By Maylands Dental Centre 
When replacing missing teeth, choosing the appropriate dental restoration is crucial to achieving optimal treatment success. Dental implants and bridges are two popular restoration options that aim to address this need, each offering unique benefits and considerations. Understanding these options can be overwhelming, but being well-informed is the first step towards making important decisions for your dental health.
This article will compare dental implants vs. bridges, providing clear and informative insights to help you weigh your options. By exploring the fundamental aspects of each treatment, you will be better equipped to determine which dental treatment fits your dental needs. Please continue reading to discover the details about dental implants vs. bridges, including their procedures and effects on surrounding teeth.
Blog Navigation
Summary of the Content:
- Dental implants and traditional bridges are two common options for replacing missing teeth; each offers unique benefits, procedures, and considerations.
- Dental implant treatment involves oral surgery to insert the metal post into the jawbone. It replaces tooth roots and provide a stable foundation for the replacement tooth.
- Traditional dental bridges are a non-surgical procedure that involves reshaping adjacent teeth to anchor a false tooth. They are a relatively quicker and less invasive option than dental implants.
- Implant posts offer long-lasting tooth restoration, with an average longevity of 20 years or more with proper care. Conversely, dental bridges may last about five to ten years.
- Dental implants can feel natural as they can integrate with the jawbone, which can withstand daily chewing forces. They can preserve bone density and prevent facial sagging. In contrast, dental bridges use adjacent teeth (abutment teeth) to support the artificial tooth (pontics).
Understanding the Basics of Dental Implants and Bridges
A dental implant is a metal post (which looks like a screw) that is intended to replace a missing tooth root. It is a popular tooth replacement option that involves a surgical procedure to place the metal post underneath the gums or into the jawbone. Because of their position, they provide a sturdy foundation for a replacement tooth. The primary purpose of dental implant treatment is to replace missing teeth and restore both appearance and oral functionality.
How They Work:
- Titanium post-integration:
The dental implant integrates with the jawbone through a process called “osseointegration.” This process is vital for creating a stable base for the attachment of a prosthetic tooth. The material of dental implants is often titanium, which is biocompatible, meaning it is well-tolerated by the body and can integrate seamlessly with the bone tissues. - Artificial tooth root:
Once the titanium post is securely in place, it acts as an artificial tooth root. This root-like structure is vital because it supports the prosthetic tooth, allowing it to function just like a natural tooth. This support enables the patient to chew and speak without any discomfort or fear of the replacement tooth shifting. - Prosthetic tooth:
A dental crown is attached to the implant post to achieve full restoration of oral functionality and enhance smile aesthetics.
Dental Bridges
A dental bridge treatment involves creating a false tooth, or pontic, that is held in place by dental crowns on adjacent teeth. Unlike tooth implants, bridges do not require a surgical procedure but instead rely on anchoring the prosthetic to the nearby teeth. The main goal of dental bridges is to restore a functional smile by replacing teeth that are severely damaged or extracted.
How They Work:
- Supported by crowns:
The false tooth, or pontic, is securely anchored by dental crowns that are placed on the abutment teeth. These crowns are custom-fitted to the reshaped neighbouring teeth and serve as the primary support for the bridge. This setup helps the bridge remain stable and functional, distributing the biting forces evenly across the anchored teeth. - Non-invasive treatment:
The procedure does not involve surgery; hence, they can restore dental aesthetics and functionality of the mouth with a less invasive approach. - Restoration of tooth functionality:
Dental bridges operate by utilising the support of neighbouring teeth to fill the gap left by a missing tooth. The key components include the pontic and the crowns on the abutment teeth.
Procedure and Treatment Process
Here’s an overview of the detailed procedures for dental implants and traditional bridges:
Dental Implants
- A consultation with the dentist:
The dental implant procedure begins with assessing the patient’s entire mouth, including the use of X-rays and 3D imaging. This helps the dentist assess the jawbone’s health and determine the appropriate treatment plan for tooth implants. - Inserting the dental implants:
During the dental implant surgery, the dentist makes an incision along the gums to gain access. Then, they will insert the titanium post into the jawbone. Because of their position, the titanium posts act as an artificial tooth root and fuse with the bone over time. - Period of healing:
After surgery, a healing process called osseointegration takes place. This can last several months, allowing the implant to bond with the jawbone and create a strong foundation. During this period, temporary crowns may be placed to maintain aesthetics and function. - Abutment placement:
Once the tooth implant has integrated with the jawbone, a small connector called an abutment is attached to the implant. This serves as the base for the prosthetic tooth. - Final restoration:
The last step involves placing a custom-made crown onto the abutment. This artificial tooth is designed to match the natural teeth in colour and shape, completing the tooth implant process.
