Dental Bridge Vs Dental Implant

Missing teeth can have an undeniable effect on a person’s self-esteem and general quality of life in various ways. For instance, it can trigger anxiety and self-consciousness, which makes people reluctant to smile or connect with others.

Beyond aesthetic considerations, missing teeth may impose dietary restrictions on individuals and make it difficult to communicate verbally.

Fortunately, some medical interventions like dental bridges and implants effectively address the challenges posed by missing teeth. However, they do so in different ways. This article unpacks the contrasts between both interventions in terms of pain, appearance, cost, procedure time, durability, and longevity.

What is a dental bridge?

A dental bridge is a specialised fixed restorative solution expressly designed to address the challenges posed by missing teeth or substantial decay. Its principal function is to replace one’s missing teeth and restore both functionality and aesthetics whilst providing support to surrounding teeth.

This non-removable prosthetic device is not installed in individuals younger than 18 years, except in specific cases. Dental bridges are commonly manufactured from porcelain, metal alloys, or a mix of the two. This enables them to blend in perfectly with one’s existing teeth’s natural look.

How do dental bridges work?

Dental bridges work by replacing the lost tooth with a permanent one, using the neighbouring teeth to hold the bridge securely in place. In practice, a dental bridge primarily comprises artificial teeth known as pontics. Pontics are securely anchored in place by dental crowns fitted over one’s adjacent natural teeth (abutment teeth).

The installation process typically commences with the dentist preparing the abutment teeth by reshaping them to accommodate the crowns. This preparation process ensures a snug fit that allows for the even distribution of chewing forces.

Once the bridge is custom-made to match the patient’s natural teeth, it is permanently cemented into place. Therefore, it provides a stable and durable solution that prevents surrounding teeth from gradually shifting into the gap left by the missing tooth. It also improves one’s ability to chew and speak.

What is a dental implant?

A dental implant is a specialised prosthetic device used to restore one’s lost tooth. In practice, it functions as an artificial root, typically made of biocompatible materials like titanium, which is surgically inserted into one’s jawbone.

One of dental implants’ main benefits is their capacity to stop bone loss. Implants stimulate the jawbone and replace a lost tooth’s root, preserving its density and structure.

Dental implants

How do dental implants work?

During this multi-step process, a titanium post is surgically inserted into one’s jawbone, acting as an artificial tooth root. Consequently, this implant integrates with one’s bone through osseointegration. This process provides a stable foundation for supporting various dental prosthetics, such as crowns, bridges, or dentures.

Once osseointegration is successful, a small connector piece— referred to as an abutment— is attached to the implant. In practice, this connector serves as the base for the final restoration. Subsequently, a custom-made crown is placed on the abutment, completing the restoration and ensuring that the new tooth closely resembles natural teeth in both appearance and function.

Dental bridge vs implant: Comparison

Despite their utility in replacing missing teeth, dental implants and bridges maintain some stark distinctions that can significantly impact a patient’s choice between the two options. Let’s break down some of them, shall we?

Pain

Dental implants usually need invasive surgery, which may cause some discomfort during the recovery period. Nevertheless, many patients report that the pain is tolerable and goes away in a few days.

On the other hand, dental bridges don’t involve surgery. As such, they often involve considerably less discomfort. However, patients may feel some sensitivity when the neighbouring teeth are being prepared.

Comfort

Once fully integrated into the jawbone, dental implants often provide a more natural feel in terms of comfort. This is because they replicate the function of natural tooth roots.

Patients generally find that implants feel similar to their original teeth and don’t shift or become loose over time. Dental bridges can also be comfortable. However, they may require an adjustment period after placement, and some individuals might find them less stable compared to implants.

Appearance

Although both dental bridges and implants can produce aesthetically pleasing results, dental implants are often thought to look better. They don’t have any visible hardware and are made to blend in perfectly with natural teeth.

Dental bridges may eventually become less attractive as they age or if the neighbouring teeth change colour or shape, making them more obvious.

Procedure time

The procedure time for dental bridges is generally shorter than for implants. Bridges can often be completed in just two visits over a couple of weeks.

On the other hand, dental implants require multiple appointments. In practice, the first appointment is for the surgical placement of the implant. This is followed by a healing period that can take several months before the final crown is placed.

Suitability for bone loss

Because they fuse directly into one’s jawbone and provide the stimulation required to stop further degeneration, dental implants are beneficial to people losing bone.

Dental bridges, on the other hand, do not address bone loss and may cause more issues for people who have lost a substantial amount of their jawbone.

