The difference between dental implants and bridges

Dentists offer different solutions for replacing missing teeth and restoring natural smiles, which is why it is important to arrange a preliminary assessment before undergoing treatment.

In this guide, we consider the differences between dental implants and dental bridges in order to help you make an informed decision about getting the treatment you need.

Dental implants

Dental implants are designed to resemble and function like natural teeth. If cared for properly, they might last for many years. But how do they work?

A titanium screw is installed in the jawbone, under anaesthetic, to replace the absent tooth and act as a new tooth root. The osseointegration process fuses the bone and implant to hold it in place. A false tooth, also known as a crown, is then attached to the implant at the top, mimicking the appearance of other teeth to blend in.

The procedure usually involves two stages, carried out on separate dates months apart. This is in order to allow the bone to grow back around the implant prior to crown installation.

Dental bridges

A dental bridge is an artificial pontic tooth held by crowns positioned across the gap a natural tooth once occupied. It fills the space with a false tooth. It isn’t embedded under the gum, so it might be more visible than an implant, but dentists strive to make them resemble real teeth.

People sometimes opt for bridges because the procedure is less complicated and requires fewer dental appointments. On the first visit, the dentist files neighbouring abutment teeth and takes a mould impression for the bridge. At the follow-up, the bridge will be anchored in place, while the patient’s bite is checked for maximum comfort, all conducted under local anaesthetic.

A third option for some patients is an implant-supported bridge. This involves the installation of a bridge over implants in place of consecutive missing teeth.

How do implants and bridges compare?

For some patients, dental implants may be a preferred option for avoiding damaging existing teeth. This is because when dental bridges are fitted, dentists often need to cut neighbouring teeth. Given they are embedded into the jaw, implants will absorb as much pressure as natural teeth, whereas bridges disperse that pressure to other teeth.

The impact of each treatment on jaw health also needs to be considered, as the absence of a tooth can cause bone loss. A bridge will prevent adjacent teeth from shifting, but doesn’t prevent bone loss. An implant, on the other hand, does prevent bone loss, because it operates much like a real rooted tooth, meaning the jaw will be solidified as the patient gets older. Implants will last a long time if well cared for, but a dental bridge may weaken and require restoration treatment.

Implants offer the advantage of durability while preserving the jawbone and are easier to clean, but are more invasive, requiring more surgery and potential bone density grafting. This may mean treatment over a longer period and at greater expense.

Bridges can be installed more quickly and less invasively at a cheaper initial price and are a good option if the bone isn’t suitable for implants. These advantages need to be weighed up against the fact they have a shorter lifespan, lasting five to 15 years, healthy teeth need to be ground down, they risk bone loss and they make it harder to clean underneath.

Costs

A bridge tends to be cheaper than an implant because it is a simpler procedure that involves fewer dental appointments and no surgery. Be aware also that implants are composed of high-quality titanium materials, with crowns made from porcelain or ceramic to achieve a natural looking effect.

After treatment

Both implants and bridges require good, consistent care following treatment and in the longer term. The feeling may require some getting used to before you get familiar.

With bridges, flossing may be tricky to begin with. Every case is unique, and you will need to absolutely sure of which course is appropriate for you, which your dentist can help with. Smokers, diabetics and people who have had jaw radiotherapy or gum disease may especially wish to check with their dentist first to see if a dental implant or bridge is suitable.

If you are looking for bridges or dental implants in Chester, contact Art of Dental Care now to set up a consultation and full clinical assessment.