Dental Bridges
- Initial consultation:
Similar to implants, the process starts with a detailed dental examination. The dentist evaluates the teeth next to the gap and plans the dental bridge procedure accordingly. - Preparation of adjacent teeth:
The process begins with the preparation of the teeth adjacent to the gap left by the missing tooth. These abutment teeth are reshaped to accommodate the crowns that will hold the bridge in place. This step is crucial, as it makes the crowns fit precisely over the abutment teeth, providing support for the bridge. - Creating the pontic and crowns:
After preparing the abutment teeth, the dentist creates an impression of your teeth. These impressions are used to create the pontic and the crowns in a dental laboratory. The pontic is designed to fill the gap left by the missing tooth, while the crowns are created to cover the entire abutment teeth. - Temporary bridge placement:
While the final bridge is being made, the dentist will insert a temporary bridge to protect the exposed adjacent teeth and the gap. This temporary bridge also helps maintain the mouth’s appearance and function until the final dental prosthetic is ready. - Final bridge placement:
Once the final bridge is ready, it is carefully fitted and adjusted to achieve a proper bite and comfortable fit. The dentist then cements the bridge onto the abutment teeth, securing the pontic in place and creating a seamless dental restoration.
The dental implant procedure is more complex due to the required oral surgery and subsequent healing time. The entire process of implant placement can take anywhere from two to six months. In contrast, the dental bridge procedure is generally quicker and often completed within a few weeks. Unlike dental implants, which require surgical insertion, traditional bridges are less complex and more accessible to many patients.
Understanding the distinct procedures and timelines for dental implants vs. bridges can help you choose the option that suits your needs and lifestyle. Your dentist can provide further details of the procedure to provide clarity on your suitable restorative treatment.
Impact on Surrounding Teeth
Dental implants are stand-alone tooth replacements that do not rely on adjacent teeth for support. This means the neighbouring teeth remain untouched during the implant placement process. Because dental implants do not depend on nearby teeth for stability, they help maintain the natural structure and integrity of the surrounding teeth. Additionally, dental implants stimulate the jawbone, preventing bone loss and preserving the overall oral structure.
In contrast, dental bridge treatment requires altering the nearby teeth to anchor the prosthetic. Traditional bridges involve reshaping the surrounding teeth to fit dental crowns, which support the false tooth in the middle. This process may weaken the neighbouring teeth and make them more susceptible to damage over time. Fitting crowns on the abutment teeth may also lead to increased sensitivity and risk of dental issues. However, traditional bridges can provide functional and aesthetic dental restoration for those who prefer a non-surgical option.
When considering dental implants vs. bridges, it is important to evaluate how each option impacts the surrounding teeth and your long-term oral health. Dental implants offer the advantage of preserving the integrity of adjacent teeth by not altering them. This helps maintain overall oral health and reduces the risk of future dental complications.
Consulting with a dental professional will help you understand the suitable approach for maintaining a healthy and functional smile.
Longevity and Durability
Both dental implants and bridges offer unique benefits and have varying lifespans, influenced by factors such as materials used and maintenance practices.
Dental Implants
Dental implants are known for their durability and lifespan. They are made from durable materials like titanium and can last ten years or more. The success rate of such an estimated lifespan is about 90 to 95%, which contributes to their long-term reliability.
On the other hand, 95% of the dental crowns attached to the implant posts may remain functional for about five years. A longer lifespan, within 15 to 20 years, may range from 50% to 80%. It’s essential to practise proper dental implant care and attend regular check-ups consistently to maximise their lifespan.
Dental Bridges
While dental bridge treatment is a viable option, it generally has a shorter lifespan than implants. The survival rates of dental bridges are approximately 94% at three years, ranging from 89% to 91% at five years and between 79% and 82% at ten years.
The longevity of a bridge depends on the health of the supporting teeth and the patient’s dental care routine. Regular visits to the dentist and practising good oral hygiene are important for the longevity of bridges. Unlike implants, which use durable materials like titanium, bridges rely on the strength of the adjacent teeth, which may weaken over time.
Choosing between dental implants and bridges involves considering their respective lifespans and the care required to maintain them. Regular dental visits and diligent oral care are essential to extending the life of either restoration or promoting a healthy and confident smile.