Longevity

In terms of longevity, dental implants are designed to last a lifetime with proper care. On the flip side, dental bridges usually last 5 to 15 years before necessitating replacement. Given such insight, implants are a more durable solution over time compared to bridges.

Durability

Because dental implants are made of titanium and are integrated into the jawbone, they are incredibly durable. They are safe from harm even when subjected to typical chewing forces.

Despite their durability, dental bridges may wear out over time and need to be replaced sooner than implants.

Removability

Both dental bridges and implants are fixed restorations that are not removable by the patient. However, if necessary, a dentist can remove dental bridges for repairs or adjustments. On the other hand, implants are intended to remain permanently in place once integrated into the bone.

Dental Bridge vs Implant Cost in Malaysia

In Malaysia, dental bridges are typically less expensive upfront than dental implants. Depending on the materials and level of complexity, dental bridges can cost anywhere between RM 1,500 and RM 4,000 per tooth.

On the other hand, taking into account the surgical process and restorative components, dental implants cost anywhere between RM 4,000 and RM 10,000 per tooth.

Though bridges could appear more cost-effective at first, their shorter lifespan may result in higher long-term expenses as compared to implants’ longevity.

Pros and cons of dental bridge vs implant

Dental bridges and dental implants each offer distinct advantages and disadvantages for replacing missing teeth.

Dental bridges pros:

  • Lower initial cost: They are generally less expensive upfront compared to dental implants. This characteristic makes them more accessible for patients with budget constraints.
  • Fewer appointments: The procedure typically requires only two visits, which makes it quicker to complete than the implant process.
  • No surgery required: Bridges do not involve surgical procedures. This makes them ideal for patients who prefer non-invasive options or aren’t suitable candidates for surgery.
  • Suitability: Dental bridges are appropriate for people who have healthy neighbouring teeth that can support the bridge. They are also ideal for people seeking a speedier, less invasive solution and are on a tight budget.

Dental bridge cons:

  • Impact on adjacent teeth: They require alteration of neighbouring teeth, which may weaken them (only in some cases) and increase the risk of decay or damage over time.
  • Bone loss: They do not prevent jawbone deterioration since they don’t replace the tooth root. This may potentially lead to further dental issues.
  • Shorter lifespan: They typically last between 5 to 15 years. As such, they necessitate eventual replacement and possibly higher long-term costs.
  • Oral hygiene challenges: Cleaning around and under a bridge can be challenging—increasing the risk of gum disease and decay in adjacent teeth

Dental implant pros:

  • Longevity and durability: With proper care, implants may last a lifetime. As such, they are a more permanent solution than bridges.
  • Bone health preservation: They prevent bone loss by mimicking the function of one’s natural tooth roots and stimulating the jawbone.
  • Zero impact on adjacent teeth: They are a standalone solution that doesn’t require modification of neighbouring teeth.
  • Natural appearance and feel: They are designed to look and function like natural teeth—providing a seamless integration into the smile.
  • Suitability: Patients looking for a long-term solution with sufficient bone density to sustain the implant are the best candidates for dental implants. They are perfect for people who value longevity, appearance, and maintaining oral health while choosing a tooth replacement.

Dental implant cons:

  • Higher initial cost: They are more expensive than bridges due to the surgical procedure involved. This higher price point may be a barrier for some patients.
  • Longer procedure time: Their installation often involves multiple appointments and a healing period that can take several months before completion.
  • Surgical risks: As an invasive procedure, there are inherent risks associated with surgery. For example, infection and complications during healing.
  • Potential for gum issues: While implants themselves don’t decay, maintaining good gum health around the implant is mission-critical to prevent complications.

Who is a good candidate for dental bridge and dental implants?

Dental bridges are appropriate for patients of all ages, including adults and adolescents, as long as their jaw growth is complete.

Ideal dental bridge candidates should also maintain oral health. For instance, healthy gums and adjacent teeth that can support the bridge. In essence, this means individuals with pre-existing dental issues, like gum disease or tooth decay, must address these conditions before considering a bridge.

Relatedly, patients with specific medical issues that impact dental health or healing may need to speak with their dentist.

Dental implants are usually recommended for young and older adults who have completed their jaw growth. In practice, candidates should have sufficient bone density to support the implant as well as healthy gums. If bone loss has occurred, procedures like bone grafting may be necessary to enhance bone structure.

In fact, the suitability threshold for dental implants is higher as the healing process may be more dangerous for patients who smoke or have long-term health issues like diabetes. Many people with well-controlled medical issues, however, may still be suitable candidates for implants.

