone has low density, a bone graft may be required before a dental implant can be installed. Instead, a dental bridge may be a preferable option.
Regaining a Full Smile
Dental bridges and implants are both excellent long-term solutions to the loss of a tooth or teeth. The choice depends on your unique circumstances and personal preference.
Losing a tooth is upsetting, but it’s a fixable problem. Schedule an appointment with your dentist today to learn which treatment will provide the most affordable, long-lasting, and attractive solution.