Aesthetic and Functional Outcomes
When considering dental restorations, it’s important to understand how dental implants and bridges compare in terms of aesthetics and functionality. Both options aim to closely mimic natural teeth in appearance and chewing ability. However, they may differ in terms of customisation and how they feel in the mouth.
Dental Implants
- Aesthetics:
The custom-made dental crowns attached to the implants are created to match the colour, shape, and size of your existing teeth. This makes them look natural and blend with your real teeth, achieving a beautiful smile. The progression of bone loss due to missing tooth roots can eventually result in sagging of the facial skin. This can lead to premature ageing or a sunken appearance of the cheeks. Fortunately, the integration of dental implants into the jawbone also helps maintain the natural contour of the face and prevent facial sagging. - Functionality:
Dental implants serve as sturdy anchors for false teeth, mimicking the function of natural tooth roots. They allow patients to chew and speak without discomfort or fear of the replacement tooth shifting.
Dental Bridges
- Aesthetics:
Dental bridges also aim to provide a natural appearance by matching the pontic or false tooth to the surrounding natural teeth. The same is true for the custom-made dental crowns on the abutment teeth, restoring a complete smile and dental aesthetics. - Functionality:
Dental bridges restore the ability to chew, bite, and speak properly. However, their reliance on adjacent teeth for support means they may not feel as natural as implants. Over time, the abutment teeth may experience wear and tear, which can affect the overall stability and function of the bridge. Despite this, dental bridges remain a viable choice for many patients.
Overall, implants tend to feel more like natural teeth because they are attached directly to the jawbone. This replaces tooth roots and restores better oral functionality. Bridges, while functional, may not offer the same level of natural feel due to their reliance on adjacent teeth for support.
Bone Health Considerations
Here’s a detailed overview of the importance of bone health in deciding between dental implants and bridges.
Implants and Bone Health
- Requirements for implants:
Patients must have adequate bone density. However, in cases of insufficient bone, procedures such as bone augmentation may be necessary. This involves adding bone grafts to build up the bone for stability, allowing the implant to integrate properly. - Osseointegration:
The titanium post integrates with the jawbone, a process that requires sufficient bone mass to progress. As the implant fuses with the bone, it becomes a part of the jaw. This integration is essential for long-term stability, creating a sturdy base to support the artificial teeth. - Prevention of bone loss:
A successful osseointegration allows dental implants to efficiently restore chewing function, which transfers forces to the jawbone and stimulates bone tissues. This mechanical stimulation encourages bone growth and prevents the deterioration that usually occurs after tooth loss. As a result, implants help maintain the natural structure of the face and jaw, enhancing dental aesthetics and preserving facial contours.
Bridges and Bone Health
- Impact on bone:
Unlike implants, dental bridges do not stimulate the jawbone because they rely on adjacent teeth for support. This lack of stimulation can result in bone loss in the area where the tooth is missing. Over time, the jawbone may shrink. - Bone health considerations:
While bridges provide a reliable method for tooth replacement, they do not address the issue of bone loss. Patients with significant bone loss may still benefit from bridges. However, it’s important to be aware of the potential long-term effects on the jawbone and dental aesthetics.
Considering the differences in how implants and bridges affect bone health is crucial when deciding between these options. Understanding the impact on bone density, stimulation, and long-term dental aesthetics can guide you in making decisions.
Cost and Health Fund Cover
There is a difference when it comes to the costs between dental implants vs. bridges. Being aware of these differences, including upfront costs and long-term value, can help you make a financial decision about your dental treatment. Here is an overview of the cost and health fund cover:
Cost Overview
- Dental implants:
The dental implant procedure generally involves higher upfront costs compared to dental bridges. The average cost for a single dental implant ranges from \$4,500 to \$5,000 per tooth. If additional procedures like bone augmentation or a sinus lift are necessary, the total cost can rise to \$11,500 per implant. - Dental bridges:
Dental bridge treatment generally has a lower initial cost compared to implants. The cost includes the creation and fitting of the bridge, which involves crowns for the abutment teeth and the pontic. On average, a single bridge can cost up to $1,800 per tooth.
Health Fund Cover
- Dental implants:
Some health funds may cover a portion of the implant cost under a higher-level plan. However, it is essential to check with your specific health fund provider to understand the extent of cover and any limitations that may apply. Dental cover might depend on the level of your policy and whether additional procedures like bone grafting are included. - Dental bridges:
Dental bridges are often covered by health funds. The extent of cover may include the preparation of abutment teeth, the cost of the bridge, and any necessary adjustments. Like implants, the level of cover depends on your specific policy and provider.
