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In the past, when implants were not available, these decisions were easier to make. Nowadays, dental implants offer a highly efficient and reliable option; however, you may want to discuss the advantages and disadvantages to both procedures before making your final decision

Dental implants vs dental bridges

author icon By Dr. George Ghidrai

To replace lost teeth, you can either get a dental bridge or you can rely on dental implants.

bridge vs implant

Moreover, if you have a badly damaged tooth, you can either restore it with a dental crown or you can extract the tooth and place an implant.

In the past, when implants were not available, these decisions were easier to make. Nowadays, dental implants offer a highly efficient and reliable option; however, you may want to discuss the advantages and disadvantages to both procedures with your dentist before making your final decision.


1. Replacing lost teeth

Most dentists agree that in case of missing teeth, implants are preferable to fixed bridges, assuming that the patient has adequate financial ability and time for the entire treatment. However, there are times when the advantages of a fixed bridge may suggest that a fixed bridge would be preferable to the use of implants.

First, some general considerations about both procedures:


Deciding between implants and bridges

You should always make the decision after consulting with your dentist. He or she will inform you about the different solutions, advantages and disadvantages to each, the difference in costs, and any risks and potential complications.

That being said, here are the most important factors to consider:


Conclusions

Most of the time dental implants are superior to bridges for replacing missing teeth. But the final solution depends on the patient budget, goals, lifestyle choices, and time restraints.

When could dental bridges be a better solution ?


2. Restoring a damaged tooth

When a large part of a tooth's original crown structure has been lost you can either restore the tooth with a dental crown or you can extract the tooth and place an implant.

Decision should be based on the amount of tooth structure remaining, occlusion, financial considerations, patient desire to keep the natural tooth, and patient acceptance of other needed procedures to retain the tooth (such as root canal and sometimes the placement of a post and core).

Generally, it is a good idea to save the tooth whenever the procedure is possible. However, when the tooth crown is severely damaged, especially when the tooth is fractured below the gumline, removing the tooth and placing a dental implant is the only solution.

tooth that can be restored with a post and core

this is a case when the tooth can be restored with a post and a dental crown

tooth with advance coronal destructions

tooth with advance coronal destructions; extraction and placement of dental implant indicated


Last review and update: February 2019



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