Bridge vs Implant: Choosing Your Tooth Replacement Path
When you lose a tooth, you have several options to replace it and restore your smile. Two of the most common options are dental bridges and implants. But what are the differences between them and how do you choose the best one for you? In this article, we will compare the pros and cons of bridges and implants, as well as the costs and procedures involved.
What is a dental bridge?
A dental bridge is a false tooth (called a pontic) that is held in place by the adjacent teeth (called abutments) on either side of the gap. The abutment teeth are usually prepared by shaving off some of the enamel and placing crowns over them. The pontic can be made from different materials, such as porcelain, ceramic, metal, or composite resin. A dental bridge can replace one or more missing teeth in a row.
What is a dental implant?
A dental implant is an artificial tooth root that is surgically inserted into the jawbone. The implant is usually made from titanium, a biocompatible metal that fuses with the bone over time. After the implant heals, a crown is attached to it with a connector called an abutment. A dental implant can replace a single tooth or support a bridge or denture.
Pros and cons of bridges and implants
Both bridges and implants have their advantages and disadvantages, depending on various factors such as your oral health, budget, preferences, and expectations. Here are some of the main pros and cons of each option:
Dental bridge pros
- Likely to be covered by insurance
- Does not require bone grafting or invasive surgery
- Usually lower upfront cost than dental implants
- Usually requires only two visits to your dentist spread over a couple of weeks
Dental bridge cons
- Has to be replaced about every 5 to 7 years (although can last more than 10 years)
- Loses a natural-looking appearance with age
- More cavities and tooth decay in surrounding teeth than with implants
- Can damage the healthy teeth around the missing tooth
Dental implant pros
- Can last 15 years or more and are the longest lasting option on the market
- Retain natural-looking appearance longer than bridges
- Don’t damage the healthy teeth around the implant
- Very high 10-year success rate, around 97 percent
Dental implant cons
- Less likely to be covered by insurance
- Process can take up to 6 months
- Higher upfront cost
- May lead to surgical complications
Cost of bridges and implants
The cost of bridges and implants can vary widely depending on the type of implant or bridge you’re receiving, the material used, the extensiveness of the procedure, and where you live. According to the American Dental Association, a low-end dental bridge costs about $500 per tooth while more expensive bridges are up to $1,200. However, this doesn’t include the price of the dental crown that attaches the tooth to your nearby teeth. A dental implant can cost anywhere from $1,500 to $6,000 for a single implant, depending on the complexity of the case and the quality of the implant. This also doesn’t include the price of the crown, abutment, or any additional procedures such as bone grafting or sinus lift.
How to choose between bridges and implants
There is no definitive answer to which option is better for you, as it depends on your individual situation and goals. However, some general factors that can help you decide are:
- Your oral health: If you have healthy gums and enough bone density, you may be a good candidate for implants. If you have gum disease, bone loss, or other oral health issues, you may need additional treatments before getting implants or opt for bridges instead.
- Your budget: If you have a limited budget or insurance coverage, you may prefer bridges over implants, as they are usually cheaper and faster to get. However, you should also consider the long-term costs of maintenance and replacement of bridges, as well as the potential damage to your adjacent teeth.
- Your preferences: If you want a more natural-looking and durable solution, you may lean towards implants over bridges, as they mimic the function and appearance of your natural teeth. However, if you don’t mind having a slightly less realistic or stable option, you may be satisfied with bridges, as they can still restore your smile and chewing ability.
- Your expectations: If you are looking for a quick and easy fix, you may favor bridges over implants, as they require fewer visits and less healing time. However, if you are willing to wait and undergo a more complex procedure, you may choose implants over bridges, as they offer a more permanent and reliable outcome.
Other treatment options
Besides bridges and implants, there are other treatment options for replacing missing teeth, such as:
- Partial dentures: These are removable appliances that replace one or more missing teeth. They are attached to your natural teeth with metal clasps or precision attachments. They are usually cheaper than bridges or implants, but they can be less comfortable, stable, and aesthetic.
- Full dentures: These are removable appliances that replace all of your teeth in one or both jaws. They are supported by your gums and sometimes by implants. They are also cheaper than bridges or implants, but they can cause bone loss, irritation, and difficulty with eating and speaking.
- Resin-bonded bridge: This is a type of bridge that uses metal or porcelain wings to attach the pontic to the abutment teeth. It does not require shaving off the enamel of the adjacent teeth, but it is less durable and stable than a conventional bridge. It is usually used for front teeth that have less biting force.
Summary
Dental bridges and implants are two popular options for replacing missing teeth. They both have their pros and cons, as well as different costs and procedures. The best option for you depends on your oral health, budget, preferences, and expectations. You should always consult your dentist before making any decision, as they can assess your situation and recommend the most suitable treatment for you.