Considerations
- Upfront costs:
Despite the higher initial expense, dental implants are known for their durability and longevity with proper care. This long-term value can offset the initial investment, making implants a worthwhile investment over time. - Long-term value:
While bridges are viable and less expensive initially, they may require replacement every five years. Over time, the cumulative cost of replacing bridges can approach or exceed the cost of a single dental implant procedure. - Health fund variations:
Dental cover for both treatments varies among health fund providers. Always check with your provider to understand what is covered and any out-of-pocket expenses you might incur.
Choosing between dental implants and bridges involves weighing the upfront costs, long-term value, and health fund cover options. It’s advisable to confirm the details of the health fund with your preferred provider before proceeding with the treatment to avoid unexpected costs. Also, consulting with your dentist will provide clarity on the financial options to help you manage your treatment costs. They can also give a specific cost estimate that is based on your individualised treatment plan.
Making Your Decision
It’s important to evaluate various factors when deciding between dental implants and bridges. This helps to achieve optimal outcomes for your oral health and overall well-being. Each individual’s circumstances are unique, and several key considerations can influence the decision between dental implants and bridges. Listed below are the key factors to consider:
- Health
Assessing your dental and overall health is crucial when determining the suitable teeth replacement option. The state of your oral health, including bone density, gums, or the condition of the adjacent teeth, significantly impacts the success of the treatment. If a patient has a medical condition or dental issue, like gum disease, it’s important to address it as it could hinder the recovery period. - Lifestyle
Your lifestyle and daily activities play a significant role in your decision. Dental implants are a stable and durable option recommended for those seeking a fixed teeth replacement. Dental bridges may require more maintenance and periodic replacement, which might be a consideration for those looking for less invasive tooth restoration. - Budget and Cost Considerations
Another critical factor is the financial aspect. As we’ve mentioned, dental implants usually have higher upfront costs. Additional procedures, such as bone grafting or sinus lifts, can potentially increase the overall expense of the treatment. However, their longevity can make them a worthwhile and preferred choice over time.
Dental bridges generally have lower initial costs but may need replacement after several years, potentially increasing long-term costs. It’s essential to weigh these cost considerations and determine which option fits your budget and financial planning. - Aesthetic Preferences
Dental aesthetics and achieving a confident-looking smile are often key motivators for patients. Tooth implants offer a natural look and feel as they can fuse with the jawbone tissues. They can seamlessly blend and closely resemble natural teeth. Additionally, as they stimulate the jawbone, they can preserve the natural contours and appearance of the face.
Bridges also provide visually appealing tooth restoration by choosing the colour and shades of the artificial teeth that match the surrounding teeth. However, because they rely on adjacent teeth, they might not offer the same level of natural integration as implants. - Bone Preservation
Implants play a significant role in bone preservation by continuing to stimulate the jawbone, preventing bone loss, and maintaining facial structure. Bridges, while functional for replacing teeth, do not offer this benefit, as they do not interact with the jawbone in the same way. This difference is crucial for long-term oral health and maintaining the structural integrity of your jaw and face. - Consulting a Dental Professional
It is essential to consult with a dental professional to make an appropriate choice between dental implants and bridges. A dentist can evaluate your dental health, discuss your aesthetic goals, and provide personalised recommendations based on your specific needs and circumstances. This professional guidance is important to receiving a treatment plan that aligns with your health, lifestyle, and financial considerations.
Final Thoughts
Dental implants offer the advantages of preserving the integrity of surrounding teeth and stimulating the jawbone to prevent bone loss. They also provide long-term tooth replacements with a high success rate. In contrast, dental bridges can be a relatively quicker and less invasive option. However, they may require more frequent replacements and can impact adjacent teeth.
When deciding between dental implants and bridges, various factors must be considered. A consultation with a dentist can provide invaluable insights when deciding between dental implants and bridges. During this consultation, your dentist will assess your oral health, including bone density and gum condition, and discuss your lifestyle, budget, and other important aspects.
At Maylands Dental Centre, we can perform a comprehensive evaluation and recommend suitable options for your specific needs. Schedule your next appointment at our dental clinic for a personalised treatment plan that aligns with your oral health goals.
General Dentistry
Cosmetic Dentistry
Restorative Dentistry
Dental Implants
Orthodontics
Sleep Dentistry
Childrens Dentist
Cosmetic Procedures
Health Funds
Government Schemes
Payment Plan Options