Who is not suitable for dental implants and bridges?

Dental implants and bridges are generally not appropriate for people with specific medical issues and lifestyle choices that could make the treatment challenging or raise the risk of failure.

For instance, individuals with bleeding disorders, significant immunological deficiencies, uncontrolled chronic diseases (such as active TB or cancer), mental health issues, and recent myocardial infarctions or strokes.

Furthermore, patients who abuse drugs or smoke a lot may be more susceptible to implant risks since their osseointegration and healing may be affected. Similarly, people who have low jaw bone density might not be good candidates for implants if they haven’t had bone grafting done beforehand.

Can I switch from bridge to implant?

Yes, one can switch from a dental bridge to a dental implant. Patients may consider this transition for various reasons. For instance, the desire for a more permanent solution, or if one’s supporting teeth of the bridge become compromised.

Before and after dental bridge vs implant

Patients may observe notable changes in both appearance and functionality before and after getting dental bridges or implants. Here is an illustration:

Dental bridge vs dental implant: Which is better?

A number of criteria should be taken into account when choosing between dental bridges and implants to ascertain which is more appropriate for a specific person.

  • Consider your orthodontic needs: If you require orthodontic treatment or have other alignment issues, dental implants may be a better option since they don’t affect adjacent teeth. Bridges, on the other hand, necessitate modifications to neighbouring teeth, which could complicate any future orthodontic treatments.
  • Severity of dental issues: For individuals with significant bone loss or those who have lost multiple teeth, dental implants are usually the preferred choice, as they can help preserve jawbone integrity and prevent further deterioration.
  • Age and lifestyle: Because of their long-term stability and durability, implants may be more beneficial for younger individuals or those who lead active lives. On the other hand, bridges may be the better option for elderly individuals or those who want a quicker, less invasive fix.
  • Personal preferences: Because of their durability and natural appearance, dental implants are a preferable option for individuals who value aesthetics and long-term outcomes over cost.
  • Consultation with an orthodontist: An experienced orthodontist can provide personalised recommendations based on one’s bone density, overall health, and future dental plans. Thus, ensuring that patients make informed decisions about whether a dental bridge or implant is the best option for them.

Does an implant last longer than a bridge?

In general, dental implants outlast dental bridges. With the right maintenance, implants can last a lifetime—often more than 25 years, or even longer in certain scenarios.

Conversely, the average lifespan of dental bridges is lower, ranging from 5 to 15 years before they require replacement. Bridges might be less expensive initially, but as replacements become necessary, their shorter lifespan may result in higher expenses over time.

Conclusion

Missing teeth can significantly impact an individual’s confidence and overall quality of life. Dental bridges and implants serve as practical solutions for this issue by restoring the appearance of a full smile and improving oral function.

However, while bridges can be completed in fewer appointments and have a lower initial cost, they don’t prevent bone loss in the jaw. Furthermore, they may lead to complications such as decay in the supporting teeth.

Dental implants typically involve a higher initial cost and a longer treatment process due to surgical requirements but can last a lifetime with proper care. Consequently, implants are often considered the superior choice for those who prioritise long-term benefits and overall dental health.

For expert dental bridge and dental implant installation, kindly reach out to mydentist® for a specialised consultation to discuss your oral health, budget, and long-term dental goals.

Reviewer Bio

Dr. Foo Chi Chean is a highly esteemed dental surgeon and implantologist based in Kuala Lumpur, Malaysia.

He holds the position of Pacific Rim Representative of the American Academy of Osseointegration and has served as the first Malaysian President of the Asian Oral Implant Academy. With a Bachelor's degree from the University of Malaya (BDS, 1977), Dr. Foo has developed a profound expertise in oral implantology and cosmetic dentistry.

Dr. Foo's illustrious career includes extensive lecturing on cosmetic dentistry and implantology across the globe. He has been invited to share his knowledge in countries such as Japan, Korea, Hong Kong, Thailand, Taiwan, China, Indonesia, Singapore, Vietnam, the Philippines, and Malaysia.

He has been conferred prestigious Fellowships from the International College of Dentists (Washington), the International Congress of Oral Implantology (USA), and the Asian Oral Implant Academy (Tokyo).

In addition to his clinical and lecturing roles, Dr. Foo has served as the Consultant Cosmetic Dentist for the Miss Tourism International Pageant and the Queen of the Year International Finals.

Recognized for his contributions to dental wellness, he has been honoured as a diplomate of the International Congress of Implantologists (USA).

For more information or to make an appointment with Dr. Foo, visit mydentist.com.my