Bridge Dental Implant Vs
dental question bridge vs implant?
front tooth needs to be extracted #9 and #8 had been broken years ago and bonded so would it be best to get an implant on 9 and crown on 8 or should i get a bridge which would have 3 teeth involved 8,9,10
tooth 10 is healthy but both 8 and 10 would have to be crowned with a fake tooth in between.
it would be a 3 tooth unit where as an implant and a crown wouldn’t affect a healthy tooth
my dentist recommended i get the bridge since we already have to crown #8 anyways
please help me make my decision
Thank you for your helpful information. It has definitely helped me. Would you still get an implant if you had to have a sinus lift? How common are those? I also heard that an implant can last from 15 years to a lifetime so I am wondering what would have to be done if the implant didn’t last a lifetime. Would they have to completely reinstall it or just replace the crown?
Implant #9 and crown #8- leave #10 alone (healthy teeth should be left alone when you can- especially in the front of your mouth)
The reasons I recommend an implant over a bridge are-
1. implants are the most natural (I know sounds strange) tooth replacement. The body is very accepting of them and over 20 yrs they have a 90% retention rate vs. bridge 25%.
2. If something were to go wrong with #9 it is a single tooth and you can deal with a single tooth much better than having to recrown/reconstruct 3 front teeth.
3. Implants are MUCH easier to clean around and keep the surrounding bone and gum tissue healthy. Bridges can be difficult to completely floss under and patients tend to get some level of periodontal disease around the teeth that support the bridge (in your case #8, #10).
4. Implants retain the level of jawbone- bridges do not. If you choose to get a bridge you will continue to lose bone where the missing tooth is (creating what is called a bony defect). It can change the fullness of your bone structure in the upper lip area. If you choose to have an implant placed after a bridge you will need to have a bone grafting material place to ‘bulk up’ the remaining bone.
5. You can do #8 and #9 at the same time and get the same color of crown making it look very natural. You wont have to shave down a significant portion of a healthy tooth (#10) to support a bridge. I hate to tell you that even at the best cosmetic dentist a bridge NEVER looks as natural as an implant (and we’re talking your front teeth…)
Implants are more expensive than bridges (usually around $3200 implant post/abutment/crown). And then you’d still pay for #8 to be crowned.
Bridges can be less expensive… so if cost is your ONLY concern, go with the bridge.
A lot of information, I realize. Bottomline- if it were my front teeth I would definitely go with an implant on #9 and crown #8. Leave #10 healthy and happy for a lifetime.
Good luck!
**sinus lifts are really common… although not for #9. The sinus lifts are generally done in the molar areas (where the sinus will drop into the space of a missing tooth). Did your dentist recommend a sinus lift for your implant of #9?
If something were to go wrong with the implant, unfortunately it’s usually the implanted post (it will begin to have infection or be loose, lose the supporting bone around it). They will actually replace the post (and can use the same abutment and crown). VERY rare. You will need to take very good care of an implant hygiene wise. Floss every day and brush the gumline very well… see your dentist for all follow up visits. They are an EXCELLENT dental restoration. Hope that helped 
Bridge vs Dental Implants
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